Corrective Action Plans

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The Foundation acknowledges the auditor’s recommendations and shares the concern regarding the loss of documentation related to the portal shutdown. The portal was developed and hosted by a third-party IT vendor and used to collect and manage documentation for grant-related activities. Despite our c...
The Foundation acknowledges the auditor’s recommendations and shares the concern regarding the loss of documentation related to the portal shutdown. The portal was developed and hosted by a third-party IT vendor and used to collect and manage documentation for grant-related activities. Despite our communication with the vendor regarding the portal’s importance for reporting and documentation, appropriate data backup was not maintained. While the Foundation relied on the vendor to manage the technical infrastructure and ensure data integrity, we recognize the need for stronger oversight and internal controls related to third-party system management. As a result, we are actively reviewing our vendor management policies and will incorporate enhanced data retention and backup requirements into all future contracts involving critical data systems. The grant associated with this portal has been formally closed, and the State has issued closure documentation. While the loss of supporting documentation is regrettable, it did not impact the successful completion or reporting of the grant.
Condition During our testing, the College was unable to provide evidence of these Direct Loan reconciliations being performed monthly. Corrective Action(s): Community Christian College will include cash management for Direct Loans into our reconciliation process: Monthly meetings will be held each m...
Condition During our testing, the College was unable to provide evidence of these Direct Loan reconciliations being performed monthly. Corrective Action(s): Community Christian College will include cash management for Direct Loans into our reconciliation process: Monthly meetings will be held each month between the Financial Aid Department and the Accounting Department. Monthly reconciliation will begin May 2025.
Condition During our testing over the NSLDS reporting requirements, the following deficiencies were noted: 3 of 50 program reporting details did not agree with enrollment details from the enrollment records per the College. 24 of 40 students did not have campus reporting completed within the require...
Condition During our testing over the NSLDS reporting requirements, the following deficiencies were noted: 3 of 50 program reporting details did not agree with enrollment details from the enrollment records per the College. 24 of 40 students did not have campus reporting completed within the required timeframe. Corrective Action(s): Community Christian College has established the following procedure to ensure timely reporting to NSLDS on behalf of our students. The implementation of bi-weekly Change in Status meetings to identify enrollment updates on the campus level will assist us in updating student statuses in CCC’s student information system. Community Christian College will implement a bi-weekly reconciliation process where discrepancies will be flagged, investigated, and corrected during that time. CCC will do a mass reconciliation immediately and begin the bi-weekly reconciliation process in June 2025. Additional measures: The Director of Financial Aid will conduct mandatory NSLDS reporting training for all relevant staff, including how to identify and correct discrepancies and if seen fit, assign a designated enrollment reporting coordinator to work closely with our 3rd party servicer to ensure accurate and timely reporting.
Condition During our testing over the return of credit balances, the following deficiencies were noted: 􀁸 8 instances where credit balances were not refunded in the required time frame. 􀁸 11 instances where refunds were due to students, but none were posted in the ledger. 􀁸 7 instances where the bal...
Condition During our testing over the return of credit balances, the following deficiencies were noted: 􀁸 8 instances where credit balances were not refunded in the required time frame. 􀁸 11 instances where refunds were due to students, but none were posted in the ledger. 􀁸 7 instances where the balances refunded to students could not be recalculated. Corrective Action(s): Community Christian College has established the following procedure to ensure the timely return of credit balances: The college will revise and formalize the institutions credit balance refund policy to align with federal regulations. The college will implement a centralized tracking log to include fields for credit balance creation date, refund due date, refund issue date, and reconciliation status. The reconciliation process for unresolved credit balances/refunds will begin April 21, 2025 and should be completed by April 25, 2025. CCC will begin developing a tracking process to have in place for next start in June 2025. Additional measures: Community Christian College has established a bi-weekly reconciliation process to take place between the Accounting Department and the Financial Aid Department; this internal audit will ensure the credit balances aligns with federal regulations. Furthermore, the Director of Financial aid will conduct trainings will all parties of both departments.
Condition The College did not retain supporting evidence utilized for reporting certain critical information within the FISAP including: 􀁸 Total number of students 􀁸 Total tuition and fees 􀁸 Information on eligible applicants Corrective Action(s): Community Christian College will establish a pre-sub...
Condition The College did not retain supporting evidence utilized for reporting certain critical information within the FISAP including: 􀁸 Total number of students 􀁸 Total tuition and fees 􀁸 Information on eligible applicants Corrective Action(s): Community Christian College will establish a pre-submission review process where the Director of Financial aid will verify that all data reported in the FISAP is accompanied by appropriate supporting evidence: The college will use reports made available by our 3rd Party Servicer to report accurate data each FISAP submission year. This process will begin for the 26-27 Award year.
Condition During our procedures over Return to Title IV requirements, the following deficiencies were noted: 􀁸 7 of 13 Return to Title IV calculations were performed outside of the allowable time frame. 􀁸 1 of 13 withdrawn students did not have a Return to Title IV calculation performed. 􀁸 2 of 6 in...
Condition During our procedures over Return to Title IV requirements, the following deficiencies were noted: 􀁸 7 of 13 Return to Title IV calculations were performed outside of the allowable time frame. 􀁸 1 of 13 withdrawn students did not have a Return to Title IV calculation performed. 􀁸 2 of 6 instances where funds were returned beyond the required time frame. Corrective Action(s): Community Christian College has established the following procedure to ensure timely and compliant processing of Return to Title IV (R2T4) calculations: The College will conduct bi-weekly Change in Status meetings to proactively monitor and identify any enrollment changes within the active student population. This process enables the timely identification of students who have recently withdrawn or are pending withdrawal. By doing so, the institution is able to initiate the R2T4 process promptly and ensure its completion within the federally mandated 30-day timeframe, thereby maintaining compliance and upholding institutional accountability. The bi-weekly Change in Status meetings will begin May 2025 and will continue as such, with adjustments made as needed. Additional measures: Community Christian College’s Registrar will notify respective parties of any enrollment changes; this ensures no changes go unnoticed between biweekly meetings.
All supervisors at Three Rivers Legal Services will make sure that they receive all timesheets from their immediate staff members no later than one week after the pay period has ended. The supervisor will then review and sign off on the employee's timesheet and send all timesheets to the HR departme...
All supervisors at Three Rivers Legal Services will make sure that they receive all timesheets from their immediate staff members no later than one week after the pay period has ended. The supervisor will then review and sign off on the employee's timesheet and send all timesheets to the HR department. If they are not received by the HR department within this timeframe the HR department will follow up with the supervisors until the timesheets are received.
Three Rivers Legal Services updated its Case Management System (CMS) to better capture affirmative litigation cases by making litigation information entry fields mandatory to complete. CMS was also updated to automatically generate semi-monthly reports listing affirmative litigation cases. These rep...
Three Rivers Legal Services updated its Case Management System (CMS) to better capture affirmative litigation cases by making litigation information entry fields mandatory to complete. CMS was also updated to automatically generate semi-monthly reports listing affirmative litigation cases. These reports are emailed to the Managing Attorneys, the Director of Litigiation, and the Executive director on a semi-monthly basis for review. Advocates are required to inform the Director of Litigation when affirmative litigation has been filed. The Director of Litigation will keep a running list of cases to be reported. The Executive Director will review the case report before submitting it to LSC.
Regarding finding number 2024-001; Management is aware that there is a lack of segregation of duties. It would not be cost effective to hire additional employees to properly segregate duties at this time. Management performs additional procedures to mitigate this risk.
Regarding finding number 2024-001; Management is aware that there is a lack of segregation of duties. It would not be cost effective to hire additional employees to properly segregate duties at this time. Management performs additional procedures to mitigate this risk.
Finding 2024-002 Department of Transportation Airport Improvement Program, CFDA #20.106 AIP3 46 0050 59, AIP3 46 0050 62, AIP3 46 0050 63, and AIP3 46 0050 64 Finding Summary: The SF-425 annual report dated September 30, 2024, for award AIP3 46 0050 64 underreported the federal share of expenditu...
Finding 2024-002 Department of Transportation Airport Improvement Program, CFDA #20.106 AIP3 46 0050 59, AIP3 46 0050 62, AIP3 46 0050 63, and AIP3 46 0050 64 Finding Summary: The SF-425 annual report dated September 30, 2024, for award AIP3 46 0050 64 underreported the federal share of expenditures by $23,588, while the FAA Form 5100-127 annual report dated December 31, 2023, for all awards underreported the total capital expenditures and construction in progress by $2,729,962. Responsible Individuals: Dan Letellier, Executive Director Corrective Action Plan: Management will ensure correct support documentation is provided to 3rd party account for correct submission of FAA Forms 5100-127. Director will also verify that annual report form SF-425 reconciles to underlying supporting records. Anticipated Completion Date: Ongoing
The Central Iowa Regional Housing Authority (CIRHA) agrees with the finding. The Executive Director (E.D.) will discuss details of the finding with the Fee Accountant and take any necessary steps. Monthly/annual financial reports and/or submissions will be reviewed at a more in depth level by the ...
The Central Iowa Regional Housing Authority (CIRHA) agrees with the finding. The Executive Director (E.D.) will discuss details of the finding with the Fee Accountant and take any necessary steps. Monthly/annual financial reports and/or submissions will be reviewed at a more in depth level by the E.D. The above corrective actions will be completed by May 15, 2025.
The Central Iowa Regional Housing Authority (CIRHA) agrees with the finding. CIRHA has corrected the material weakness/noncompliance by: reviewing Notice PIH 2023-014, discontinuing issuance of EHV’s when contacted by the EHV QAD Team in July 2024, re-issuing EHV’s issued in violation with HCV’s by...
The Central Iowa Regional Housing Authority (CIRHA) agrees with the finding. CIRHA has corrected the material weakness/noncompliance by: reviewing Notice PIH 2023-014, discontinuing issuance of EHV’s when contacted by the EHV QAD Team in July 2024, re-issuing EHV’s issued in violation with HCV’s by September 01, 2024; cooperating with the EHV QAD Team to determine/verify the amount of HAP received and Administrative Fees that were earned in error and payback procedure. The above corrective actions have been completed.
Management’s View and Corrective Action Plan ‐ Management agrees with the finding and will provide policy training to the individuals and teams involved in the grant procurement process beginning in the second quarter of 2025. New employee training will emphasize these policies. In addition, regular...
Management’s View and Corrective Action Plan ‐ Management agrees with the finding and will provide policy training to the individuals and teams involved in the grant procurement process beginning in the second quarter of 2025. New employee training will emphasize these policies. In addition, regular self-reviews will be performed to confirm policy adherence beginning in the third quarter of 2025.
FINDING 2024-003 Finding Subject: COVID- 19 – Education Stabilization Fund – Reporting Summary of Finding: The School Corporation submitted one ESSER III report where the expenses per the report did not tie to the ledger or the Schedule of Expenditures of Federal Awards by approximately $300,000...
FINDING 2024-003 Finding Subject: COVID- 19 – Education Stabilization Fund – Reporting Summary of Finding: The School Corporation submitted one ESSER III report where the expenses per the report did not tie to the ledger or the Schedule of Expenditures of Federal Awards by approximately $300,000. Contact Person Responsible for Corrective Action: Matt Miles Contact Phone Number and Email Address: 317-423-8380 mattmiles@msdlt.k12.in.us Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The School District will ensure ESSER reports are saved and tie to the accounting records and will improve record keeping of supporting documentation. If any edits are made to the reports, the Curriculum and Accounting Departments will document the reason for all changes. Management in each department will review all ESSER reports and sign off on all documentation. Anticipated Completion Date: Corrective action steps have been implemented and will be refreshed.
FINDING 2024-002 Finding Subject: Special Education Cluster Summary of Finding: The School Corporation entered into contracts with vendors that were reimbursed through funds granted under the Special Education Grants to States Program. The School Corporation failed to retain documentation of the...
FINDING 2024-002 Finding Subject: Special Education Cluster Summary of Finding: The School Corporation entered into contracts with vendors that were reimbursed through funds granted under the Special Education Grants to States Program. The School Corporation failed to retain documentation of the verification of suspension or disbarment through an annual check of SAMS for such vendors. Contact Person Responsible for Corrective Action: Matt Miles Contact Phone Number and Email Address: 317-423-8380 mattmiles@msdlt.k12.in.us Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The District will create a written standard operating procedure to save screenshots of every SAMS vendor verification going forward. The District will also obtain a screenshot in SAMS for every vendor used in FY24 and FY25. Anticipated Completion Date: Corrective action steps have been implemented and will be refreshed.
April 28, 2025 Person responsible: Kevin Heslop, Executive Vice President of Finance Fiscal Year Ended June 30, 2024 Section III – Federal Awards Findings and Questioned Costs Item 2024 – 001 Federal Assistance Listing Number: 93.044, 93.045 and 93.053 Special Programs for the Aging - Title II...
April 28, 2025 Person responsible: Kevin Heslop, Executive Vice President of Finance Fiscal Year Ended June 30, 2024 Section III – Federal Awards Findings and Questioned Costs Item 2024 – 001 Federal Assistance Listing Number: 93.044, 93.045 and 93.053 Special Programs for the Aging - Title III, Part B, Grants for Supportive Services and Senior Centers Special Programs for the Aging - Title III, Part C Nutrition Services Nutrition Services Incentive Program Condition The Organization’s Data Collection Form submission to the Federal Audit Clearinghouse was not filed on time within nine months of the end of its fiscal year. Views of Responsible Officials and Corrective Action The late submission was due to delays in the year-end financial closing process. While the audit was substantially complete, finalization and report preparation took longer than anticipated due to staffing limitations and the volume of reconciliations required. All corrective measures will be fully implemented during the FY2025 audit cycle to ensure timely submission. To prevent recurrence, the following corrective actions are being implemented: Audit Preparation Calendar: An internal audit timeline with clear deliverables and deadlines has been established to ensure all documentation is completed well ahead of the required submission date. Dedicated Oversight: A designated finance team member will coordinate directly with the audit firm to track progress, resolve outstanding items promptly and avoid unnecessary delays. Earlier Engagement: The audit engagement letter will be executed earlier in the fiscal year to allow for an extended timeline for fieldwork and review.
Views of Responsible Officials of the Auditee Management agrees with this finding and will take corrective actions. Corrective Action Plan The Board is in the process of amending the Construction Contracts so the prevailing wage rate clauses are included and the General Contractors are collecting c...
Views of Responsible Officials of the Auditee Management agrees with this finding and will take corrective actions. Corrective Action Plan The Board is in the process of amending the Construction Contracts so the prevailing wage rate clauses are included and the General Contractors are collecting certified payrolls to make sure the prevailing wage rates were met. Anticipated Completion Date April 30, 2025 Contact Person(s) Anthony Cooper, Chief School Financial Officer
View Audit 355479 Questioned Costs: $1
Identification: 93.889 United States Department of Health and Human Services, COVID-19 National Bioterrorism Hospital Preparedness Program, Significant Deficiency; Eligibility Requirement. Corrective Action Plan: The Association will implement controls related to future awards so that federal fundin...
Identification: 93.889 United States Department of Health and Human Services, COVID-19 National Bioterrorism Hospital Preparedness Program, Significant Deficiency; Eligibility Requirement. Corrective Action Plan: The Association will implement controls related to future awards so that federal funding is only provided to eligible recipients once a signed subaward agreement is on file. Anticipated completion date: The Association anticipates completion in 2025.
Identification: 93.889 United States Department of Health and Human Services, COVID-19 National Bioterrorism Hospital Preparedness Program, Noncompliance Finding/Material Weakness; Reporting Compliance Requirement. Corrective Action Plan: The Association will strengthen controls of federal grant rep...
Identification: 93.889 United States Department of Health and Human Services, COVID-19 National Bioterrorism Hospital Preparedness Program, Noncompliance Finding/Material Weakness; Reporting Compliance Requirement. Corrective Action Plan: The Association will strengthen controls of federal grant reporting for future awards so that any FFATA reporting requirements are completed in a timely manner. The Association will also modify the amount of the two subawards that were reported incorrectly in the Federal Funding Accountability and Transparency Act Subaward Reporting System. Anticipated completion date: The Association anticipates completion in 2025.
Finding 559256 (2024-001)
Significant Deficiency 2024
CP-1011 CORRECTIVE ACTION PLAN Project Legal Name: Winter Grove, Inc. HUD Project No.: 017-EE118 Audit Firm: Cohn Reznick Period covered by the audit: 12/31/2024 Corrective Action Plan prepared by: Name: Arlene Lawrence Position: Chief Financial Officer Telephone Number: 203-562-4514 Signature:_____...
CP-1011 CORRECTIVE ACTION PLAN Project Legal Name: Winter Grove, Inc. HUD Project No.: 017-EE118 Audit Firm: Cohn Reznick Period covered by the audit: 12/31/2024 Corrective Action Plan prepared by: Name: Arlene Lawrence Position: Chief Financial Officer Telephone Number: 203-562-4514 Signature:___________________________________ The following is a recommended format to be followed by the auditee for preparing a corrective action plan: A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2024-001 a. Comments on the Finding and Each Recommendation The Project did not perform a review of the Enterprise Income Verification (“EIV”) system within 90 days of the tenant moving into the project. And we agree with this finding. b. Action(s) Taken or Planned on the Finding There have been multiple users (Property Managers) assigned to the Enterprise Income Verification System (EIV) to prevent a repeat of this occurrence going forward.
The Village will ensure that the audit and single audit are filed timely in the next fiscal year, and all reports will be submitted by its due date.
The Village will ensure that the audit and single audit are filed timely in the next fiscal year, and all reports will be submitted by its due date.
Section III – Findings and Questioned Costs – Major Federal Programs 2024-002 Federal Agency: Department of Health and Human Services Federal Program Name: Healthy Start Communities Assistance Listing Number: 93.926 Federal Award Identification Number and Year: H4900052 Award Period: 4/1/2023-6...
Section III – Findings and Questioned Costs – Major Federal Programs 2024-002 Federal Agency: Department of Health and Human Services Federal Program Name: Healthy Start Communities Assistance Listing Number: 93.926 Federal Award Identification Number and Year: H4900052 Award Period: 4/1/2023-6/30/24 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award requires compliance with the provisions of procurement, suspension, and debarment. EveryStep should have internal controls designed to ensure compliance with those provisions. Condition: During our testing, we noted EveryStep did not have adequate internal controls designed to ensure vendors were not suspended or debarred. Questioned costs: None Context: During our testing, it was noted that EveryStep was not reviewing vendors prior to entering into a contract with a vendor to ensure the vendor was not on the suspended or debarred vendor list maintained by the General Services Administration. Cause: EveryStep was unaware the contractors were not being reviewed to ensure they were not suspended or debarred. Effect: The auditor noted no instances of noncompliance with the provisions of procurement, suspension, and debarment; however, the lack of internal controls over these compliance requirements provides an opportunity for noncompliance. Repeat Finding: No. Recommendation: We recommend EveryStep design controls to ensure an adequate review process is in place to review potential contractors to determine they are not suspended or debarred. Views of responsible officials: There is no disagreement with the audit finding.
#2024-001 FINDING: Financial Statement and Schedule of Expenditures of Federal Awards (SEFA) Preparation Responsible Individuals: Lisa Weyer, Executive Director. Corrective Action Plan: The Foundation has accepted the risk associated with Finding #2024-001 regarding the preparation of the financial ...
#2024-001 FINDING: Financial Statement and Schedule of Expenditures of Federal Awards (SEFA) Preparation Responsible Individuals: Lisa Weyer, Executive Director. Corrective Action Plan: The Foundation has accepted the risk associated with Finding #2024-001 regarding the preparation of the financial statements and SEFA and will continue to have the independent auditor prepare the annual financial statements and SEFA. Anticipated Completion Date: Ongoing.
We have prepared the following corrective action plan as required by the standards applicable to financial audits contained in Government Auditing Standards and by the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and A...
We have prepared the following corrective action plan as required by the standards applicable to financial audits contained in Government Auditing Standards and by the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Specifically, for each finding we are providing you with the names of the contact people responsible for corrective action, the corrective action planned, and the anticipated completion date. 2024-002 Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Organization's policy. Recommendation: We recommend management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual. Action Taken: Management will continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures will be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual. Management will ensure that not only will application and enrollment personnel adhere to the guidelines but also front desk and revenue cycle personnel. Contract person: Alejandro Cuellar/Tamra Springer Completion date: May 1, 2025
Management of the Organization agrees with this finding. Management intends to develop guidelines to ensure that supporting documentation for expenses reported are maintained in a clear, organized manner. Also, employees completing these reporting forms should be properly trained on what expenses ca...
Management of the Organization agrees with this finding. Management intends to develop guidelines to ensure that supporting documentation for expenses reported are maintained in a clear, organized manner. Also, employees completing these reporting forms should be properly trained on what expenses can be reported and how to ensure that accurate amounts are reported. Responsible Official: Tawanna Denmark, Executive Director
View Audit 355441 Questioned Costs: $1
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