Corrective Action Plans

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Management has already instituted some actions to address the findings through hiring new
Management has already instituted some actions to address the findings through hiring new
accounting personnel including hiring a Accounting manager and also beefed up its IT functions
accounting personnel including hiring a Accounting manager and also beefed up its IT functions
by installing a new accounting system. Both the Accounting manager and the consultant have been monitoring activities on a frequent basis and providing IT support.
by installing a new accounting system. Both the Accounting manager and the consultant have been monitoring activities on a frequent basis and providing IT support.
The audit report was uploaded into the federal Audit clearing house but was inadvertently not submitted. It was uploaded on time but the failure to submit led us to this finding. The issue has been resolved.
The audit report was uploaded into the federal Audit clearing house but was inadvertently not submitted. It was uploaded on time but the failure to submit led us to this finding. The issue has been resolved.
The grant employee that was hired in this last fiscal year resigned and there was a period that it was handled by the county manager. The county has since contracted with an outside agency to handle the grants far Catron County.
The grant employee that was hired in this last fiscal year resigned and there was a period that it was handled by the county manager. The county has since contracted with an outside agency to handle the grants far Catron County.
The University concurs that costs charged to federal awards must be incurred within the approved period of performance in accordance with Uniform Guidance and the OMB Compliance Supplement. The instances identified during the audit were attributable to personnel turnover within Research and Sponsore...
The University concurs that costs charged to federal awards must be incurred within the approved period of performance in accordance with Uniform Guidance and the OMB Compliance Supplement. The instances identified during the audit were attributable to personnel turnover within Research and Sponsored Programs (RSP), which resulted in isolated lapses in the consistent application of existing period of performance review procedures during the period under audit. Upon identification of these items, the Office of the Controller (OoC), in its oversight role for financial reporting and compliance, coordinated with RSP to address the questioned costs. RSP initiated the process to remove the costs from the affected grants and, where applicable, to consult with the sponsor and refund the disallowed amounts. As part of the corrective action plan, RSP will reinforce existing period of performance controls through targeted communication and training with responsible personnel involved in grant administration and expenditure processing. RSP will continue to perform pre- and post-expenditure reviews to ensure that costs charged to federal awards are incurred within the approved budget period and are appropriately documented. These actions are focused on reinforcing the timing review of expenditures charged to federal awards and are intended to ensure ongoing compliance with Uniform Guidance requirements and to prevent recurrence of the condition.
The University concurs that annual subrecipient monitoring is required under Uniform Guidance and the OMB Compliance Supplement. Subrecipient monitoring activities are operationally performed within Research and Sponsored Programs (RSP). The lack of documented monitoring during the period under audi...
The University concurs that annual subrecipient monitoring is required under Uniform Guidance and the OMB Compliance Supplement. Subrecipient monitoring activities are operationally performed within Research and Sponsored Programs (RSP). The lack of documented monitoring during the period under audit is attributable to changes in staffing and workflows within RSP, which resulted in a lapse in the consistent execution and documentation of established monitoring procedures. Upon identification of this issue, the Office of the Controller (OoC), in its oversight role for financial reporting and compliance, coordinated with RSP and initiated corrective actions to ensure the subrecipient monitoring requirement will be consistently met going forward. The OoC is working with RSP to reestablish and formalize monitoring procedures and to ensure appropriate staffing resources and review processes are in place. As part of the corrective action plan, the University will complete monitoring in FY2026 for subrecipients with audited financial statements for Fiscal Year 2025 and Calendar Year 2025, where practicable. In addition, as a retrospective measure, the University will review available subrecipient audit reports for Fiscal Year 2024 to confirm whether monitoring requirements were met and to document the results of that review. Further, the OoC and RSP will collaboratively define and document roles and responsibilities for obtaining, reviewing, and retaining subrecipient audit reports on an annual basis. These actions are focused on strengthening annual audit verification procedures for subrecipients, ensure ongoing compliance with Uniform Guidance requirements, and prevent recurrence of the condition.
The District has reviewed the policies and procedures over the R2T4 calculation and has identified additional controls to prevent miscalculations going forward. The Student Financial Aid Office has begun the implementation of the following corrective action plan to prevent future recurrence: Impleme...
The District has reviewed the policies and procedures over the R2T4 calculation and has identified additional controls to prevent miscalculations going forward. The Student Financial Aid Office has begun the implementation of the following corrective action plan to prevent future recurrence: Implement a cross-check with the Common Origination & Disbursement (COD) site R2T4 calculator to supplement the tools within our internal financial system. The COD system automatically calculates dates attended by students, eliminating the manual element of this step in the calculation. Implement a second review to spot check calculations during each semester to ensure accuracy. Require Blue Icon R2T4 training and certification for staff preparing, reviewing, and processing R2T4 calculations. These controls began implementation in November 2025 and are expected to be fully in place by March 2026. New regulations for R2T4 are expected to be released in early 2026. Blue Icon training will be scheduled once the new regulations are released.
Health Resources and Services Administration Health West, Inc. respectfully submits the following corrective action plan for the year ended May 31, 2025. Audit period: June 01, 2024 - May 31, 2025 The findings from the schedule of findings and questioned costs are discussed below. The findings are n...
Health Resources and Services Administration Health West, Inc. respectfully submits the following corrective action plan for the year ended May 31, 2025. Audit period: June 01, 2024 - May 31, 2025 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FINANCIAL STATEMENT AUDIT There were no findings in the current year. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Health and Human Services 2025-001 Health Center Program Cluster – Assistance Listing 93.224/93.527 Recommendation: CLA recommends implementation of an enhanced review process prior to UDS submission. Action taken in response to finding: Health West will implement a dual review process prior to the UDS submission. Name of the contact person responsible: Melissa Myers, CFO Planned completion date: Health West will make this effective for the 2025 UDS report. If the Health Resources and Services Administration has questions regarding this plan, please call Melissa Myers, CFO at (208) 232-7862.
This years single audit was not sent timely due to the transition in the finance department and an oversight by staff and our auditors. This report should have been filed timely but we did not start working on the single audit until well after the fiscal year-end. This is an oversight that cannot ha...
This years single audit was not sent timely due to the transition in the finance department and an oversight by staff and our auditors. This report should have been filed timely but we did not start working on the single audit until well after the fiscal year-end. This is an oversight that cannot happen again.
Corrective Action Plan
Corrective Action Plan
CORRECTIVE ACTION PLAN
CORRECTIVE ACTION PLAN
Federal Program: Student Financial Aid Cluster
Federal Program: Student Financial Aid Cluster
Finding No. 2025-001 — Significant Deficiency
Finding No. 2025-001 — Significant Deficiency
— Special Tests and Provisions-Enrollment Reporting
— Special Tests and Provisions-Enrollment Reporting
Criteria: Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter ...
Criteria: Federal regulations and related guidance governing Title IV student aid programs require schools to report the enrollment of students who receive federal student aid (U.S. Department of Education, National Student Loan Data System (NSLDS) Enrollment Reporting Guide, November 2022, Chapter 2). At a minimum, schools are required to certify enrollment every 60 days and respond within 15 days of the date that NSLDS sends a roster file to the school or its third-party servicer. The administration of the Title IV programs depends heavily on the accuracy and timeliness of the enrollment information reported by institutions. Institutions must review, update, and certify student enrollment statuses, program information, and effective dates that appear on the Enrollment Reporting Roster file or on the Enrollment Maintenance page of the NSLDS Professional Access (NSLDSFAP) website.
Laredo College (College) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the college reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when requi...
Laredo College (College) uses the services of the National Student Clearinghouse (NSC) to report status changes to NSLDS. Under this arrangement, the college reports all students enrolled and their status to NSC. NSC then identifies any changes in status and reports those changes to NSLDS when required. Although the college uses the services of the NSC, the College still has the primary responsibility for ensuring any changes in student enrollment status is reported accurately and in a timely manner (NSLDS Enrollment Reporting Guide, November 2022, Chapter 3).
Condition: For 18 out of 25 (72 percent) students tested, the college did not accurately and timely report enrollment status changes to NSLDS. Specifically:
Condition: For 18 out of 25 (72 percent) students tested, the college did not accurately and timely report enrollment status changes to NSLDS. Specifically:
· For thirteen (13) students, the College did not report the students' withdrawal status until approximately eleven months after the student withdrew; additionally, for each of these students, the withdrawal date documented in the college's student records did not agree with the withdrawal dates doc...
· For thirteen (13) students, the College did not report the students' withdrawal status until approximately eleven months after the student withdrew; additionally, for each of these students, the withdrawal date documented in the college's student records did not agree with the withdrawal dates documented in the NSLDS system.
· For two (2) students who both attended and withdrew from the College in the spring 2025 semester, the NSLDS system showed a withdrawn status effective in December 2024 that was reported to NSLDS ten months later in October 2025.
· For two (2) students who both attended and withdrew from the College in the spring 2025 semester, the NSLDS system showed a withdrawn status effective in December 2024 that was reported to NSLDS ten months later in October 2025.
· For one (1) student who attended and withdrew from the College in February 2025, the NSLDS system did not have a withdrawal record. The most recent record shown was received in October 2025 and it shows a status of "L — Less than Half-time" effective in January 2025.
· For one (1) student who attended and withdrew from the College in February 2025, the NSLDS system did not have a withdrawal record. The most recent record shown was received in October 2025 and it shows a status of "L — Less than Half-time" effective in January 2025.
· For one (1) student who attended and withdrew from the College in the spring 2025 semester, the most recent records in the NSLDS system were from 2017, with no status to show enrollment or withdrawal from the College in 2024-2025.
· For one (1) student who attended and withdrew from the College in the spring 2025 semester, the most recent records in the NSLDS system were from 2017, with no status to show enrollment or withdrawal from the College in 2024-2025.
· For one (1) student who attended and withdrew from the College in the spring 2025 semester, the NSLDS enrollment details show a status of '2— No Record Found."
· For one (1) student who attended and withdrew from the College in the spring 2025 semester, the NSLDS enrollment details show a status of '2— No Record Found."
Deficiencies noted above were discovered in a review of 25 complete student withdrawals during the respective semester. Considering the high percentage and similarity in deficiencies noted in the sample, the issues noted appear to be pervasive, leading to the possibility that there may be issues not...
Deficiencies noted above were discovered in a review of 25 complete student withdrawals during the respective semester. Considering the high percentage and similarity in deficiencies noted in the sample, the issues noted appear to be pervasive, leading to the possibility that there may be issues noted in a greater number of student records, related to changes in enrollment status, for the college's whole student population.
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