Corrective Action Plans

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Corrective Action Plan We are in the process of updating the Organization’s written policies and procedures to include the requirements of the Uniform Guidance. Completion Date Fiscal year end 2025
Corrective Action Plan We are in the process of updating the Organization’s written policies and procedures to include the requirements of the Uniform Guidance. Completion Date Fiscal year end 2025
Finding 553700 (2024-001)
Significant Deficiency 2024
Finding 2024-001 Department of Housing and Urban Development Mortgage Insurance for the Purchase or Refinancing of Existing Multifamily Housing Projects - Section 223(f)/207, ALN 14.155. ...
Finding 2024-001 Department of Housing and Urban Development Mortgage Insurance for the Purchase or Refinancing of Existing Multifamily Housing Projects - Section 223(f)/207, ALN 14.155. Recommendation: The Property should have procedures in place to ensure the internal controls established to review Form HUD-50059 verifying all documentation used to calculate the tenant rent and assistance payment is supported and properly calculated. Action taken: The new property manager was informed of the finding. The error occurred prior to his management assignment. The new property manager, will ensure the internal controls established to review Form HUD-50059 verifying all documentation used to calculate the tenant rent and assistance payment is supported and properly calculated.
Finding 553699 (2024-002)
Significant Deficiency 2024
Invest in Kids updated its policies and procedures in October 2024. The updated language states “Disbursements to subrecipients of federal funds: The Director(s) and Finance & Administrative Manager will review all relevant documentation to confirm that funds were used for the approved amount and in...
Invest in Kids updated its policies and procedures in October 2024. The updated language states “Disbursements to subrecipients of federal funds: The Director(s) and Finance & Administrative Manager will review all relevant documentation to confirm that funds were used for the approved amount and intended activity, goods, or services, and that only allowable expenses are charged. Invoice payments will be delayed until the necessary supporting documentation is received and verified.” Additionally, all staff participated in the organization's annual financial management and internal controls training in October 2024 with a focus on the accounts payable and invoicing process.
View Audit 352269 Questioned Costs: $1
Finding 553698 (2024-001)
Significant Deficiency 2024
Invest in Kids updated its human resources system to ensure timesheets accurately reflect time allocated across various funding sources and cost objectives. Additionally, all staff attended the organization’s annual financial management and internal controls training in October 2024, that included u...
Invest in Kids updated its human resources system to ensure timesheets accurately reflect time allocated across various funding sources and cost objectives. Additionally, all staff attended the organization’s annual financial management and internal controls training in October 2024, that included updated policies and a focus on accurate submissions of time and effort. Policy reviews have also been completed by management.
View Audit 352269 Questioned Costs: $1
Finding 553686 (2024-002)
Significant Deficiency 2024
Management will implement internal tracking and deadline reminders. This process will include assigning a responsibility to monitor submission deadlines and establish automated internal reminders to prevent future late submissions.
Management will implement internal tracking and deadline reminders. This process will include assigning a responsibility to monitor submission deadlines and establish automated internal reminders to prevent future late submissions.
The Director of Finance created a new tracking spreadsheet to complete each month during the month-end process. This spreadsheet shows the monthly expenses for each grant and the total for the year. This allows us to monitor the grant funds closely. The information is shared with the board of dir...
The Director of Finance created a new tracking spreadsheet to complete each month during the month-end process. This spreadsheet shows the monthly expenses for each grant and the total for the year. This allows us to monitor the grant funds closely. The information is shared with the board of directors in their financial statement reports
Our Organization has developed a Monitoring Policy to have better oversight of our sub-recipients. Our Chief Executive Office will implement this Monitoring Policy. The Grant Coordinator, will oversee the direct communications related to sub-recipients monitoring. The implementation of enhanced m...
Our Organization has developed a Monitoring Policy to have better oversight of our sub-recipients. Our Chief Executive Office will implement this Monitoring Policy. The Grant Coordinator, will oversee the direct communications related to sub-recipients monitoring. The implementation of enhanced monitoring tools and documentation standards will be completed by June 30, 2025
Finding 553682 (2024-002)
Significant Deficiency 2024
Lane College acknowledges the audit finding regarding delayed reporting of withdrawal and graduation dates to the National Student Loan Data System (NSLDS). The College recognizes the importance of timely and accurate reporting as a critical compliance requirement under 2 CFR Part 200 and the compli...
Lane College acknowledges the audit finding regarding delayed reporting of withdrawal and graduation dates to the National Student Loan Data System (NSLDS). The College recognizes the importance of timely and accurate reporting as a critical compliance requirement under 2 CFR Part 200 and the compliance supplement. In response to this audit finding, Lane College commits to implementing immediate and sustained corrective actions as follows: 1. Enhanced Tracking System: Lane College will implement a robust tracking system specifically designed to monitor student enrollment status changes, including withdrawals and graduations, to ensure these changes are promptly identified and reported. The tracking system will be integrated within the existing enrollment management software, enabling automatic notifications to designated staff when an enrollment status change occurs. 2. Internal Control Improvements: The College will strengthen internal controls by clearly delineating responsibilities for enrollment reporting among relevant departments. The Registrar's Office will have primary accountability for overseeing timely reporting, supported by coordinated 3. checks and balances from the Financial Aid Office to cross-verify reporting accuracy and timeliness. 4. Staff Training: Regular training sessions will be conducted for all staff involved in reporting enrollment status changes. These trainings will focus on compliance requirements, reporting timelines, and use of the updated tracking and reporting system. Attendance will be mandatory, and training effectiveness will be evaluated through periodic assessments. 5. Periodic Audits: To sustain compliance, the College will institute internal audits conducted quarterly by the Office of Enrollment Management. These audits will sample enrollment status changes and assess the timeliness of reports submitted to NSLDS. Audit results will be documented, reviewed by senior management, and any deviations will be promptly addressed. 6. Reporting Accountability: Staff responsible for reporting enrollment status changes will be required to submit monthly summaries of reporting activities to their supervisors. Supervisors will review these summaries to ensure adherence to the 60-day reporting deadline and address any delays proactively. Lane College is committed to rectifying this compliance issue swiftly and effectively. The College understands that maintaining accurate and timely reporting to NSLDS is essential to prevent inaccuracies in student loan records, avoid potential financial consequences, and uphold regulatory compliance. These measures demonstrate our dedication to robust compliance practices and continuous institutional improvement.
Condition: The Town was unable to provide documentation to support a competitive procurement process for one vendor. Corrective Action Planned: A change in Town leadership (Town Administrator) caused the requested documents to be misplaced. In the future the Town will keep all procurement docu...
Condition: The Town was unable to provide documentation to support a competitive procurement process for one vendor. Corrective Action Planned: A change in Town leadership (Town Administrator) caused the requested documents to be misplaced. In the future the Town will keep all procurement documents together in one central location at Town Hall. Anticipated Completion Date: Completed Contact: Laurie Dell’Olio, Town Accountant
View Audit 352248 Questioned Costs: $1
2024-001 – SUBRECIPIENT MONITORING Recommendation: The auditors recommended CCSJJC implement an internal control to ensure risk assessment and monitoring procedures are performed and formal written documentation is maintained that evidences its compliance with required subrecipient monitoring activi...
2024-001 – SUBRECIPIENT MONITORING Recommendation: The auditors recommended CCSJJC implement an internal control to ensure risk assessment and monitoring procedures are performed and formal written documentation is maintained that evidences its compliance with required subrecipient monitoring activities in accordance with 2 CFR 200. Actions Taken or Planned: CCSJJC management will ensure that risk assessment and monitoring procedures are a part of the process for all subrecipients, both from federal and state funding, to ensure that compliance and regulatory guidelines are met. All subrecipients will be required to submit a complete risk assessment form and will be monitored. This will also become an addition to CCSJJC’s financial policies and procedures regarding subrecipient documentation and activities. Person Responsible: James Lyles, Fiscal Manager Estimated Date of Completion: April 30, 2025
Federal Program: Student Financial Assistance (SFA) Cluster - Various ALN Compliance Requirement - Enrollment Reporting Management’s Response The UPR concurs with this finding. On February 26, 2025, we met with all deans for Academic Affairs and explained to them the importance of complying with ...
Federal Program: Student Financial Assistance (SFA) Cluster - Various ALN Compliance Requirement - Enrollment Reporting Management’s Response The UPR concurs with this finding. On February 26, 2025, we met with all deans for Academic Affairs and explained to them the importance of complying with federal requirements. Twenty-two exceptions were found in the FY2023 single audit report, and an exception was found in FY2024 single audit report. We recognize that we have improved, however, we are not satisfied with the results. We understand that we have not achieved 100% compliance, and our correction action plan remains in force. We will take additional actions such as: • Continue to guide professors on the importance of taking and reporting attendance timely. • One of the special assistants of the Vice Presidency for Academic Affairs will send a reminder to the registrars every month indicating how much time they have left to inform the NSLDS of the change in status on or before 60 days after the change occurred. • The next meeting of the University Board will be used to inform members (chancellors, faculty, and student representatives) so that they can take the message to their institutional units. The goal is to have 100% compliance. Responsible Person or Office: Executive Vice President for Academic Affairs and Research. Timeline: 2025-2026
Federal Program: Student Financial Assistance (SFA) Cluster - Various ALN Compliance Requirement - Return of Title IV Funds Management’s Response The UPR concurs with this finding. Since April 2024, Río Piedras implemented the following procedure for students who request a total withdrawal. 1. T...
Federal Program: Student Financial Assistance (SFA) Cluster - Various ALN Compliance Requirement - Return of Title IV Funds Management’s Response The UPR concurs with this finding. Since April 2024, Río Piedras implemented the following procedure for students who request a total withdrawal. 1. The information system office produces a list of students who request total withdrawal. 2. This list is received by the financial aid office. 3. The financial aid office identifies the students with financial aid. 4. The financial aid office sends to the fiscal financial aid office the students who requested total withdrawal and received financial aid. 5. The fiscal financial aid office analyzes the cases and prepares the R2T4 form. 6. The finance office returns the determined amount to ED using the G5 platform. This procedure worked well for students who requested a total withdrawal but did not prevent another case in Río Piedras noted by the auditor in which the student never attended his courses (Note: The three additional cases of Río Piedras in which the student requested total withdrawal occurred before the implementation of this process (April 2024)). Neither will work for another case identified by the auditors for which the student stopped attending on the Mayagüez campus. For the three cases of the Cayey campus in which the student requested a total withdrawal and the funds were returned after 45 days, the employee in charge was a new employee in the fiscal office without direct supervision because her supervisor, the finance director, was on maternity leave. Currently, the Cayey campus has a finance coordinator, a position between the fiscal office director and the finance director. The finance coordinator will directly supervise the fiscal office. In his or her absence, the director will oversee the fiscal office. In May 2025, the finance office at central administration will have a meeting with the finance directors and fiscal financial aid directors to discuss this finding and establish a uniform procedure to address: • Students who requested total withdrawal. • Students who stopped attending. • Students who never attended. Responsible Person or Office: Finance office at the central administration and finance offices at each of the eleven (11) institutional units. Timeline: 2025-2026
Federal Program: Student Financial Assistance (SFA) Cluster - Various ALN Compliance Requirement - Cash Management Management’s Response The UPR concurs with this finding. In two instances, UPR requested funds to G5 with too much time in advance. The central administration finance office asked f...
Federal Program: Student Financial Assistance (SFA) Cluster - Various ALN Compliance Requirement - Cash Management Management’s Response The UPR concurs with this finding. In two instances, UPR requested funds to G5 with too much time in advance. The central administration finance office asked for all units' payment schedules. We will review them and, if necessary, request that schedules include the date to request funds to G5 and the payment date. Schedules must be approved and signed by a finance director’s representative. Payments to students should be scheduled within no more than three days. Additionally, we will meet with the personnel involved in this process: financial aid, fiscal affairs, finance, and disbursement offices to bring the message that anyone aware of possible non-compliance must alert others and act. For example, if the finance office receives G5 funds before the scheduled date, the payment date to students must be brought forward. Responsible Person or Office: Finance office at the central administration and finance offices at the eleven (11) institutional units. Timeline: 2025-2026
Federal Programs: Student Financial Assistance (SFA) Cluster - Various ALN COVID-19 Higher Education Emergency Relief Fund (HEERF) - 84.425 Compliance Requirement – Cash Management Management’s Response The UPR concurs with this finding. In two instances, UPR requested funds to G5 with too much ...
Federal Programs: Student Financial Assistance (SFA) Cluster - Various ALN COVID-19 Higher Education Emergency Relief Fund (HEERF) - 84.425 Compliance Requirement – Cash Management Management’s Response The UPR concurs with this finding. In two instances, UPR requested funds to G5 with too much time in advance. The central administration finance office asked for all units' payment schedules. We will review them and, if necessary, request that schedules include the date to request funds to G5 and the payment date. Schedules must be approved and signed by a finance director’s representative. Staff from the financial aid, fiscal affairs, finance, and disbursement offices will be trained on the FSA Handbook, specifically about requesting and managing FSA funds. We will discuss potential errors that may occur during the process and how, as a group, they can monitor and prevent missed payment deadlines. For example, if the finance office receives G5 funds before the scheduled date, the payment date to students must be brought forward. This type of monitoring and awareness of potential non-compliance should result in compliance with the regulations. Responsible Person or Office: Finance office at the central administration and finance offices at the eleven (11) institutional units. Timeline: 2025-2026
Recommendation: This control deficiency is not unusual in a small company. However, it is the responsibility of management and the board of directors to decide whether to accept the degree of risk associated with this condition based on the cost of correction and other considerations. Management’s R...
Recommendation: This control deficiency is not unusual in a small company. However, it is the responsibility of management and the board of directors to decide whether to accept the degree of risk associated with this condition based on the cost of correction and other considerations. Management’s Response and Actions Planned: The Company’s management is aware of this significant deficiency. Management reviews and approves the draft annual audited financial statements and distributes them to the users. For entities of this size, it generally is not practical to obtain the internal expertise needed to handle all aspects of the external financial reporting. Management recognizes this and feels it is effectively handling its reporting responsibilities with the procedures described above.
Recommendation: While we recognize the Company’s office staff is not large enough to permit an adequate segregation of duties in all respects for an effective internal control structure, it is important that the Company be aware of this condition and look for opportunities to improve segregation of ...
Recommendation: While we recognize the Company’s office staff is not large enough to permit an adequate segregation of duties in all respects for an effective internal control structure, it is important that the Company be aware of this condition and look for opportunities to improve segregation of duties or add mitigating controls to prevent material misstatement of the financial statements. Management’s Response and Actions Planned: The Company’s management is aware of this condition and believes that it is not economically feasible to attain the ideal segregation of duties. Management attempts to mitigate the associated risks by doing the following: 1. Identifies areas where the lack of segregation of duties exists and where there are higher risks of errors or fraud occurring. 2. Implements limited segregation to the extent possible to reduce risks without impairing efficiency. 3. Uses the knowledge that management and the Board of Directors have of operations by having them review certain accounting records and reports. Monitors the effectiveness of the above actions and makes changes as considered appropriate.
Corrective Action Plan For the Year Ended June 30, 2024 Finding: 2024-003 Name of contact person: Corrective action: Proposed completion date: Section IV - State Award Findings and Question Costs Corrective Actions for Finding 2024-002 and 2024-003, also apply to the State findings. Training was com...
Corrective Action Plan For the Year Ended June 30, 2024 Finding: 2024-003 Name of contact person: Corrective action: Proposed completion date: Section IV - State Award Findings and Question Costs Corrective Actions for Finding 2024-002 and 2024-003, also apply to the State findings. Training was completed on 10/17/2024 by the Adult Medicaid Supervisors and Family & Children Supervisors. Adult Medicaid and Family & Children Medicaid Supervisors will begin monthly unit group training starting January 2025. Training focus will be on error findings for past and current audit findings, as well as policy refreshers. Additional training topic will be added as needed. Section III - Federal Award Findings and Question Costs (continued) Shaneall Kollock, Medicaid Program Manager Adult Medicaid Supervisors have trained staff on policies MA-2300 Applications and MA-2230 Financial Resources. Family & Children's Medicaid Supervisors have trained staff on policy MA-3200 Applications.Supervisors have also reviewed with staff verification of evidence, documentation, electronic sources(TWN, ROD, Tax Office). Supervisors will regularly monitor and check random applications/cases for inadequate request for information and evidence verifications. Any staff with error issues will complete additional training with Supervisors and/or Lead Workers. Any issues with staff making continuous errors and/or showing no improvement will lead to possible disciplinary conferences. 118
Finding: 2024-002 Name of contact person: Corrective action: Proposed completion date: Shaneall Kollock, Medicaid Program Manager Adult Medicaid Supervisors have trained staff on policies MA-2300 Applications and MA-2230 Financial Resources. Supervisors completed individual training with each staff ...
Finding: 2024-002 Name of contact person: Corrective action: Proposed completion date: Shaneall Kollock, Medicaid Program Manager Adult Medicaid Supervisors have trained staff on policies MA-2300 Applications and MA-2230 Financial Resources. Supervisors completed individual training with each staff member to ensure verification of evidence, application/case documentation, and electronic sources are completed . Supervisors and Lead Workers will regularly monitor applications/cases for inaccurate resource entry. Caseworkers have been informed all evidence must have supported verifications scanned and documented in NCFAST. Any staff with error issues will complete additional training with the Supervisors and/or Lead Workers. Any issues with staff making continuous errors and/or showing no improvement will lead to possible disciplinary conferences. Corrective action: The Finance Director has made modifications to the internal year-end audit preparation procedures. With these modifications in place the director feels that the audit can be completed in a timely manner moving forward. Section III - Federal Award Findings and Question Costs Training was completed on 10/17/2024 by Adult Medicaid Supervisors. Adult Medicaid Supervisors will begin monthly unit group training starting January 2025. Training focus will be on error findings for past and current audit findings, as well as policy refreshers. Additional training topic will be added as needed.
Corrective Action Plan Finding No. 2024-002 – Suspension and Debarment U.S. Department of Education ALN: 93.493 Program Name: Congressional Deliverables Criteria: When a non-federal entity enters into a covered transaction with an entity at a lower tier, the non-federal entity must verify t...
Corrective Action Plan Finding No. 2024-002 – Suspension and Debarment U.S. Department of Education ALN: 93.493 Program Name: Congressional Deliverables Criteria: When a non-federal entity enters into a covered transaction with an entity at a lower tier, the non-federal entity must verify that the entity, as defined in 2 CFR section 180.985 and agency adopting regulations, is not suspended or debarred or otherwise excluded from participating in the transaction. Condition: The University did not maintain formal documentation over its review of vendors for suspension and debarment. Cause: Due to turnover within the University the documentation of review was not maintained. Effect: Risk of noncompliance over the suspension and debarment compliance requirement. Questioned Costs: None Prevalence: There was no formal documentation over review for suspension and debarment Repeat Finding: This is not a repeat finding. Recommendation: We recommend that University update its policies to include formal documentation be maintained annually as evidence of its review of vendors not being suspended or debarred using the System for Award Management (SAM). Corrective Action Plan: 1. USJ will review and update its existing vendor policy to include the requirement that formal documentation be maintained annually as evidence of its review of vendors not being suspended or debarred using the System for Award Management. 2. The USJ Business Office will document a formal process consistent with the updated vendor policy to ensure efficient and effective compliance with the review of its vendor for not being suspended or debarred. Target Date of Implementation: 1. June 30, 2025 Responsible Party: Mr. James F. White, Vice President for Finance and Administration
Finding 553638 (2024-004)
Significant Deficiency 2024
2024-004 Crime Victim Assistance -Assistance Listing No. 16.575 Recommendation: A separate individual with supervisory authority over the preparer should be assigned to review a...
2024-004 Crime Victim Assistance -Assistance Listing No. 16.575 Recommendation: A separate individual with supervisory authority over the preparer should be assigned to review and approve the cash drawdowns and reports prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization has designated an individual to review and approve the cash reimbursement requests and reports prior to submission. Name(s) of the contact person(s) responsible for corrective action: Tracy Johnson, Director of Finance Planned completion date for corrective action plan: June 30, 2025. If the U.S. Department of Justice has questions regarding this plan, please call Tracy Johnson at 320- 251-7203 ext. 257.
Finding 553637 (2024-003)
Significant Deficiency 2024
2024-003 Crime Victim Assistance -Assistance Listing No. 16.575 Recommendation: The Organization should implement a formal internal control policy over suspension and debarment rules...
2024-003 Crime Victim Assistance -Assistance Listing No. 16.575 Recommendation: The Organization should implement a formal internal control policy over suspension and debarment rules and follow them before entering into a covered transaction with another entity. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will implement and follow a suspension and debarment policy in accordance with 2 CFR section 180.995 and specify the review of a vendor must be done prior to entering into a covered transaction. Name(s) of the contact person(s) responsible for corrective action: Tracy Johnson, Director of Finance Planned completion date for corrective action plan: June 30, 2025.
Finding 553636 (2024-002)
Significant Deficiency 2024
SIGNIFICANT DEFICIENCY 2024-002 Crime Victim Assistance -Assistance Listing No. 16.575 Recommendation: The Organization should continue to apply its current procurement policy to new and existing vendors to ensure proper documentation is retained in accordance with said procurement policy and SA UG...
SIGNIFICANT DEFICIENCY 2024-002 Crime Victim Assistance -Assistance Listing No. 16.575 Recommendation: The Organization should continue to apply its current procurement policy to new and existing vendors to ensure proper documentation is retained in accordance with said procurement policy and SA UG. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will apply its current procurement policy to new and existing vendors in order to comply with applicable procurement requirements. Name(s) of the contact person(s) responsible for corrective action: Tracy Johnson, Director of Finance Planned completion date for corrective action plan: June 30, 2025
Finding 2024-002 Condition: Three vendors were awarded a contract without a competitive procurement process. Corrective Action Planned: The district will implement controls to ensure that the all federal grants have the higher standard of the federal procurement, which is above the MGL Chapter 30B...
Finding 2024-002 Condition: Three vendors were awarded a contract without a competitive procurement process. Corrective Action Planned: The district will implement controls to ensure that the all federal grants have the higher standard of the federal procurement, which is above the MGL Chapter 30B exemption to special education services, applied to federal grant spending. All efforts for quotes for contracted services will be memorialized in a memo to the Director of Finance and Operations prior to execution of contracts. Anticipated Completion Date: By July 1, 2025 Contact: Ross Mulkerin, Director of Finance and Operations
View Audit 352205 Questioned Costs: $1
Finding 2024-001 Condition: Costs were recorded for service periods prior to grant approval date. Corrective Action Planned: The district will implement controls to prevent the recording of costs for service periods prior to grant approval date by written guidance to all staff involved in federal ...
Finding 2024-001 Condition: Costs were recorded for service periods prior to grant approval date. Corrective Action Planned: The district will implement controls to prevent the recording of costs for service periods prior to grant approval date by written guidance to all staff involved in federal grant funds. Please note, that the practice at question is not in violation of school committee policy as we have not made any expenditures outside that entity’s approval date. Anticipated Completion Date: By July 1, 2025 Contact: Ross Mulkerin, Director of Finance and Operations
View Audit 352205 Questioned Costs: $1
Finding 2024-005 Procurement Policy – Procurement, Suspension, Debarment Name of responsible official: Owen Astbury- Selectboard Chair Corrective action: Annually Anticipated completion date: June 30,2025
Finding 2024-005 Procurement Policy – Procurement, Suspension, Debarment Name of responsible official: Owen Astbury- Selectboard Chair Corrective action: Annually Anticipated completion date: June 30,2025
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