Corrective Action Plans

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Compliance Requirement Finding: Special Test and Provisions – Enrollment Reporting The University had not reported changes of the sampled graduated or withdrawn students to the National Student Loan Data System (“NSLDS”) as required under the Uniform Grant Guidance for the year ended June 30, 2024, ...
Compliance Requirement Finding: Special Test and Provisions – Enrollment Reporting The University had not reported changes of the sampled graduated or withdrawn students to the National Student Loan Data System (“NSLDS”) as required under the Uniform Grant Guidance for the year ended June 30, 2024, accurately or timely. Student Financial Aid Cluster, Assistance Listing # 84.007, 84.033, 84.038, 84.063, 84.268 Corrective Action Plan The finding was due to a lack of a process to correctly backdate administrative withdrawals when a student receives a "W" grade after the withdrawal deadline. This inconsistency led to inaccurate reporting to the National Student Loan Data System (NSLDS) and the academic file. To address this, management has collaborated with the Offices of Campus Technology, Student Financial Services, and the Registrar and has developed and implemented better procedures for handling administrative withdrawals. These procedures will ensure: • Consistent reporting of withdrawal dates to NSLDS. • Ensuring that withdrawal dates are recorded uniformly in both the Registrar’s office and Student Financial Services. • Accurate assignment of "W" grades according to the academic calendar. These new procedures were implemented in the beginning of 2024. The Registrar’s office will continue to submit regular enrollment reports to NSLDS, promptly reporting any changes to student enrollment as required. The Office of the Registrar will be responsible for implementing the corrective action plan, under the supervision of the University Registrar and Director of Institutional Research and Effectiveness. Shannon Bishop Shannon.bishop@converse.edu University Registrar
Management Response to Section III-Federal Award Findings and Questioned Costs, Student Financial Aid Cluster, Assistance Listing # 84.007, 84.033, 84.038, 84.063, 84.268 – Finding No. 2024-01 Compliance Requirement Finding: Eligibility Students receiving federal aid are required to be U.S. citizens...
Management Response to Section III-Federal Award Findings and Questioned Costs, Student Financial Aid Cluster, Assistance Listing # 84.007, 84.033, 84.038, 84.063, 84.268 – Finding No. 2024-01 Compliance Requirement Finding: Eligibility Students receiving federal aid are required to be U.S. citizens, Nationals, or provide evidence from the U.S. Citizenship and Immigration Services that he or she is a permanent resident or in the U.S. with the intention of becoming a citizen or permanent resident (eligible noncitizen). The financial aid counselor did not obtain proper documentation and approval to determine that the student was an eligible noncitizen. As such, the University disbursed federal aid to a student that was improperly documented as an eligible noncitizen. The federal aid was reversed and replaced with institutional funds. Corrective Action Plan In response to the finding on the FY2024 Single Audit, the University conducted an additional internal review on 25% of the student records that were not pulled in the audit sample where citizenship verification was required. This review included verification of having valid documentation in accordance with the U.S. Department of Education regulations and confirmation that the secondary verification was completed per existing operating protocol. The University found no additional instances and therefore believes this to be an isolated incident. As a preventative measure and to mitigate potential recurrence, additional training has been conducted with the Student Financial Aid Staff to reemphasize and reinforce University policy and procedures concerning verification in accordance with the University’s Policy for Verification, in particular section 3(B), which states: “All completed verification must have a secondary review by the Associate Vice President for Student Financial Services, Associate Director of Student Financial Services, or another financial aid counselor. Appropriate signatures must be noted on all verifications completed.” Throughout the FY2025 year, the University will also provide randomized internal audits on a sampling of the student files containing citizenship verification to ensure the protocols are being followed as presented. This review will be conducted by the Associate Vice President for Student Financial Services for files where not part of the initial secondary review process or by the Vice President of Operations and Chief Financial Officer or the Assistant Vice President and Controller when the Associate Vice President for Student Financial Services is the secondary reviewer. J.W. Kellam james.kellam@converse.edu Associate Vice President for Student Financial Services
View Audit 345135 Questioned Costs: $1
2024-002 Subrecipient Monitoring Research and Development Cluster: National Institutes of Health: Allergy and Infectious Diseases Research (ALN 93.855) Corrective Action Plan: All Office of Sponsored Programs Administration (OSPA) staff have been trained on the requirement to perform a ...
2024-002 Subrecipient Monitoring Research and Development Cluster: National Institutes of Health: Allergy and Infectious Diseases Research (ALN 93.855) Corrective Action Plan: All Office of Sponsored Programs Administration (OSPA) staff have been trained on the requirement to perform a risk assessment on subrecipients, and we continue to emphasize this requirement in our team meetings. In addition, the requirements were sent to the university community in March 2021 and posted on the OSPA website. OSPA will be re-educating the laboratories on this requirement in the coming weeks via email and will repeat on a semi-annual basis. Contact Person: Collette Ryder, Director of Sponsored Programs Administration Email: cryder@rockefeller.edu Phone: 212-327-8054 Anticipated Completion Date: June 30, 2025
2024-001 Allowable Costs Research and Development Cluster: National Institutes of Health: Institutional Career Development Costs (ALN 93.350, grant number 5 UL1 TR001866) Corrective Action Plan: In April 2024, University management became aware that a full-time employee of the Universi...
2024-001 Allowable Costs Research and Development Cluster: National Institutes of Health: Institutional Career Development Costs (ALN 93.350, grant number 5 UL1 TR001866) Corrective Action Plan: In April 2024, University management became aware that a full-time employee of the University was concurrently employed at Duke-NUS Medical School in Singapore since early 2021. This former employee did not disclose his affiliation at Duke-NUS Medical School on his conflicts of interest forms that the University requires all researchers to complete annually. This former employee’s salary was covered by several National Institutes of Health (NIH) grants. An investigation was conducted by external legal counsel, during and after which the University took several actions. First, the employee’s employment ended. Second, the University stopped drawing the NIH grant funds for this employee’s salary soon after becoming aware of the situation. Third, the University conducted a financial conflict of interest review for the period 2019 through 2024 to determine if any conflicts beyond his employment at Duke-NUS Medical School existed. No further conflicts were identified. Fourth, the University informed NIH of the matter and recommended that the University repay half of the amount of this employee’s salary, fringe benefits and indirect cost recovery charges during the time period from January 2021 through May 21, 2024, which amounts to $299,805. After discovering the issue, we promptly initiated an investigation. Our findings confirmed that this employee was employed by our institution, and our institution including his supervisor was unaware that he was concurrently employed at Duke-NUS Medical School. As a result of these findings, we have taken decisive steps, as follows: 1. End of Employment: The employee’s employment was ended. 2. Investigation and Reporting: We investigated the matter and reported the findings to and have cooperated with NIH. 3. Enhanced Oversight: In response to this incident, we are enhancing our hiring practices and conducting more thorough background checks, especially for positions working on government grant awards. 4. Training and Education: We are implementing mandatory training sessions for all staff on ethical practices, compliance with Uniform Guidance, and the importance of reporting any suspicious activities. 5. Compliance Review: We are conducting a comprehensive review of our compliance with Uniform Guidance to identify any areas for improvement and ensure that our policies are robust and effectively communicated to all employees. 6. Conflict of Interest Disclosure Training and Education: At least annually and at the time of the just in time period (and if there is no just in time period, at the time of award), the University will continue to require University investigators through its certification and recertification process, to attest to the accuracy of their financial conflicts of interest in research disclosure forms pursuant to applicable, long-standing University policies. Contact Person: As to: #1, 3, 4, 5 above: Michael P. Vitale, CPA – Controller Email: vitalem@rockefeller.edu Phone: 212-327-8704 As to: #2 and 6 above: Deborah Y. Yeoh Email: yeohd@rockefeller.edu Phone: 212-327-8071 Anticipated Completion Date: June 30, 2025
View Audit 345128 Questioned Costs: $1
SEE RESPONSE AND CORRECTIVE ACTION PLAN AT 2024-001
SEE RESPONSE AND CORRECTIVE ACTION PLAN AT 2024-001
Finding 525933 (2024-001)
Significant Deficiency 2024
The Town of Chelmsford, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2024. Audit period: July 1, 2023 – June 30, 2024 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with th...
The Town of Chelmsford, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2024. Audit period: July 1, 2023 – June 30, 2024 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDING—FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF TREASURY 2024-001 COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Assistance Listing Number 21.027 Recommendation: We recommend to annually (at a minimum) document the verification that all vendors are not suspended or debarred from participation in Federal assistance programs or activities. Explanation of disagreement with audit finding: There is no disagreement with the audit finding and agrees that the vendors were not suspended or disbarred. Action taken in response to finding: The Town has implemented procedures to document the verifications with either contract certifications and/or screenshots of SAM.gov searches. Name(s) of the contact person(s) responsible for corrective action: Town Management and Finance. Planned completion date for corrective action plan: Completed.
Context: For testing of Equipment and Real Property Management, 1 of 2 sample items tested, we noted the School Corporation expended $348,030 on roof renovations which was charged to the ESSER II (84.425D) grant award. It was noted these capital asset acquisitions were not reported on the capital as...
Context: For testing of Equipment and Real Property Management, 1 of 2 sample items tested, we noted the School Corporation expended $348,030 on roof renovations which was charged to the ESSER II (84.425D) grant award. It was noted these capital asset acquisitions were not reported on the capital asset listing for the School Corporation as of June 30, 2024. Additionally, we noted the School Corporation’s capital asset listing did not contain all the required information, including the source of federal funding for the property, outlined in the criteria above. Contact Person Responsible for Corrective Action: Brittany Treesh Contact Phone Number: 260-357-3185 Views of Responsible Official: The school corporation concurs with the finding. Description of Corrective Action Plan: The school corporation will implement additional internal controls. Business Manager and Deputy Treasurer will expand object codes on the monthly expenditure report to keep track of project progress. Once project is completed both Business Manager and Deputy Treasurer will ensure the project has been updated and entered in the capital asset software. Anticipated Completion Date: The Business Manager will implement this procedure March 2025.
Context: The School Corporation is a member of the Northeast Indiana Special Education Cooperative (Cooperative). During fiscal years 2022-2023 and 2023-2024, the Cooperative operated the special education program and spent the federal money on behalf of all its members. As the grant agreement was b...
Context: The School Corporation is a member of the Northeast Indiana Special Education Cooperative (Cooperative). During fiscal years 2022-2023 and 2023-2024, the Cooperative operated the special education program and spent the federal money on behalf of all its members. As the grant agreement was between the Indiana Department of Education (IDOE) and each member school, the School Corporation was responsible for ensuring and providing oversight of the Cooperative. Contact Person Responsible for Corrective Action: Brittany Treesh Contact Phone Number: 260-357-3185 Views of Responsible Official: The school corporation concurs with the finding. Description of Corrective Action Plan: Garrett-Keyser-Butler’s Business Manager will work closely with the Special Education Cooperative Treasurer and DeKalb Eastern Business Manager during the grant process and make sure all required documents are collected. Anticipated Completion Date: The Business Manager will implement this procedure March 2025.
The corrective action plan for the internal controls over expenses paid (2024-001), is summarized as follows: Corrective Action Planned: The Center will review and update its procedures to ensure the proper payment of allowable expenses. Anticipated Completion Date: December 31, 2024. Responsible: M...
The corrective action plan for the internal controls over expenses paid (2024-001), is summarized as follows: Corrective Action Planned: The Center will review and update its procedures to ensure the proper payment of allowable expenses. Anticipated Completion Date: December 31, 2024. Responsible: Management and Board of Directors.
View Audit 345073 Questioned Costs: $1
Criteria: Timely preparation of account reconciliations is essential to producing accurate and relevant financial reports. Condition: During the audit, a number of adjusting journal entries were proposed by both the audit team and management. These entries were to adjust errors or to reflect year-en...
Criteria: Timely preparation of account reconciliations is essential to producing accurate and relevant financial reports. Condition: During the audit, a number of adjusting journal entries were proposed by both the audit team and management. These entries were to adjust errors or to reflect year-end accruals. Cause: Existing closing procedures should be reviewed and updated to ensure that they are properly followed in producing timely reports and reducing year-end adjustments. Effect: The results were delays in producing reconciliations, account analyses and other financial reports needed by management and the auditors. Recommendation: We believe that the year-end closing could proceed more quickly by incorporating a closing schedule that indicates who will perform each procedure and when completion of each procedure is due and accomplished. The timing of specific procedures could be coordinated with the timing of management’s or the auditor’s need for information. All reconciliations should be prepared and reviewed by those informed of such matters to ensure accuracy. Management Response: We acknowledge that the finding identified in the 2023 audit has repeated in the 2024 audit, and we recognize the importance of fully addressing these concerns to ensure more accurate and efficient financial procedures moving forward. We have since successfully hired a qualified staff accountant who is now in place and working diligently to ensure compliance with all financial procedures for the fiscal year 2025. This key hire, along with the enhanced and fully implemented month-end checklist, will help us consistently meet the necessary financial reporting standards.
Finding 2024-002 Condition: A vendor was awarded a contract without an appropriate procurement process. Corrective Action Planned: : Comply with federal procurement regulations and seek quotes from three vendors in anticipation spending of over $10,000. Anticipated Completion Date: Currently...
Finding 2024-002 Condition: A vendor was awarded a contract without an appropriate procurement process. Corrective Action Planned: : Comply with federal procurement regulations and seek quotes from three vendors in anticipation spending of over $10,000. Anticipated Completion Date: Currently in place Contact: Marie Znamierowski
View Audit 345044 Questioned Costs: $1
Finding 2024-001 Condition: Two vendors were awarded a contract without an appropriate procurement process. Corrective Action Planned: Comply with federal procurement regulations by setting up a quote system and seek quotes for anticipated spending of over $10,000. Anticipated Completion Date:...
Finding 2024-001 Condition: Two vendors were awarded a contract without an appropriate procurement process. Corrective Action Planned: Comply with federal procurement regulations by setting up a quote system and seek quotes for anticipated spending of over $10,000. Anticipated Completion Date: May 1, 2025 Contact: Marie Znamierowski
View Audit 345044 Questioned Costs: $1
Recommendation: We recommend that the Cooperative continue to review the auditor prepared adjusting journal entries and financial statements with the intention of understanding and acceptance of responsibility for reporting under generally accepted accounting principles. Action Taken: The Cooperativ...
Recommendation: We recommend that the Cooperative continue to review the auditor prepared adjusting journal entries and financial statements with the intention of understanding and acceptance of responsibility for reporting under generally accepted accounting principles. Action Taken: The Cooperative will continue to review the auditor prepared adjusting journal entries and financial statements with the intention of understanding and acceptance of responsibility for reporting under generally accepted accounting principles. Planned Completion Date: Not Applicable.
Recommendation: We recommend that the Cooperative continue to segregate incompatible duties as best it can within the limits of what the Cooperative considers to be cost beneficial. Action Taken: The Cooperative reviews and makes improvements to its internal controls on an ongoing basis and attempts...
Recommendation: We recommend that the Cooperative continue to segregate incompatible duties as best it can within the limits of what the Cooperative considers to be cost beneficial. Action Taken: The Cooperative reviews and makes improvements to its internal controls on an ongoing basis and attempts to maximize the segregation of duties in all areas within the limits of the staff available. Planned Completion Date: Not Applicable.
Finding 525868 (2024-001)
Significant Deficiency 2024
UWI management identified the late reporting error during the year and made alternative arrangements with the grantor to come into compliance prior to fiscal year end. To assure compliance with federal grants, procedures are in place for grant reporting oversignt.
UWI management identified the late reporting error during the year and made alternative arrangements with the grantor to come into compliance prior to fiscal year end. To assure compliance with federal grants, procedures are in place for grant reporting oversignt.
Condition: The 2023 data collection form and audit package were not submitted timely. Plan: The Superintendent, along with staff, will review and evaluate the reporting requirements of all grants to ensure timely reporting requirements. Anticipated Date of Completion: June 30, 2025
Condition: The 2023 data collection form and audit package were not submitted timely. Plan: The Superintendent, along with staff, will review and evaluate the reporting requirements of all grants to ensure timely reporting requirements. Anticipated Date of Completion: June 30, 2025
The Organization filed the required performance reports in November 2024. The Organization will review its procedures for submitting financial reports to the pass-through entity and reinforce controls over these processes to ensure timely submission.
The Organization filed the required performance reports in November 2024. The Organization will review its procedures for submitting financial reports to the pass-through entity and reinforce controls over these processes to ensure timely submission.
1 We have decided not to withdraw funds from the payment management service until the available funds are used, and moving forward, we will be keen on withdrawing funds using the cost-reimbursement method. 2 We have developed federal funds withdrawal and spending monitoring spreadsheets. We will...
1 We have decided not to withdraw funds from the payment management service until the available funds are used, and moving forward, we will be keen on withdrawing funds using the cost-reimbursement method. 2 We have developed federal funds withdrawal and spending monitoring spreadsheets. We will use this tool to control the balance of funds to make sure that optimum amount of money is maintained.
2024-003 Preparation of and Internal controls over Schedule of Expenditures of Federal Awards Preparation (Material Weakness) Federal Agency: U.S Department of Education Program Name: Child Nutrition Cluster; Education Stabilization Fund Assistance Listing Number: 10.553, 10.555 and 10.559; 84.42...
2024-003 Preparation of and Internal controls over Schedule of Expenditures of Federal Awards Preparation (Material Weakness) Federal Agency: U.S Department of Education Program Name: Child Nutrition Cluster; Education Stabilization Fund Assistance Listing Number: 10.553, 10.555 and 10.559; 84.425 Award Period: June 30, 2024 Recommendation: The Board of Education and management should review the financial reporting process. Once this review is complete, the District should then perform a risk assessment to determine the best way to implement appropriate internal controls over financial reporting to ensure that the District prepares the schedule conformity with Uniform Guidance. Action Taken (Unaudited): Management plans to have the Board Clerk and the Board Treasurer complete the Schedule of Expenditures together and to ensure that the correct expenses are being reported. Contact Name – Kristy Dyche Expected Completion Date – 6/30/2025
Finding 2023-002: Inventory Report: This is a repeat finding from the previous audit report, identified as finding number 2023-002. The school does not have internal controls and procedures to ensure a physical inventory is conducted at least every two years. • Response: Response: we will work with ...
Finding 2023-002: Inventory Report: This is a repeat finding from the previous audit report, identified as finding number 2023-002. The school does not have internal controls and procedures to ensure a physical inventory is conducted at least every two years. • Response: Response: we will work with Jim Miller and Chris Ashmore to complete a physical inventory of all capital assets by September 30, 2025. Responsible Person/Position: Rod Iberg/ COO
The Organization began its audit for the year ended June 30, 2024 earlier than the prior year, allowing sufficient time to file the Organization's data collection form before its due date.
The Organization began its audit for the year ended June 30, 2024 earlier than the prior year, allowing sufficient time to file the Organization's data collection form before its due date.
Finding 525843 (2024-001)
Significant Deficiency 2024
Personnel Responsible For Corrective Action Plan: Julie Cubbage, CFO Anticipated Completion Date: When required for a future procurement transaction Corrective Action Plan: The Organization is aware of the Uniform Guidance procurement requirements and if necessary for a future procurement tran...
Personnel Responsible For Corrective Action Plan: Julie Cubbage, CFO Anticipated Completion Date: When required for a future procurement transaction Corrective Action Plan: The Organization is aware of the Uniform Guidance procurement requirements and if necessary for a future procurement transaction, will follow the sealed bids or competitive proposals protocols.
Finding 2024-002 Procurement and Suspension and Debarment (Compliance) – 2020 Findings Major Federal Award Programs Condition The City's procurement standards do not include the essential elements as outlined in 2 CFR sections 200.318 through 200.326. Corrective Action Plan The City issued and upda...
Finding 2024-002 Procurement and Suspension and Debarment (Compliance) – 2020 Findings Major Federal Award Programs Condition The City's procurement standards do not include the essential elements as outlined in 2 CFR sections 200.318 through 200.326. Corrective Action Plan The City issued and updated purchasing policy which includes the CFR requirements in early fiscal year 2024-2025. The city has hired adequate staffing which allows the purchasing department to enforce the suspension and debarment process during the procurement process. The City will have a formal process to require checking for Procurement and Suspension and Debarment prior to any contracts being issued. The policy will include but not limited to: 1. Bidding/RFP requirements: Prior to making a grant-related purchase, the procurement office will check the selected vendor on www.sam.gov prior to approving. The procurement office will document the Suspension and Debarment verification by including a screen print of the Exclusions search. 2. Annual check Annually, procurement will run a list of all vendors and employees paid from federal funds. This list will be reviewed against sam.gov, unless set up one month prior to the review. 3. Notification in bid/RFP specifications The procurement office will also make sure to include language in the specification about complying with CFR rules for federal funding. The implementation of this recommendation is monitored by the Procurement Director and Finance Director Michael Gormany or designee.
The Village will implement a process of how expenditures of Federal Awards are recorded and monitoring this process.
The Village will implement a process of how expenditures of Federal Awards are recorded and monitoring this process.
The Village will work with our Administrators of the Village's Section8 proram and ensure accuracy and payment calculations are properly addressed and files contain all proper documentation.
The Village will work with our Administrators of the Village's Section8 proram and ensure accuracy and payment calculations are properly addressed and files contain all proper documentation.
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