Corrective Action Plans

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YWCA will develop a written procurement policy that conforms with the Uniform Guidance. In addition, we will implement procedures and control processes to retain documentation supporting compliance with major federal compliance requirements regarding suspension and debarment.
YWCA will develop a written procurement policy that conforms with the Uniform Guidance. In addition, we will implement procedures and control processes to retain documentation supporting compliance with major federal compliance requirements regarding suspension and debarment.
As of the issuance of the May 31, 2026 financial statements, the University has provided the proper formatted reports to the National Student Clearinghouse and NSLDS statuses are able to be updated by the University staff. The University expects to be in compliance with this regulation in the future...
As of the issuance of the May 31, 2026 financial statements, the University has provided the proper formatted reports to the National Student Clearinghouse and NSLDS statuses are able to be updated by the University staff. The University expects to be in compliance with this regulation in the future.
Finding #2026-001 – Reporting – Significant Deficiency and Other Noncompliance. Applicable federal programs: All programs. Condition and context: The SEFA originally provided by TALT did not correctly identify all federal awards. Certain federal awards were reported using incorrect award amounts and...
Finding #2026-001 – Reporting – Significant Deficiency and Other Noncompliance. Applicable federal programs: All programs. Condition and context: The SEFA originally provided by TALT did not correctly identify all federal awards. Certain federal awards were reported using incorrect award amounts and identifying numbers, and awards received as a subrecipient were not appropriately identified on the SEFA. Recommendation: Develop policies and procedures to correctly identify and reflect all federal programs on the SEFA and formalize independent review process for the SEFA. Planned corrective action: Management will establish procedures for the preparation and review of the SEFA. The procedures will require reconciliation of federal awards to the general ledger and supporting grant records and verification of program names, Assistance Listing numbers, award amounts, identifying numbers, and subrecipient awards. The Director of Finance will perform and document a final review of the SEFA prior to submission to the independent auditors. Responsible officer: Dina McIlhenny, Director of Finance. Estimated completion date: March 31, 2027.
Finding #2026-002 – Allowable Costs – Significant Deficiency and Other Noncompliance. Applicable federal program: U. S. Department of Agriculture, Assistance Listing #10.932, Regional Conservation Partnership Program, Contract period: 06/12/24 – 12/31/26 Contract number: Supplemental-2983-A-1608, Co...
Finding #2026-002 – Allowable Costs – Significant Deficiency and Other Noncompliance. Applicable federal program: U. S. Department of Agriculture, Assistance Listing #10.932, Regional Conservation Partnership Program, Contract period: 06/12/24 – 12/31/26 Contract number: Supplemental-2983-A-1608, Contract period: 10/31/23 – 07/31/27 Contract number: Supplemental-2757-A-1212, Contract period: 08/29/23 – 03/31/26 Contract number: 917442230013, Passed through Sul Ross State University: Contract period: 04/01/25 – 03/31/26 Contract number: N/A. Condition and context: Of the $1,838,681 expended during the year ended March 31, 2026, approximately $1,729,640 related solely to the purchase of a conservation easement. The remaining expenditures of $109,041 consisted of payroll and related charges. In a sample of three payroll transactions tested, we noted in each case that reimbursement requests were based on hourly rates that exceeded the actual rates of pay of the employees performing the work, resulting in an overstatement of payroll charged to the grantors of $14,668. Recommendation: Develop policies and procedures to ensure that all costs charged to federal awards are based on actual costs incurred in accordance with federal award requirements. Planned corrective action: Management will establish procedures to ensure personnel costs charged to federal awards are based on actual allowable employee compensation and supported by appropriate time records. Federal reimbursement requests will be reviewed by the Director of Operations and the Director of Finance prior to submission to ensure that billed costs comply with federal award requirements. Management will also review the questioned costs identified in the audit and coordinate with the applicable grantor regarding any required repayment or adjustment. Responsible officer: Dina McIlhenny, Director of Finance and Brenna Gaik, Director of Operations. Estimated completion date: October 31, 2026.
Management will implement measures to ensure the Organization will deposit “Surplus Cash” as defined by HUD, existing at the end of the fiscal year in a residual receipts account in the name of the Organization within 90 days subsequent to the end of the fiscal year.
Management will implement measures to ensure the Organization will deposit “Surplus Cash” as defined by HUD, existing at the end of the fiscal year in a residual receipts account in the name of the Organization within 90 days subsequent to the end of the fiscal year.
NORTHWEST UNIVERSITY Corrective Action Plan For the Year Ended May 31, 2026 Finding Number 2026-001: Significant deficiency in internal controls over compliance with verification requirements. Significant deficiency in internal controls over compliance with verification requirements: For the two stu...
NORTHWEST UNIVERSITY Corrective Action Plan For the Year Ended May 31, 2026 Finding Number 2026-001: Significant deficiency in internal controls over compliance with verification requirements. Significant deficiency in internal controls over compliance with verification requirements: For the two students who received Pell grants of five total students selected for verification testing, verification status was not correctly coded in Common Origination and Disbursement (COD) system. This was the result of an issue in PFAIDS in which verification status code is only reporting for Pell recipients who were selected for verification by the FPS, not for students selected by the school. SFS has reviewed the scope of this issue and determined that these were the only two Pell recipients who were school-selected and verified, and the Verification Status Code for both students has been updated in COD as of 8/11. Contact Person(s): Cynthia Kennedy, Director of SFS; Ryan Porter, CFO; and Bernie Rundquist, Controller Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): N/A Corrective action planned: The compliance issue was the result of a reporting error within the University’s current financial aid management system. Student Financial Services (SFS) is transitioning to a new financial aid management system in October 2026 and has ensured that the verification status flows correctly through COD reporting. The University goes live with the new system for the 2027-2028 award year. For the remainder of the current 2026-2027 reporting cycle, SFS has implemented a regularly scheduled manual review of COD reporting for students who are school-selected for verification to ensure correct reporting. This review will continue through the duration of processing in the current system. Anticipated completion date: October 2026
Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Management will ensure tenant file inspections are completed on an annual basis
Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Management will ensure tenant file inspections are completed on an annual basis
Recommendation: In periods of high repair expenditures, prompt submission of replacement reserve reimbursement claims will help replenish operating funds. This will enhance the Corporation’s ability to meet its monthly replacement reserve and other obligations. Action Taken: Corrective action will b...
Recommendation: In periods of high repair expenditures, prompt submission of replacement reserve reimbursement claims will help replenish operating funds. This will enhance the Corporation’s ability to meet its monthly replacement reserve and other obligations. Action Taken: Corrective action will be implemented immediately with more thorough oversight over monthly replacement reserve and escrow disbursements. The Corporation has also applied for a rent increase in July 2026 that has yet to be approved as of this report’s issuance date.
Name: CABUN Rural Health Services, Inc. Contact Name: Judy Southall, CFO Contact Phone Number: 870-798-4064 Auditor/Audit Firm: Forvis Mazars, LLP Audit Period: March 31, 2026 Federal Program: Health Center Cluster Anticipated Completion Date: October 2026 Response: The Organization concurs with the...
Name: CABUN Rural Health Services, Inc. Contact Name: Judy Southall, CFO Contact Phone Number: 870-798-4064 Auditor/Audit Firm: Forvis Mazars, LLP Audit Period: March 31, 2026 Federal Program: Health Center Cluster Anticipated Completion Date: October 2026 Response: The Organization concurs with the finding, and management will implement formal written procedures and internal controls governing Federal cash drawdowns. The procedures will require Federal funds to be drawn only for actual, immediate cash needs and as close as administratively feasible to the related disbursements. Supporting documentation will be maintained to identify expenditures supporting the draw. The expenditures will be reviewed to verify that they are allowable, properly documented, incurred within the applicable Federal award period, and recorded in the appropriate accounting records. Federal draw requests will be reconciled to the underlying expenditures before submission. The individual responsible for preparing the draw will provide the supporting documentation and reconciliation for review and approval before the draw is submitted.
Name: CABUN Rural Health Services, Inc. Contact Name: Judy Southall, CFO Contact Phone Number: 870-798-4064 Auditor/Audit Firm: Forvis Mazars, LLP Audit Period: March 31, 2026 Federal Program: Health Center Cluster Anticipated Completion Date: October 2026 Response: The Organization concurs with the...
Name: CABUN Rural Health Services, Inc. Contact Name: Judy Southall, CFO Contact Phone Number: 870-798-4064 Auditor/Audit Firm: Forvis Mazars, LLP Audit Period: March 31, 2026 Federal Program: Health Center Cluster Anticipated Completion Date: October 2026 Response: The Organization concurs with the finding, and management has continued to implement procedures to ensure that eligible patients receive discounts in accordance with the sliding fee scale. Management and all personnel involved will review and determine the appropriate sliding fee discount in order to be in compliance with Uniform Guidance. All patients will be offered an application to participate in the sliding fee discount. Information will be entered into the system as declined or appropriate to arrive at the sliding fee category. The application will then come to Hampton where a billing clerk will review the application for accuracy. The CHC and Insurance tab will reflect the correct sliding fee category. Corrections to the patient account will be made if there are any inaccuracies found. Education will be provided to those making the error and corrective action taken if continued omissions. In the Organizations PMS, the slide is setup as an insurance, if no other insurance is primary the adjustment is automatically made. The PMS has been checked for accuracy of slide categories, adjustment codes and insurance types. CABUN’s Billing and Collections staff will be re-educated on the entire process of sliding fee; from application to ensuring adjustments are made correctly. Reviews will be made by the CIO on a quarterly basis to assure the correct adjust has been made.
Finding 2026-001: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Managemen...
Finding 2026-001: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Management will ensure tenant file inspections are completed on an annual basis
Finding 2026-002: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Managemen...
Finding 2026-002: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Management will ensure tenant file inspections are completed on an annual basis
Finding 2026-001: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: Strengthen internal controls over cash disbursements by prioritizing replacement reserve and escrow deposits as fixed monthly obligations, funded at the start of each month before discretionary payab...
Finding 2026-001: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: Strengthen internal controls over cash disbursements by prioritizing replacement reserve and escrow deposits as fixed monthly obligations, funded at the start of each month before discretionary payables. Action Taken: Corrective action will be implemented immediately with more thorough oversight over monthly replacement reserve and escrow disbursements.
Finding 2026-003: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Managemen...
Finding 2026-003: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Management will ensure tenant file inspections are completed on an annual basis
Finding 2026-002: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: Management should continue efforts to rent the vacant unit and evaluate the reason for the extended vacancy. Management should also monitor vacant units on a regular basis to ensure that appropriate ...
Finding 2026-002: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: Management should continue efforts to rent the vacant unit and evaluate the reason for the extended vacancy. Management should also monitor vacant units on a regular basis to ensure that appropriate actions are taken to maximize extended vacancies and the related loss of revenue. Action Taken: Management is in agreement with the auditor’s findings. Management will ensure vacancies are monitored on an ongoing basis.
Finding 2026-001: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: In periods of high repair expenditures, prompt submission of replacement reserve reimbursement claims will help replenish operating funds. This will enhance the Corporation’s ability to meet its mont...
Finding 2026-001: Supportive Elderly Housing Section 202 –Assistance Lising # 14.157 Recommendation: In periods of high repair expenditures, prompt submission of replacement reserve reimbursement claims will help replenish operating funds. This will enhance the Corporation’s ability to meet its monthly replacement reserve and other obligations. Action Taken: Corrective action will be implemented immediately with more thorough oversight over monthly replacement reserve and escrow disbursements.
Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation and are present during testing. Action Taken: Management is in agreement with the auditor’s findings. Management has instructed all compliance personnel to review a...
Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation and are present during testing. Action Taken: Management is in agreement with the auditor’s findings. Management has instructed all compliance personnel to review all matters related to tenant compliance.
Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Management will ensure tenant file inspections are completed on an annual basis
Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation Action Taken: Management is in agreement with the auditor’s findings. Management will ensure tenant file inspections are completed on an annual basis
Recommendation: In periods of high repair expenditures, prompt submission of replacement reserve reimbursement claims will help replenish operating funds. This will enhance the Corporation’s ability to meet its monthly replacement reserve and other obligations. Action Taken: Corrective action will b...
Recommendation: In periods of high repair expenditures, prompt submission of replacement reserve reimbursement claims will help replenish operating funds. This will enhance the Corporation’s ability to meet its monthly replacement reserve and other obligations. Action Taken: Corrective action will be implemented immediately with more thorough oversight over monthly replacement reserve and escrow disbursements.
Recommendation: The Corporation should design and implement internal controls to ensure that any advances to a related party are in accordance with contractual regulations and approval. Action Taken: Management is in agreement with the auditor’s findings. Management will attempt to recover the funds...
Recommendation: The Corporation should design and implement internal controls to ensure that any advances to a related party are in accordance with contractual regulations and approval. Action Taken: Management is in agreement with the auditor’s findings. Management will attempt to recover the funds from the related party.
Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation. Action Taken: Management is in agreement with the auditor’s findings. Management will ensure internal tenant file inspections are completed on an annual basis.
Recommendation: The Corporation should design and implement internal controls to ensure that all tenant files have proper documentation. Action Taken: Management is in agreement with the auditor’s findings. Management will ensure internal tenant file inspections are completed on an annual basis.
Return of Title IV (R2T4) Calculations Planned Corrective Action: The Financial Aid Office (FAO) has reviewed the R2T4 process and implemented additional procedures to strengthen the accuracy and documentation of withdrawal calculations, particularly for students enrolled in module-based programs. T...
Return of Title IV (R2T4) Calculations Planned Corrective Action: The Financial Aid Office (FAO) has reviewed the R2T4 process and implemented additional procedures to strengthen the accuracy and documentation of withdrawal calculations, particularly for students enrolled in module-based programs. The Financial Aid Office (FAO) has implemented the following enhanced procedures: • The internal R2T4 policy document has been reviewed for accuracy to ensure that all required steps are noted. • R2T4 calculations involving module enrollment, withdrawal exemptions, or Post-Withdrawal Disbursements will receive a second-level review before the calculation is finalized and funds are returned to the Department of Education. • The FAO will maintain a tracking process to monitor R2T4 calculations, required return amounts, and return deadlines to ensure that required returns are completed accurately and within the applicable federal timeframe. • The Financial Aid counselors will receive refresher training on R2T4 requirements, with particular emphasis on withdrawals from module-based programs, the 49% withdrawal exemption, Post-Withdrawal Disbursements, and determining which modules and aid must be included in the calculation. The Director of Financial Aid will periodically review a sample of completed R2T4 calculations to verify compliance with federal requirements and the institution's procedures. Any errors identified through this monitoring will be corrected promptly and used to determine whether additional staff training or procedural changes are necessary. Person Responsible for Corrective Action Plan: Cindi Patterson, Director of Financial Aid Anticipated Date of Completion: October 1, 2026
Need Analysis Planned Corrective Action: North Greenville University recognizes that this finding represents a recurrence of the prior-year need analysis finding. Although procedures were implemented after the prior finding, the current-year audit identified a specific gap in monitoring changes to t...
Need Analysis Planned Corrective Action: North Greenville University recognizes that this finding represents a recurrence of the prior-year need analysis finding. Although procedures were implemented after the prior finding, the current-year audit identified a specific gap in monitoring changes to the Cost of Attendance (COA) and their impact on subsidized loan eligibility. The enhanced procedures described below address this risk by identifying instances where a student's subsidized loan exceeds remaining financial need after changes to COA. The Financial Aid Office (FAO) has implemented the following enhanced procedures: • The FAO has developed a targeted PowerFAIDS report to identify students whose subsidized loan award exceeds their remaining financial need. The report will be used as a specific exception report to identify potential subsidized loan over-awards resulting from changes to a student's financial aid eligibility. • The targeted PowerFAIDS report will be reviewed as part of the FAO’s pre-disbursement compliance process. Student records identified by the report will be reviewed to determine whether a change in COA, enrollment, or other financial aid resulted in a subsidized loan over-award. • The Financial Aid staff responsible for packaging, COA adjustments, loan adjustments, and disbursement review will receive additional guidance regarding the relationship between COA, remaining need, and subsidized loan eligibility. Staff will be specifically instructed to reevaluate loan eligibility when changes to housing status or other components of COA affect a student's remaining need. The PowerFAIDS exception report identifying subsidized loan awards that exceed remaining financial need will be reviewed each term and as part of the pre-disbursement review process. Additionally, the FAO will monitor significant changes to COA, particularly housing status changes, to ensure that changes in need are appropriately reflected in federal loan eligibility. Any exceptions identified will be reviewed and corrected promptly. Documentation of the review and any resulting adjustments will be retained as evidence of the control being performed. Regarding the one locked student record identified, PowerFAIDS currently has a task that identifies students in DR (Data Review) status and assigns the record to a Financial Aid counselor for review. As an enhancement to this existing control, counselors will verify the student's ISIR processing status and confirm that applicable ISIR fields are unlocked when an updated ISIR is expected. This additional verification is intended to ensure that a subsequent ISIR can successfully upload and update the student's financial aid record. Counselors will review the student's record to determine whether the locked ISIR prevented updated FAFSA information from being received or processed and will take the appropriate corrective action before finalizing the student's eligibility. As part of the DR review, counselors will verify that the student's most recent ISIR has processed correctly and that applicable federal aid eligibility, including Pell Grant eligibility, has populated appropriately. If the student's record remains in DR because of an ISIR processing issue, the counselor will resolve the issue and document the review before the student's aid is finalized. Person Responsible for Corrective Action Plan: Cindi Patterson, Director of Financial Aid Anticipated Date of Completion: October 1, 2026
FINDING No. 2026-002 Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: The Project should implement procedures for compliance with all applicable HUD regulations and ensure the performance of an annual review of tenant utility allowances with supporting documentation maintai...
FINDING No. 2026-002 Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: The Project should implement procedures for compliance with all applicable HUD regulations and ensure the performance of an annual review of tenant utility allowances with supporting documentation maintained. Action Taken: Staff training has been provided regarding UA support and included in monthly reporting procedures. If the audit Oversight Agency has questions regarding these plans, please call Irene Phillips at 954-835-9200. Sincerely yours, Irene Phillips CFO
Oversight Agency for Audit, Senior Citizens Housing Development Fund Corporation of Steuben County Two respectfully submits the following corrective action plan for the year ended March 31, 2026. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Driv...
Oversight Agency for Audit, Senior Citizens Housing Development Fund Corporation of Steuben County Two respectfully submits the following corrective action plan for the year ended March 31, 2026. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201 Coral Springs, Florida 33067 Audit period: April 1, 2025, through March 31, 2026 The findings from the March 31, 2026 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. SECTION III - FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING No. 2026-001 Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: The Project should return the excess withdrawal of $14,757 to the replacement reserve account. Action Taken: Staff training has been provided to ensure proper procedures are followed. Staff will monitor quote vs invoice withdrawals to ensure there are no duplications.
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