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Corrective Action Plans

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Finding 1168961 (2025-001)
Material Weakness 2025
Jerseyville North State, LLC
IL
HUD Housing Programs
Identifying Number: 2025-001 Finding: The Organization reduced the licensed bed size of the mortgaged property by 6 skilled nursing beds before obtaining an approval from HUD. Corrective Action Taken or Planned: Ron Wilson is responsible to ensure corrective actions are taken. Management is in the p...
Identifying Number: 2025-001 Finding: The Organization reduced the licensed bed size of the mortgaged property by 6 skilled nursing beds before obtaining an approval from HUD. Corrective Action Taken or Planned: Ron Wilson is responsible to ensure corrective actions are taken. Management is in the process of obtaining after-the-fact approval from HUD to resolve this finding by sending a letter of request to HUD with additional information on the bed change. Management most recently submitted additional information to the lender in September 2024. Due to the necessary involvement of third parties to complete the corrective action, the Organization cannot determine an anticipated completion date.
View Audit 381584
Finding 1168960 (2025-001)
Material Weakness 2025
Grand County School District
UT
Subrecipient Monitoring Allowable Costs / Cost Principles Reporting
Finding 2025-001 Reporting – Annual Reporting Criteria: Education Stabilization Fund (ESF) grantees must submit an annual performance report with data on expenditures, planned expenditures, subrecipients, and uses of funds, including mandatory reservations. Local Education Agencies submit data to th...
Finding 2025-001 Reporting – Annual Reporting Criteria: Education Stabilization Fund (ESF) grantees must submit an annual performance report with data on expenditures, planned expenditures, subrecipients, and uses of funds, including mandatory reservations. Local Education Agencies submit data to the state education agencies. Key line items must include expenditures by category, object code, and allocations to schools. Audit Recommendation: We recommend management of the District review processes related to reporting for the ESF and establish appropriate internal controls to ensure all reporting requirements are met. Corrective Action Planned: The District will review, update and train staff on the process and internal controls related to reporting for the ESF to ensure compliance with the reporting requirements. Person(s) Responsible: Matthew Keyes, Superintendent ad interim Anticipated Completion Date: December 31, 2025
View Audit 381563
Finding 1168959 (2025-005)
Material Weakness 2025
City of Columbus
MT
Procurement, Suspension & Debarment § 200.214 § 200.318 § 200.327
CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS, ASSISTANCE LISTING No. 21.027, DIRECT ALLOCATION AND GRANT NUMBER AC-22-0096, GRANT PERIOD - YEAR ENDED JUNE 30, 2025 Name of contact person: Mayor and City Council Corrective Action: The city has scheduled a meeting with engineers to discuss this i...
CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS, ASSISTANCE LISTING No. 21.027, DIRECT ALLOCATION AND GRANT NUMBER AC-22-0096, GRANT PERIOD - YEAR ENDED JUNE 30, 2025 Name of contact person: Mayor and City Council Corrective Action: The city has scheduled a meeting with engineers to discuss this issue and to make sure that, before the next federal funded project is started, all parties understand the procurement and suspension and debarment requirements. We intend to ensure that the procurement of goods and services are made in compliance with applicable federal regulations and other procurement requirements specific to a federal award or subaward, and that no subaward, contract or agreement for purchases of goods or services is made with any suspended or debarred party. Proposed Completion Date: Fiscal year 2026
View Audit 381559
Finding 1168957 (2025-004)
Material Weakness 2025
Community Unit School District 100
IL
Cash Management Eligibility School Nutrition Programs
Condition: Testing revealed that 1 of the 25 students tested were given the incorrect determination of free or reduced meal prices. Plan: The District should encourage all applications electronically. If a paper application is submitted, there should be multiple levels of review before approval. Ant...
Condition: Testing revealed that 1 of the 25 students tested were given the incorrect determination of free or reduced meal prices. Plan: The District should encourage all applications electronically. If a paper application is submitted, there should be multiple levels of review before approval. Anticipated Date of Completion: June 30, 2026 Name of Contact Person: Jason Brunaugh, Assistant Superintendent of Finance and Human Resources Management Response: The District will review procedures to determine if added steps are needed to ensure proper classification of manual applications.
View Audit 381556
Finding 1168956 (2025-001)
Material Weakness 2025
Seward County Community College
KS
Student Financial Aid Special Tests & Provisions
2025-001 - Student Financial Assistance Cluster - Special Tests and Provisions - NSLDS Enrollment Reporting Condition During testing, it was determined that 3 of the 60 students tested for enrollment status changes had a missing graduation status or a late certification date for a graduation status ...
2025-001 - Student Financial Assistance Cluster - Special Tests and Provisions - NSLDS Enrollment Reporting Condition During testing, it was determined that 3 of the 60 students tested for enrollment status changes had a missing graduation status or a late certification date for a graduation status reflected within their NSLDS reporting. Recommendation We recommend that the College review its control policies to ensure that reporting is completed accurately and timely. Comments on the Finding Management is aware of the oversight and will ensure that there are processes in place for this to be corrected. Actions Taken As of November 2025, there has been a change in personnel within the Registrar's Office. With this new change in staff, the registrar's department will be trained to understand the importance of reporting correct information to the National Student Clearinghouse. They will also set calendar reminders to get the information filed in a timely manner so that students are correctly labeled for the following reporting period. The Registrar's Office will also ensure that there are at least two individuals within the office trained on these processes and importance/adherence to reporting deadlines.
View Audit 381537
Finding 1168952 (2025-002)
Material Weakness 2025
Coastal Bend College
TX
Allowable Costs / Cost Principles § 200.430
Finding 2025-002: Time and Effort Documentation Name of Contact Person: TRIO Upward Bound Project Director, Vacant. In the Interim, contact will be Dr. Kayla Devora-Jones. Corrective Action: To prevent future occurrences, the College has implemented strengthened safeguards. All Time and Effort repor...
Finding 2025-002: Time and Effort Documentation Name of Contact Person: TRIO Upward Bound Project Director, Vacant. In the Interim, contact will be Dr. Kayla Devora-Jones. Corrective Action: To prevent future occurrences, the College has implemented strengthened safeguards. All Time and Effort reports are now housed in Microsoft Teams with shared access for the TRIO Directors, the supervising Institutional Project Manager, and the Human Resources Payroll Specialist, ensuring clear accountability in the submission and review process. TRIO Directors and the supervising Institutional Project Manager are responsible for the timely completion and submission of all Time and Effort reports, which must now be submitted within five business days following each payroll cycle. Human Resources is responsible for reviewing all submitted reports to verify completeness. This corrective action ensures systematic monitoring, real-time verification, and timely completion of all personnel activity reports. The shared filing structure also eliminates gaps in documentation and has been fully implemented across all four TRIO programs. Proposed Completion Date: 10/31/2025 Anticipated Completion Date: Completed
View Audit 381494
Finding 1168951 (2025-001)
Material Weakness 2025
Coastal Bend College
TX
Special Tests & Provisions Subrecipient Monitoring Eligibility
Finding 2025-001: Required Services to Eligible Participants Name of Contact Person: TRIO Talent Search Beeville Project Director, Ruby Hernandez Corrective Action: The College has corrected this issue by requiring staff to submit bimonthly student contact reports through Blumen within five business...
Finding 2025-001: Required Services to Eligible Participants Name of Contact Person: TRIO Talent Search Beeville Project Director, Ruby Hernandez Corrective Action: The College has corrected this issue by requiring staff to submit bimonthly student contact reports through Blumen within five business days following each reporting period. This process ensures consistent and well-documented outreach to students while strengthening the accuracy and completeness of program records. Under the leadership of the new TRIO Talent Search Beeville Director, the system is now fully operational and demonstrating compliance, with supervisory oversight in place to prevent future occurrences. This reporting practice has been standardized and implemented across all four TRIO programs. Proposed Completion Date: 11/01/2025 Anticipated Completion Date: Completed
View Audit 381494
Finding 1168944 (2025-001)
Material Weakness 2025
National Able Network, Inc. and Its Subsidiary
IL
Eligibility Significant Deficiency
Senior Community Service Employment Program – Assistance Listing No. 17.235 Recommendation: National Able Network, Inc. should verify the eligibility of the recipients, at a minimum, annually. We recommend NAN continue to generate weekly reports identifying overdue participants. Explanation of disag...
Senior Community Service Employment Program – Assistance Listing No. 17.235 Recommendation: National Able Network, Inc. should verify the eligibility of the recipients, at a minimum, annually. We recommend NAN continue to generate weekly reports identifying overdue participants. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: NAN now has career coaches run a weekly report to identify overdue participants for eligibility reassessment. Manager also runs the report to keep the career coaches on task. Name of the contact person responsible for corrective action: Michelle Harris, CFO Planned completion date for corrective action plan: September 30, 2025
View Audit 381470
Finding 1168934 (2025-002)
Material Weakness 2025
Jefferson Parish Public School System
LA
Special Tests & Provisions
The District will continue to provide training to involved parties to ensure that previously developmed processes continue to be followed.
The District will continue to provide training to involved parties to ensure that previously developmed processes continue to be followed.
View Audit 381450
Finding 1168932 (2025-002)
Material Weakness 2025
City of Cartersville, Georgia
GA
Matching / Level of Effort / Earmarking
Corrective Action Plan: To incorporate both the City Finance Department as well as a new Grant Writer position hired earlier this year, the City will update its internal control policy as it pertains to grant reimbursements. The City will define a workflow to allow for opportunities for the Grant Wr...
Corrective Action Plan: To incorporate both the City Finance Department as well as a new Grant Writer position hired earlier this year, the City will update its internal control policy as it pertains to grant reimbursements. The City will define a workflow to allow for opportunities for the Grant Writer and Finance to review draw requests prior to submission for reimbursement, especially for those grants with matching requirements. This workflow will include a checklist of required items, to include an accurate accounting of the required match, as well as signature lines for approval.
View Audit 381440
Finding 1168931 (2025-001)
Material Weakness 2025
Santa Monica Rhf Housing, Inc. Dba Wilshire House 122-Eh476
CA
HUD Housing Programs Subrecipient Monitoring Cash Management
Statement of Condition 2025-001 (Assistance Listing 14.155): The Corporation did not make the required residual receipts deposit computed at September 30, 2024 in the amount of $642,483 within 90 days of fiscal year end. Recommendation: Management should implement a system to ensure the required res...
Statement of Condition 2025-001 (Assistance Listing 14.155): The Corporation did not make the required residual receipts deposit computed at September 30, 2024 in the amount of $642,483 within 90 days of fiscal year end. Recommendation: Management should implement a system to ensure the required residual receipts deposit is made within 90 days of fiscal year end. Management response: Agree. Management made the required residual receipts deposit on June 9, 2025.
View Audit 381439
Finding 1168930 (2025-004)
Material Weakness 2025
Nevada Tahoe Conservation District
NV
Matching / Level of Effort / Earmarking
staff will work with the auditors to ensure that the single audit report is submitted to the federal clearing house in a timely manner
staff will work with the auditors to ensure that the single audit report is submitted to the federal clearing house in a timely manner
View Audit 381407
Finding 1168929 (2025-003)
Material Weakness 2025
Nevada Tahoe Conservation District
NV
staff will be advised to add all calendar dates in the agreement to their calendar upon receipt of an executed agreement.
staff will be advised to add all calendar dates in the agreement to their calendar upon receipt of an executed agreement.
View Audit 381407
Finding 1168927 (2025-001)
Material Weakness 2025
Cato-Meridian Central School District
NY
Procurement, Suspension & Debarment
Corrective Action Plan In the case reviewed, the District obtained State contract pricing but also requested quotes from vendors with whom we had established relationships with. In this case, the established vendor provided a lower cost option to the District and this resulted in a saving of public ...
Corrective Action Plan In the case reviewed, the District obtained State contract pricing but also requested quotes from vendors with whom we had established relationships with. In this case, the established vendor provided a lower cost option to the District and this resulted in a saving of public dollars. Moving forward, the District will utilize State contract pricing or will publicly bid all costs above the policy threshold. It should be noted that this may result in a higher cost to the district for goods and services. Responsible Party Elizabeth Kupiec, Assistant Superintendent Anticipated Completion Date June 30, 2026
View Audit 381396
Finding 1168924 (2025-003)
Material Weakness 2025
Ohio Institute of Allied Health, Inc.
IL
Student Financial Aid Reporting
Finding 2025-003: Untimely Enrollment Status Reporting – the Institution did not provide an enrollment update response to National Student Loan Data System (NSLDS) in a timely manner for July 2024. It is recommended the Institution increase controls over enrollment reporting. Comments on Finding and...
Finding 2025-003: Untimely Enrollment Status Reporting – the Institution did not provide an enrollment update response to National Student Loan Data System (NSLDS) in a timely manner for July 2024. It is recommended the Institution increase controls over enrollment reporting. Comments on Finding and Recommendation(s): During the time, the school was transitioning reporting periods and was reported based on new schedule. This is no longer an issue. Actions Taken or Planned: All student’s enrollment status were verified for the entire year and was found that all statuses reported were correct.
View Audit 381395
Finding 1168923 (2025-002)
Material Weakness 2025
Ohio Institute of Allied Health, Inc.
IL
Student Financial Aid Special Tests & Provisions
Finding 2025-002: Unpaid Refunds – the auditor tested twenty-two drop students and noted two unpaid refunds. It is recommended that the Institution refund the $5,808 to the Department of Education and increase controls over paying refunds Comments on Finding and Recommendation(s): Happened during tr...
Finding 2025-002: Unpaid Refunds – the auditor tested twenty-two drop students and noted two unpaid refunds. It is recommended that the Institution refund the $5,808 to the Department of Education and increase controls over paying refunds Comments on Finding and Recommendation(s): Happened during transitional phase of banking and employees and should be seen as an one off situation. Actions Taken or Planned: All banking accounts have been reconciled and refunds have been settled. We have secured more qualified accounting representatives to ensure timeliness going forward.
View Audit 381395
Finding 1168922 (2025-001)
Material Weakness 2025
Ohio Institute of Allied Health, Inc.
IL
Student Financial Aid Eligibility Matching / Level of Effort / Earmarking
Finding 2025-001: Incorrect Federal Direct Loan Amounts – the auditor tested seventy-one files, sixty-seven of which were Federal Direct Loan recipients, and two students received incorrect loan amounts. It is recommended that the Institution refund $237 to the Department of Education and increase c...
Finding 2025-001: Incorrect Federal Direct Loan Amounts – the auditor tested seventy-one files, sixty-seven of which were Federal Direct Loan recipients, and two students received incorrect loan amounts. It is recommended that the Institution refund $237 to the Department of Education and increase controls over packaging direct loans. There is no action required for the $333 in underawarded subsidized loans, as the student is no longer a current student, so the Institution is unable to reclassify the loans. Comments on Finding and Recommendation(s): This was an oversight on previous FA advisor when prorating loans. Actions Taken or Planned: Employee was removed from role earlier in the year and intense training has been given to the replacement. All debts have been settled with the Department of Education and appropriate student ledgers updated.
View Audit 381395
Finding 1168919 (2025-001)
Material Weakness 2025
Villa Caridad 122-Ee183-Wah-Np
CA
Eligibility HUD Housing Programs
The management compnay acknowledges the important regulatory requirements for EIV documentation and timeliness required for generating reports for documentation and review within specified deadlines. To ensure ongoing compliance with these regulations, management will continue the training protocol ...
The management compnay acknowledges the important regulatory requirements for EIV documentation and timeliness required for generating reports for documentation and review within specified deadlines. To ensure ongoing compliance with these regulations, management will continue the training protocol that is in place for 2025 by reviewing and signing the EIV rules of Behavior and the EIV System Security Policy forms and completing the Cyber Awareness training annually. Management is working with on-site managers to provide additional back-up support from other departments during staffing shortages. Management also strengthened oversight procedures to ensure there are mandatory manager protocols that require an EIV report be generated and reviewed within 90 days for every new tenant move-in. For example, management implemented a checklist that the property manager must sign to confirm the EIV and other documents are properly reviewed and included in tenant files. For new tenants, the property manager will calendar the 90-day review to confirm receipt of EIV for inclusion in the tenant file. Management's housing manager and broker will also review each tenant file checklist for compliance to verify that all required EIV and other reports are in the tenant file. Additionally, management will conduct periodic reviews of files to ensure these procedures are properly followed. These additional checks and balances will ensure we are compliant with regulatory requirements.
View Audit 381382
Finding 1168917 (2025-003)
Material Weakness 2025
Momence Community Schools Unit District No. 1
IL
Procurement, Suspension & Debarment Internal Control / Segregation of Duties § 200.403 § 200.404
The District will become more thoroughly aware of applicable compliance requirements and seek guidance in writing when necessary from the appropriate granting agencies. Anticipated Completion: January 1, 2026 Responsible Party: Lynette Thrasher, lthrasher@mcusd1.net 815-472-6477
The District will become more thoroughly aware of applicable compliance requirements and seek guidance in writing when necessary from the appropriate granting agencies. Anticipated Completion: January 1, 2026 Responsible Party: Lynette Thrasher, lthrasher@mcusd1.net 815-472-6477
View Audit 381381
Finding 1168914 (2025-002)
Material Weakness 2025
Town of Bridgwater, Vermont
VT
Procurement, Suspension & Debarment § 200.214
Finding 2025-002 Procurement Policy – Procurement, Suspension, Debarment Name of responsible official: Owen Astbury- Selectboard Chair Corrective action: The municipality is working to adopt policies and procedures in accordance with federal regulations. Anticipated completion date: June 30,2026
Finding 2025-002 Procurement Policy – Procurement, Suspension, Debarment Name of responsible official: Owen Astbury- Selectboard Chair Corrective action: The municipality is working to adopt policies and procedures in accordance with federal regulations. Anticipated completion date: June 30,2026
View Audit 381360
Finding 1168913 (2025-001)
Material Weakness 2025
Ccs Early Learning
AK
Reporting
Finding 2025-001 Late Reporting and Noncompliance with Reporting Requirements Name of Contact Person: Abby Miller Corrective Action Plan: Upon learning of the missed reporting deadline, internal corrective action was implemented immediately, by developing a checklist of important dates and deadlines...
Finding 2025-001 Late Reporting and Noncompliance with Reporting Requirements Name of Contact Person: Abby Miller Corrective Action Plan: Upon learning of the missed reporting deadline, internal corrective action was implemented immediately, by developing a checklist of important dates and deadlines for grants. The Finance Director and Executive Director will meet quarterly to review grant files and all associated deadlines to ensure timely completion, and to keep the checklist up to date. To increase accountability and oversight of compliance, the checklist along with completion dates will be presented at future CCS Finance Committee Meetings. Proposed Completion Date: November 25,2025
View Audit 381338
Finding 1168912 (2025-003)
Material Weakness 2025
Glencoe-Silver Lake Public Schools Isd No. 2859
MN
Reporting School Nutrition Programs Significant Deficiency § 200.303
CHILD NUTRITION CLUSTER - REPORTING Recommendation: Management should ensure their key controls are operating effectively and they should document the review and approval of all the reports. Explanation of Disagreement with Audit Findings: There is no disagreement with the audit finding. Action plan...
CHILD NUTRITION CLUSTER - REPORTING Recommendation: Management should ensure their key controls are operating effectively and they should document the review and approval of all the reports. Explanation of Disagreement with Audit Findings: There is no disagreement with the audit finding. Action planned/taken in response to finding: The District will evaluate its control processes in place prior to meal claims being reported to the state for reimbursement and ensure they properly review and approve the claims being reported prior to reporting them and document that approval. The District also understands the person reviewing and approving the claims to be reported should be different from the individual compiling that amount to be reported so two individuals are involved in the process. Name of the contact person responsible for corrective action: Trisha Zajicek, Director of Finance Planned completion date for corrective action plan: June 30, 2026
View Audit 381335
Finding 1168906 (2025-001)
Material Weakness 2025
Bay St. Louis-Waveland School District
MS
Procurement, Suspension & Debarment Allowable Costs / Cost Principles Significant Deficiency
2025-001 a. Name of Contact Person Responsible for Corrective Action: T.J. Burleson – Chief Financial Officer b. Corrective Action Planned: We will implement policies or procedures to establish an internal control system that will ensure strong financial accountability, including compliance with all...
2025-001 a. Name of Contact Person Responsible for Corrective Action: T.J. Burleson – Chief Financial Officer b. Corrective Action Planned: We will implement policies or procedures to establish an internal control system that will ensure strong financial accountability, including compliance with all federal grant requirements. c. Anticipated Completion Date: Immediately.
View Audit 381332
Finding 1168905 (2025-003)
Material Weakness 2025
Highland Rivers Community Service Board
GA
Management concurs with the finding on maintaining documentation and evidence that rent reasonableness was established. Management will begin documenting its consideration of reasonable rent.
Management concurs with the finding on maintaining documentation and evidence that rent reasonableness was established. Management will begin documenting its consideration of reasonable rent.
View Audit 381305
Finding 1168895 (2025-001)
Material Weakness 2025
Palmer College Foundation and Palmer College of Chiropractic - West
IA
Student Financial Aid Reporting Matching / Level of Effort / Earmarking
Identifying Number: 2025-001 Finding: The Foundation and College did not timely refund a student’s credit balance. Contact person responsible for corrective action: Laura Reagan, Senior Director of Financial Affairs Corrective Actions Taken or Planned: The Student Billing system omitted the student ...
Identifying Number: 2025-001 Finding: The Foundation and College did not timely refund a student’s credit balance. Contact person responsible for corrective action: Laura Reagan, Senior Director of Financial Affairs Corrective Actions Taken or Planned: The Student Billing system omitted the student from the original refund list due to an inactive address in the system. The credit balance was identified on a routine review of the student billing aging report and subsequently processed. It was completed outside of the 14 day requirement. A process will be put in place to increase the frequency of the aging review to ensure any missed credit balances will be processed within the required time frame. Anticipated Completion date: June 30th, 2026
View Audit 381294
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