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Corrective Action Plans

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Finding 565303 (2024-001)
Significant Deficiency 2024
Big Cities Health Coalition
MD
Questioned Costs Procurement, Suspension & Debarment § 200.317 § 200.320 § 200.327
Views of Responsible Officials: BCHC is in the process of composing a formal procurement policy, which will address requirements for open competition and establish thresholds for different procurement amounts/processes. The policy will clearly outline the conditions where a noncompetitive purchase i...
Views of Responsible Officials: BCHC is in the process of composing a formal procurement policy, which will address requirements for open competition and establish thresholds for different procurement amounts/processes. The policy will clearly outline the conditions where a noncompetitive purchase is allowable. We anticipate having this policy written by June 1 and will submit to the BCHC Board for review and approval. I
View Audit 359141 Questioned Costs: $1
Moraine Area Career System
IL
Reporting § 200.512
Corrective Action Taken or Planned: As part of the policies and procedures update, the Business Office has included a section on compliance, with the creation of a compliance calendar to ensure all filings are completed on a timely basis. The Business Office will continue to follow internal policie...
Corrective Action Taken or Planned: As part of the policies and procedures update, the Business Office has included a section on compliance, with the creation of a compliance calendar to ensure all filings are completed on a timely basis. The Business Office will continue to follow internal policies and procedures, including deadlines for fiscal year-end process. Contact Person Responsible for Corrective Action Plan: Anne Cothran, Executive Director Completion Date: March 31, 2025
View Audit 359139
Finding 565299 (2024-001)
Significant Deficiency 2024
Generations United, Inc.
DC
Procurement, Suspension & Debarment § 200.214 § 200.30
Views of Responsible Officials: Management will develop a supplemental checklist of all regular and annual requirements related to subawards included in its compliance manual. Such a checklist will include the timely reporting of subawards in excess of $30,000 in the FSRS, annual suspension and deba...
Views of Responsible Officials: Management will develop a supplemental checklist of all regular and annual requirements related to subawards included in its compliance manual. Such a checklist will include the timely reporting of subawards in excess of $30,000 in the FSRS, annual suspension and debarment checks and risk assessments for new awards. This checklist will be completed annually.
View Audit 359136
Finding 565298 (2024-001)
Material Weakness 2024
Snowy Mountain Development Corporation
MT
Reporting
Snowy Mountain Development Corporation Corrective Action Plan Fiscal Year Ending: June 30, 2024 FINDING #2024-001 (Inaccurate information was submitted for the quarterly reports and mistakes were made in the SF-425 report submitted.) Responsible Party: JCCS PC and Sara Hudson Anticipated Comp...
Snowy Mountain Development Corporation Corrective Action Plan Fiscal Year Ending: June 30, 2024 FINDING #2024-001 (Inaccurate information was submitted for the quarterly reports and mistakes were made in the SF-425 report submitted.) Responsible Party: JCCS PC and Sara Hudson Anticipated Completion Date: October 31, 2024 Corrective Action Plan: Monthly and quarterly reconciliations are done between the accounting records and reporting submitted to the EPA. SMDC was aware of the discrepancy in reporting due to timing and had prior approval to report in the subsequent period. If timing is an issue in the future, SMDC will work with the EPA to obtain clear guidance and clarification on impact to future audit periods. A review process has been put in place prior to submitting the SF-425 to ensure proper completion.
View Audit 359133
Nutrition Education Services, Inc.
LA
Questioned Costs Allowable Costs / Cost Principles
Recommendation: The Executive Director must ensure that any amended budgets for salaries are properly reflected in the accounting system before processing the payroll that includes the change. Copies of the payroll that is budgeted for administrative salaries should be provided for review and to ...
Recommendation: The Executive Director must ensure that any amended budgets for salaries are properly reflected in the accounting system before processing the payroll that includes the change. Copies of the payroll that is budgeted for administrative salaries should be provided for review and to ensure that the correct pay rate is used for computing payroll expenditures.
View Audit 359131 Questioned Costs: $1
Finding 565296 (2024-002)
Significant Deficiency 2024
Nutrition Education Services, Inc.
LA
Internal Control / Segregation of Duties
Recommendation: The Executive Director must ensure that any amended budgets for salaries are computed correctly and properly reflected in the accounting system before processing the payroll that includes the change. Copies of the payroll that is budgeted for administrative salaries should be pro...
Recommendation: The Executive Director must ensure that any amended budgets for salaries are computed correctly and properly reflected in the accounting system before processing the payroll that includes the change. Copies of the payroll that is budgeted for administrative salaries should be provided for review and to ensure that the correct pay rate is used for computing payroll expenditures.
View Audit 359131
Finding 565295 (2024-001)
Significant Deficiency 2024
Nutrition Education Services, Inc.
LA
Internal Control / Segregation of Duties
Recommendation: The Executive Director must ensure that any amended budgets for salaries are computed correctly and properly reflected in the accounting system before processing the payroll that includes the change. Copies of the payroll that is budgeted for administrative salaries should be pro...
Recommendation: The Executive Director must ensure that any amended budgets for salaries are computed correctly and properly reflected in the accounting system before processing the payroll that includes the change. Copies of the payroll that is budgeted for administrative salaries should be provided for review and to ensure that the correct pay rate is used for computing payroll expenditures.
View Audit 359131
Finding 565221 (2024-002)
Significant Deficiency 2024
Ouachita Multi-Purpose Community Action Program, Inc.
LA
Subrecipient Monitoring Cash Management Internal Control / Segregation of Duties
Management will have the employee responsible for the review of the LIHEAP Agency Invoice Reports sign each weekly report as approved.
Management will have the employee responsible for the review of the LIHEAP Agency Invoice Reports sign each weekly report as approved.
View Audit 359115
Finding 565220 (2024-001)
Significant Deficiency 2024
Ouachita Multi-Purpose Community Action Program, Inc.
LA
Subrecipient Monitoring Internal Control / Segregation of Duties
Management agrees with this finding and will develop policies and procedures to ensure all client application are approved prior to granting the client an award.
Management agrees with this finding and will develop policies and procedures to ensure all client application are approved prior to granting the client an award.
View Audit 359115
Finding 565212 (2024-001)
Significant Deficiency 2024
Town of North Attleborough, Massachusetts
MA
Procurement, Suspension & Debarment
In response to the single audit finding regarding the verification of vendors against federal suspension and debarment lists, the Town of North Attleborough has taken corrective action by formally integrating this requirement into its procurement process. Specifically, the Town has updated its procu...
In response to the single audit finding regarding the verification of vendors against federal suspension and debarment lists, the Town of North Attleborough has taken corrective action by formally integrating this requirement into its procurement process. Specifically, the Town has updated its procurement checklists to include verification through SAM.gov to ensure no vendor receiving federal funds is suspended or debarred. Additionally, this requirement has been codified in the Town's Standard Operating Procedures (SOP), which outlines the steps to be taken prior to awarding any federally funded contract. A copy of the revised SOP is attached for reference. These measures are now in effect and will be applied to all applicable procurements moving forward.
View Audit 359106
Finding 565208 (2024-002)
Material Weakness 2024
Wapello Community School District
IA
Internal Control / Segregation of Duties Reporting
With limited personnel in the district office, the district will continue to look for ways to obtain the maximum internal control. Corrective Action Plan – The district will look for ways to utilize not only office staff, but the Board of Directors to achieve a higher internal control plan.
With limited personnel in the district office, the district will continue to look for ways to obtain the maximum internal control. Corrective Action Plan – The district will look for ways to utilize not only office staff, but the Board of Directors to achieve a higher internal control plan.
View Audit 359098
Finding 565207 (2024-002)
Significant Deficiency 2024
American Academy McAllister Institute of Funeral Service, Inc.
NY
Special Tests & Provisions Student Financial Aid Subrecipient Monitoring
Finding 2024-002 - Special Tests and Provisions - Federal Direct Loan Program Student Notification – Significant Deficiency Name of Federal Agency: U.S. Department of Education Federal Program Name: Federal Direct Student Loans Assistance Listing Number: 84.268 Federal Award Identification Number an...
Finding 2024-002 - Special Tests and Provisions - Federal Direct Loan Program Student Notification – Significant Deficiency Name of Federal Agency: U.S. Department of Education Federal Program Name: Federal Direct Student Loans Assistance Listing Number: 84.268 Federal Award Identification Number and Year: P268K243382 2024 Name of Pass-through Entity: N/A Planned Corrective Action: The failure to timely send out the required notification of Federal Direct Student Loan Program proceeds credited to one student’s account, as noted in the auditor’s findings, was an administrative oversight. In May 2025, the Institute reviewed and revised its current procedures to ensure that all required notifications are made. Under the revised procedures, an employee independent from the student loan proceed crediting notification process is to review that notifications are sent out within prescribed time frames in accordance with U.S. Department of Education regulations to all students receiving and being credited with Federal Direct Loan Program amounts and that copies of the notifications are maintained in each applicable student’s file.
View Audit 359094
Finding 565206 (2024-001)
Significant Deficiency 2024
American Academy McAllister Institute of Funeral Service, Inc.
NY
Student Financial Aid Special Tests & Provisions Matching / Level of Effort / Earmarking
Finding 2024-001 – Special Tests and Provisions – Exit Counseling – Significant Deficiency Name of Federal Agency: U.S. Department of Education Federal Program Name: Federal Direct Student Loans Assistance Listing Number: 84.268 Federal Award Identification Number and Year: P268K243382 2024 Name of ...
Finding 2024-001 – Special Tests and Provisions – Exit Counseling – Significant Deficiency Name of Federal Agency: U.S. Department of Education Federal Program Name: Federal Direct Student Loans Assistance Listing Number: 84.268 Federal Award Identification Number and Year: P268K243382 2024 Name of Pass-through Entity: N/A Planned Corrective Action: The failure to document the exit conference of one student borrower in the Federal Direct Loans Program, as noted in the auditor’s findings, was an administrative oversight. In May 2025, the Institute reviewed and revised its current procedures to ensure that all exit conferences are documented. Under the revised procedures, an employee independent from the exit conference process is to review that any student that has not enrolled in a new semester or that is enrolled at less than half time status has received proper exit conferencing and that the exit conferencing has been properly documented.
View Audit 359094
Finding 565201 (2024-006)
Significant Deficiency 2024
University of Guam
GU
Student Financial Aid Reporting Matching / Level of Effort / Earmarking
Finding NO. 2024-0006 – Reporting View of the University of Guam and Correction Action Plan: An agreed upon timeline for generating data will be established for use in the annual FISAP. The Admissions and Records Office will generate the school enrollment for the relevant academic year. The data sn...
Finding NO. 2024-0006 – Reporting View of the University of Guam and Correction Action Plan: An agreed upon timeline for generating data will be established for use in the annual FISAP. The Admissions and Records Office will generate the school enrollment for the relevant academic year. The data snapshot will be taken immediately after the end of the summer semester. For the enrollment data for AY24-25, the snapshot will be taken during the first week of September 2025 with a similar timeline for subsequent years. Once that data snapshot is generated, the Office of Information Technology will generate a report of collected tuition and fees corresponding to the snapshot data from Admissions and Records. In testing, this was found to be the most accurate process in generating the required data for the FISAP. Name of Contact Person: Mark Duarte, Director, Financial Aid and Triton One Stop Office Proposed Completion date: Next Reporting Period
View Audit 359091
Finding 565196 (2024-005)
Significant Deficiency 2024
University of Guam
GU
Student Financial Aid Reporting Matching / Level of Effort / Earmarking
Finding NO. 2024-005 Special Tests and Provisions – Enrollment Reporting View of the University of Guam and Corrective Action Plan: The University of Guam has signed a service agreement with the National Student Clearinghouse (NSC) to assist the University with enrollment reporting. The Admissions...
Finding NO. 2024-005 Special Tests and Provisions – Enrollment Reporting View of the University of Guam and Corrective Action Plan: The University of Guam has signed a service agreement with the National Student Clearinghouse (NSC) to assist the University with enrollment reporting. The Admissions and Records Office (A&R) will submit an enrollment report to the NSC at least four times per semester. A first of term report, and three other subsequent reports within the semester. This report will be sent to the National Student Loan Database System (NSLDS) in fulfillment of the federal regulations requirement for enrollment reporting. Name of Contact Person: Mark Duarte, Director, Financial Aid and Triton One Stop Office Proposed Completion date: Next Reporting Period
View Audit 359091
Finding 565195 (2024-004)
Significant Deficiency 2024
University of Guam
GU
Special Tests & Provisions Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties
Finding NO. 2024-004 Special Tests and Provisions – Wage Rate Requirements View of the University of Guam and Corrective Action Plan: The Facilities Management and Services Office has begun reviewing weekly certified payrolls to ensure prevailing wage rates are enforced. Weekly payrolls have been...
Finding NO. 2024-004 Special Tests and Provisions – Wage Rate Requirements View of the University of Guam and Corrective Action Plan: The Facilities Management and Services Office has begun reviewing weekly certified payrolls to ensure prevailing wage rates are enforced. Weekly payrolls have been requested from current contractors as part of an ongoing process. Name of Contact Person: Zenon Belanger, Interim Facilities Management and Services Director Proposed Completion date: Ongoing
View Audit 359091
Finding 565190 (2024-003)
Significant Deficiency 2024
University of Guam
GU
Student Financial Aid Cash Management Matching / Level of Effort / Earmarking
Finding NO. 2024-003 Cash Management View of the University of Guam and Corrective Action Plan: The Financial Aid Office (FAO) will conduct both internal and external monthly reconciliations to ensure the accuracy of financial aid disbursements and compliance with federal regulations. Internally, ...
Finding NO. 2024-003 Cash Management View of the University of Guam and Corrective Action Plan: The Financial Aid Office (FAO) will conduct both internal and external monthly reconciliations to ensure the accuracy of financial aid disbursements and compliance with federal regulations. Internally, the FAO and the Business Office will reconcile actual disbursements and adjustments against drawdowns, drawdown adjustments, refunds of cash, and returns weekly or bi-weekly, following each transmittal to the Business Office. Any discrepancies will be documented and resolved promptly. Externally, the FAO will reconcile with the COD system by the 10th of each month, comparing all disbursements, adjustments, and refunds to the balances reported in COD. A copy of the completed monthly reconciliation will be forwarded to Accounts Receivable as official documentation. Name of Contact Person: Mark Duarte, Director, Financial Aid and Triton One Stop Office Proposed Completion date: Ongoing
View Audit 359091
Finding 565185 (2024-002)
Significant Deficiency 2024
University of Guam
GU
Special Tests & Provisions Student Financial Aid Internal Control / Segregation of Duties
Finding NO. 2024-002 Special Tests and Provisions – Disbursements to or on Behalf of Students (Credit Balances) View of the University of Guam and Corrective Action Plan: To comply with federal regulations regarding the timely disbursement of Title IV credit balances, the University’s Business Off...
Finding NO. 2024-002 Special Tests and Provisions – Disbursements to or on Behalf of Students (Credit Balances) View of the University of Guam and Corrective Action Plan: To comply with federal regulations regarding the timely disbursement of Title IV credit balances, the University’s Business Office established a payment log in October 2024 to monitor and document all related transactions. Furthermore, to ensure ongoing compliance, the University will create a Standard Operating Procedure to be distributed among the Business Office staff. Name of Contact Person: Abigail Martin, Comptroller Proposed Completion date: September 30, 2025
View Audit 359091
Finding 565180 (2024-001)
Significant Deficiency 2024
University of Guam
GU
Subrecipient Monitoring Special Tests & Provisions § 200.303
Finding NO. 2024-001 Special Tests and Provisions – Gramm-Leach-Bliley Act–Student Information Security View of the University of Guam and Corrective Action Plan: The University’s Office of Information Technology is developing a written Information Security Program that complies with the requireme...
Finding NO. 2024-001 Special Tests and Provisions – Gramm-Leach-Bliley Act–Student Information Security View of the University of Guam and Corrective Action Plan: The University’s Office of Information Technology is developing a written Information Security Program that complies with the requirements of the Gramm-Leach-Biley Act applicable to universities. The Information Security Program will be reviewed annually to ensure minimum requirements are met. Name of Contact Person: Vincent Dela Cruz, Chief Information Officer Proposed Completion date: January 30, 2026
View Audit 359091
Finding 565171 (2024-010)
Material Weakness 2024
Englewood Board of Education
NJ
Management has reviewed this finding and indicated it will review and revise its procedures to ensure corrective action is taken.
Management has reviewed this finding and indicated it will review and revise its procedures to ensure corrective action is taken.
View Audit 359088
Finding 565169 (2024-002)
Significant Deficiency 2024
Sco Family of Services
NY
School Nutrition Programs Cash Management Reporting
To address the issue of meal counts not being properly taken and recorded at the point of service, SCO Family of Services is reinforcing internal controls in accordance with 7 CFR 210.8 to ensure the accuracy of meal counts prior to submitting monthly claims for reimbursement. Staff involved in meal...
To address the issue of meal counts not being properly taken and recorded at the point of service, SCO Family of Services is reinforcing internal controls in accordance with 7 CFR 210.8 to ensure the accuracy of meal counts prior to submitting monthly claims for reimbursement. Staff involved in meal service have received refresher training on proper point-of-service meal counting procedures, and supervisors will continue to conduct routine monitoring to verify compliance. These steps will help ensure that all meal counts are accurately recorded in real-time, supporting the integrity of reimbursement claims. To ensure accountability, the agency is currently in the process of recruting a full-time Food Service Director who will have oversight over the Child Nutrition Porgram and will be responsible for continued compliance, staff training, on-site reviews, and all documentation required by both state and federal regulations. While we will recruit to fill this poistion, an interim Food Service Director will be appointed. Our PQI department will continue to support and monitor activities as well. Proposed Implementation Date: Immediately
View Audit 359084
Finding 565168 (2024-001)
Material Weakness 2024
Calumet Public School District 132
IL
Material Weakness Reporting Internal Control / Segregation of Duties
Condition: During audit fieldwork, w enoted the District's management has not received a bank reconciliation from the Calumet Township Treasurer for pooled cash and investments. This represents a material weakness in the internal control over financial reporting. Plan: The superintendent, along with...
Condition: During audit fieldwork, w enoted the District's management has not received a bank reconciliation from the Calumet Township Treasurer for pooled cash and investments. This represents a material weakness in the internal control over financial reporting. Plan: The superintendent, along with staff, will work with the Calumet Township Treasurer to ensure that monthly bank reconciliations and support documents are performed and received prior to or during audit fieldwork. Anticipated Date of Completion: June 30, 2025 Name of Contact Person: Armand Gasbaro - Chief School Board Official. Management Response: The CSBO and Superintendent will work with the new Calumet Township Treasurer to establish a process to receive a montly bank reconciliation for pooled cash and investments.
View Audit 359076
Finding 565167 (2024-001)
Significant Deficiency 2024
Washington Housing Authority
IN
HUD Housing Programs Procurement, Suspension & Debarment Significant Deficiency
2024-001. Contract Administration Corrective action planned: The Housing Authority works with an architecture firm, Donovan and Donovan, to negate nepotism, bias, and to find the best contract for services needed. Moving forward, the housing authority has committed to continuing and following the P...
2024-001. Contract Administration Corrective action planned: The Housing Authority works with an architecture firm, Donovan and Donovan, to negate nepotism, bias, and to find the best contract for services needed. Moving forward, the housing authority has committed to continuing and following the Procurement Policy that has been established. Should changes be necessary, we will update the Procurement Policy and implement the needed procedures. Contact person: Shawnee' L. Huxley, Executive Director. Anticipated completion date: The corrective action was completed and executed in the calendar year 2024.
View Audit 359073
Finding 565163 (2024-003)
Significant Deficiency 2024
Kaskaskia Community College District #501
IL
Subrecipient Monitoring Significant Deficiency Internal Control / Segregation of Duties
Action taken in response to finding: The College will work to update the written information security program (WISP) to ensure compliance with all the required elements of the Gramm-Leach Bliley Act (GLBA).
Action taken in response to finding: The College will work to update the written information security program (WISP) to ensure compliance with all the required elements of the Gramm-Leach Bliley Act (GLBA).
View Audit 359072
Finding 565159 (2024-002)
Significant Deficiency 2024
Kaskaskia Community College District #501
IL
Matching / Level of Effort / Earmarking Student Financial Aid § 200.303
Action taken in response to finding: Admissions training manuals have been updated to ensure that the date the student first indicated a desire to withdraw from a course is used as the date of withdrawal rather than the date that the withdrawal was processed in Colleague. Admissions staff members ha...
Action taken in response to finding: Admissions training manuals have been updated to ensure that the date the student first indicated a desire to withdraw from a course is used as the date of withdrawal rather than the date that the withdrawal was processed in Colleague. Admissions staff members have been trained on the updated procedure for processing student course withdrawals. The Office of Institutional Research has reviewed and updated the procedures used to generate reports sent to National Student Clearinghouse. IR staff members will ensure that the last date of attendance is reported for student course withdrawals. The office of Institutional Research has contacted National Student Clearinghouse for guidance on the enrollment reports needed to ensure that student enrollment is reported to NSLDS accurately and timely. An additional enrollment report will now be sent to National Student Clearinghouse for reporting graduated students. This will ensure that students that have graduated are reported as no longer enrolled within the required reporting timeframe.
View Audit 359072
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