Corrective Action Plans

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Finding Number: 2025-005 Title: Policies and Procedures Related to Packaging Student Financial Aid To enhance compliance and address these deficiencies, the College will implement a new procedure for documenting and retaining borrower notifications. A timestamped email notification system will be cr...
Finding Number: 2025-005 Title: Policies and Procedures Related to Packaging Student Financial Aid To enhance compliance and address these deficiencies, the College will implement a new procedure for documenting and retaining borrower notifications. A timestamped email notification system will be created to ensure that all required communications to students regarding federal direct loans are not only sent but also retained for auditing purposes. Additionally, a formal review process will be established to verify transfer students' grade levels and academic progressions. This will involve cross-referencing transfer credits and ensuring proper classification of students to prevent future errors. After all transcripts are evaluated, Financial Aid will repackage the aid offer, if required. Regular audits will be introduced to review the documentation of borrower notifications and the packaging process to ensure compliance with federal regulations. Furthermore, training sessions will be conducted for staff involved in the Financial Aid and Registrar Departments to reinforce the importance of accuracy in documenting communications and package decisions. By implementing these corrective actions, the College aims to enhance compliance with federal guidelines and improve the accuracy of Financial Aid packaging for all students. Management is committed to these changes and will ensure the timely execution of this plan. Anticipated Completion Date: March 31, 2026
Finding Number: 2025-004 Associated Criterion: 34 CFR 668.22 - Treatment of Title IV Funds When a Student Withdraws To effectively address the issues related to student withdrawals, a comprehensive action plan will be implemented. First, a thorough review of existing withdrawal policies and procedur...
Finding Number: 2025-004 Associated Criterion: 34 CFR 668.22 - Treatment of Title IV Funds When a Student Withdraws To effectively address the issues related to student withdrawals, a comprehensive action plan will be implemented. First, a thorough review of existing withdrawal policies and procedures will be conducted to identify any gaps in the notification process concerning withdrawn students. Building on this assessment, a timely notification procedure will be developed, which will standardize how all relevant departments, including the Registrar, Financial Aid, and Student Affairs, are notified whenever a student withdraws. This procedure will outline specific timelines and designate responsible parties for alerting each department. To maintain compliance, regular audits of withdrawal cases will be conducted, ensuring adherence to the newly established procedures. Quarterly reviews will also be set up to assess the effectiveness of the notification process. By implementing this Corrective Action Plan, Missouri Valley College aims to improve the timely notification of withdrawn students, ensuring compliance with federal regulations and minimizing the risks associated with late reporting of Title IV funds. Anticipated Completion Date: March 31, 2026
Finding 001 Summary: During the FY 2024-25 testing, it was noted that not all required provisions were provided at the time of the contract award for two (2) of the four (4) contracts selected. Responsible Individual for the Implementation of the Corrective Action Plan: Cindy Giraldo, Chief Financia...
Finding 001 Summary: During the FY 2024-25 testing, it was noted that not all required provisions were provided at the time of the contract award for two (2) of the four (4) contracts selected. Responsible Individual for the Implementation of the Corrective Action Plan: Cindy Giraldo, Chief Financial Officer Erika Bustamante, Deputy Director Corrective Action Plan: SCAG is in the process of amending the affected contracts, as applicable, to incorporate the required federal contract provisions under 2 CFR Part 200. In addition, as of March 2026, SCAG has implemented an updated SCAG Procurement Policy & Procedures Manual, which strengthens procurement controls and standardizes contract requirements for federally funded procurements. To further strengthen internal controls, SCAG will implement the following measures: • Standardized contract templates that incorporate required federal contract provisions. • Procurement checklists and review procedures requiring staff to verify that all federal provisions are included prior to contract execution. These actions are intended to ensure that all applicable required provisions are communicated to contractors and included in contracts executed under federal awards. Anticipated Completion Date: April 2026
Altus Public Schools' Construction Project Manager and Architects have included Davis Bacon requirements in all bid packages for ongoing projects to ensure the required documentation is being provided and met.
Altus Public Schools' Construction Project Manager and Architects have included Davis Bacon requirements in all bid packages for ongoing projects to ensure the required documentation is being provided and met.
Contact Person: Jonathan Green, Superintendent. Recommendation: The District needs to develop written policies and procedures related to cash management, cost allowability, procurement, and conflict of interest provisions for federal funds it receives. Corrective Action: We will complete and adopt a...
Contact Person: Jonathan Green, Superintendent. Recommendation: The District needs to develop written policies and procedures related to cash management, cost allowability, procurement, and conflict of interest provisions for federal funds it receives. Corrective Action: We will complete and adopt appropriate policies as soon as possible. Proposed Completion Date: Fiscal Year 2026.
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend the District implement procedures to monitor the Maintenance of Effort compliance throughout the year, including during the budgeting process. Corrective Action: We arenow aware of the compliance requirement and wil...
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend the District implement procedures to monitor the Maintenance of Effort compliance throughout the year, including during the budgeting process. Corrective Action: We arenow aware of the compliance requirement and will monitor the Maintenance of Effort compliance under the Eligibility Standard going forward. Proposed Completion Date: Fiscal year 2026.
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend the District check the Excluded Parties List System or collect certifications from the entity for any vendor in which the District expects to spend more than $25,000 of federal grant funds for the year. Corrective A...
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend the District check the Excluded Parties List System or collect certifications from the entity for any vendor in which the District expects to spend more than $25,000 of federal grant funds for the year. Corrective Action: We were not aware of this requirement, but we will ensure that we comply going forward. Proposed Completion Date: Fiscal Year 2026.
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend that all required filings be submitted timely according to the Single Audit Act of 1984 and Title 2 U.S. Code of Federal Regulations guidelines. Corrective Action: The auditors discussed the issue with the District....
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend that all required filings be submitted timely according to the Single Audit Act of 1984 and Title 2 U.S. Code of Federal Regulations guidelines. Corrective Action: The auditors discussed the issue with the District. A new checklist will be used with audit completion to ensure timely submission for the 2026 fiscal year. Proposed Completion Date: Fiscal Year 2026.
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend the District expand their internal controls to require a responsible official to review the daily meal count reports for accuracy prior to submission of the reports to the Illinois State Board of Education. Correcti...
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend the District expand their internal controls to require a responsible official to review the daily meal count reports for accuracy prior to submission of the reports to the Illinois State Board of Education. Corrective Action: Daily meal counts will be reviewed by administration on a monthly basis. Proposed Completion Date: Immediately.
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend that all food solicitation include the proper language to ensure that food products comply with the Buy American Provision. Corrective Action: We will ensure this language is included in all food solicitations going...
Name of Contact Person: Jonathan Green, Superintendent. Recommendation: We recommend that all food solicitation include the proper language to ensure that food products comply with the Buy American Provision. Corrective Action: We will ensure this language is included in all food solicitations going forward. Proposed Completion Date: Fiscal Year 2026.
Finding Reference: 2025-005 - Cash Management (JSU) Responsible Official: Mr. Letherio Zeigler, Executive Director - Student Financial Services & Scholarships (Letherio.h.zeigler@jsums.edu) Corrective Action Planned: During the 2024-2025 award year, there was a change in leadership within the financ...
Finding Reference: 2025-005 - Cash Management (JSU) Responsible Official: Mr. Letherio Zeigler, Executive Director - Student Financial Services & Scholarships (Letherio.h.zeigler@jsums.edu) Corrective Action Planned: During the 2024-2025 award year, there was a change in leadership within the financial aid department near the end of 2024 that disrupted the normal process of reconciliation of funds to be disbursed which caused the delayed drawdowns that were outside the scope of compliance regarding allocation of funds towards student accounts. The Executive has developed a timely process of reconciliation that is in line with federal regulations to ensure that funds will drawdown timely as well as the institution has gone voluntarily to a system with COD in which drawdowns will not occur until COD receives approved response files for Federal Pell grant and Student Loans to ensure there is no delay in drawdowns. Estimated Completion Date: August 1, 2026 Finding Reference: 2025-005 - Cash Management (USM) Responsible Official: Erica Kennedy, Associate Vice President for Research (Erica.kennedy@usm.edu) Corrective Action Planned: USM acknowledges the finding related to cash management timing requirements under 2 CFR §200.305(b). To address the root cause and ensure ongoing compliance, USM will implement the following corrective actions: 1.Maintain standard monthly draw schedule. a.USM has returned to the standard monthly draw schedule, which aligns with the institutional accounting close timeline and supports accurate, reconciled requests. b.This schedule is now designated as the required default for all TRIO drawdowns, and deviations will not be permitted except in documented emergency situations approved at the VP level. 2.Reinforce internal controls linked to monthly draws. a.Existing internal controls, including pre-draw reconciliation, multi-level review, and validation of current/month expenditures, remain in place and are explicitly tied to the monthly schedule. b.Any proposed changes to the draw frequency must undergo formal written approval, including documentation explaining the reason for change and a review of associated compliance risks. 3.Monitoring a.For the next two quarters, the AVPR will conduct spot checks to confirm continued adherence to the monthly schedule and compliance with standard reconciliation procedures. Estimated Completion Date: Corrective actions are completed. The standard monthly draw process was reinstated and fully implemented, effective April 2025.
Finding Reference: 2025-004 - SFA - Special Tests - Disbursements to or on Behalf of Students (JSU) Responsible Official: Adrienne Walls, Bursar 601.979.0320 Adrienne.Walls@jsums.edu Corrective Action Planned: Jackson State University will update internal controls to ensure compliance with 34 CFR 66...
Finding Reference: 2025-004 - SFA - Special Tests - Disbursements to or on Behalf of Students (JSU) Responsible Official: Adrienne Walls, Bursar 601.979.0320 Adrienne.Walls@jsums.edu Corrective Action Planned: Jackson State University will update internal controls to ensure compliance with 34 CFR 668.165 related to required notifications for Direct Loan disbursements. The Bursar’s Office will be responsible for issuing required loan disbursement notifications to students and parents. The Bursar’s Office will work in coordination with the University’s Banner consultant to develop and implement an automated process to identify loan disbursements and trigger required notifications. At this time, system-generated notifications are not active. Until automation is implemented, the University will utilize a manual notification process to ensure compliance. Notifications will include (1) the date and amount of the disbursement, (2) the right to cancel all or a portion of the loan, and (3) the process and timeframe to request cancellation. Policies and procedures will be updated to document the notification process. A pre-disbursement control will be implemented prior to each disbursement cycle to verify that the notification process—manual or automated—is in place and functioning as intended. Monitoring procedures will be established to include weekly reviews of disbursement records and notification logs to ensure notifications are issued timely and accurately. Exceptions identified will be resolved promptly. The Assistant Bursar will serve as the control owner responsible for performing and documenting this review. Staff will receive training on regulatory requirements and updated procedures. A standard notification template has been developed and will be used to support the manual process and future automated communications. These actions address the cause of the finding, which resulted from notifications being inadvertently disabled in the financial aid system, and will strengthen controls to prevent recurrence. Estimated Completion Date: April 30, 2026
Finding Reference: 2025-003 - SFA - Special Tests - Using a Servicer to Deliver Title IV Credit Balances (ASU) Responsible Official: Charles Crump, Special Assistant to the VP for Finance (ccrump@alcorn.edu) Corrective Action Planned: The institution will update the E-App to accurately reflect the t...
Finding Reference: 2025-003 - SFA - Special Tests - Using a Servicer to Deliver Title IV Credit Balances (ASU) Responsible Official: Charles Crump, Special Assistant to the VP for Finance (ccrump@alcorn.edu) Corrective Action Planned: The institution will update the E-App to accurately reflect the third-party servicer relationship. Additionally, the institution will implement periodic reviews of all third-party relationships involved in the delivery of Title IV credit balances to ensure they are properly reported on the E-App and remain in compliance. Estimated Completion Date: June 30, 2026
Finding Reference: 2025-002 - SFA - Special Tests - Enrollment Reporting (ASU) Responsible Official: Kisha Bond, University Registrar (khumphrey@alcorn.edu) Corrective Action Planned: Following consultation with a representative and audit resource team from the National Student Clearinghouse (NSC), ...
Finding Reference: 2025-002 - SFA - Special Tests - Enrollment Reporting (ASU) Responsible Official: Kisha Bond, University Registrar (khumphrey@alcorn.edu) Corrective Action Planned: Following consultation with a representative and audit resource team from the National Student Clearinghouse (NSC), it was confirmed that the student was certified as withdrawn on February 7, 2025, and that this information was transmitted by NSC to NSLDS on February 19, 2025 during Spring 2025 first term reporting because the student was not enrolled. Subsequently, the student graduated Fall 2024, however all degree requirements were not updated at that time which resulted in the delay of the graduation status being reported. As a result, the student was certified as graduated on March 10, 2025 and NSLDS received that certification on March 20, 2025. In response, we have evaluated this occurrence and are implementing enhanced internal monitoring procedures to ensure that enrollment changes are accurately captured and submitted within established reporting windows. These measures include conducting quarterly quality control reviews with both NSC and NSLDS to verify that enrollment statuses are properly reported and transmitted. These reviews will occur following the initial term reporting for each semester. Additionally, a standardized verification form will be developed to confirm successful transmission of enrollment data from NSC to NSLDS. Finally, all students who have completed degree requirements will have their status updated during end-of-term processing to ensure timely and accurate reporting. Estimated Completion Date: December 31, 2026 Finding Reference: 2025-002 - SFA - Special Tests - Enrollment Reporting (DSU) Responsible Official: Megan Smith, Director of Financial Aid (mlsmith@deltastate.edu) and Tammy Prather, Registrar (tprather@deltastate.edu) Corrective Action Planned: Delta State University recognizes that when degree conferral is delayed, students should be temporarily reported as withdrawn(W) and the status later updated to graduated(G) once the degree is officially conferred. Delta State University has reviewed our internal reporting timelines with the National Student Clearinghouse and will ensure all finalizations of reporting aligns with the policies. Delta State University understands that the Clearinghouse update to NSLDS did not occur on the student record until April even though our report cleared in February, resulting in an error. We are implementing an additional reconciliation step to verify that changes submitted to the Clearinghouse are reflected in NSLDS within the expected time required under policy. Estimated Completion Date: June 30, 2026 Finding Reference: 2025-002 - SFA - Special Tests - Enrollment Reporting (JSU) Responsible Official: Lakesha Tubbs, Registrar, 601.979.2807 (Lekesha.i.tubbs@jsums.edu) and Mr. Letherio H. Zeigler, Executive Director, 601.979.0227 (Letherio.h.zeigler@jsums.edu) Corrective Action Planned: A designated member from both the Office of the Registrar and the Department of Financial Aid will conduct a comprehensive review of the records sent to NSLDS via the NSC as well as ensure that all clearinghouse errors are resolved within a timely fashion not to exceed 4 business days. This partnership ensures that errors, including withdrawals, graduations, and changes in credit load, are updated in NSLDS in a timely manner. Moving forward, a monthly reconciliation process will be implemented between these two departments to prevent future reporting lags or data mismatches identifying reporting errors and executing the necessary data corrections directly that are submitted to NSLDS. Estimated Completion Date: May 5, 2026 Finding Reference: 2025-002 - SFA - Special Tests - Enrollment Reporting (MSU) Responsible Official: Emily Shaw, University Registrar emily.shaw@msstate.edu Corrective Action Planned: All procedures, beginning with data file from SIS, will be thoroughly reviewed to determine why the appropriate effective dates are not reflecting correctly. We are seeking assistance from our Information Technology Service and will then consult with Ellucian directly if there is an issue with our data file. Additional processes and protocols will be implemented for rejection errors that may be causing the appearance of not certifying within the required timeline. Estimated Completion Date: May 15, 2026 Finding Reference: 2025-002 - SFA - Special Tests - Enrollment Reporting (MVSU) Responsible Official: Jeffery Loggins, University Registrar (Jloggins@mvsu.edu) Corrective Action Planned: As part of our ongoing action plan, we will continue to work with our IT Department and external consultant to ensure less errors and timely reporting of data when submitting to NSLDS. Estimated Completion Date: June 30, 2026
Finding Reference: 2025-001 - SFA - Special Tests - Return of Title IV Funds (ASU) Responsible Official: Dr. Capetra Polk, Default Management Coordinator capetra@alcorn.edu Corrective Action Planned: Our prior corrective plan was to ensure that any post-withdrawal aid eligible for disbursement would...
Finding Reference: 2025-001 - SFA - Special Tests - Return of Title IV Funds (ASU) Responsible Official: Dr. Capetra Polk, Default Management Coordinator capetra@alcorn.edu Corrective Action Planned: Our prior corrective plan was to ensure that any post-withdrawal aid eligible for disbursement would be processed in a timely manner. Although corrective actions were implemented in response to the previous finding, the university unfortunately returned funds outside the required timeframe, resulting in the current finding. To address this issue, responsibility for the R2T4 process has been reassigned, and new staff have been trained and will assume these duties to prevent future oversights. Estimated Completion Date: June 30, 2026 Finding Reference: 2025-001 - SFA - Special Tests - Return of Title IV Funds (DSU) Responsible Official:Megan Smith, Director of Financial Aid (mlsmith@deltastate.edu) and Tammy Prather, Registrar (tprather@deltastate.edu) Corrective Action Planned: Delta State University understands that the spring break start date did not match the days of the break and have resolved the accuracy of those entries to policy. The Registrar and Director of Financial Aid will verify the input of the dates prior to processing withdrawals each year. Delta State University is implementing a weekly process to ensure all R2T4 reviews are conducted and funds returned within the required timeframe. Estimated Completion Date: June 30, 2026 Finding Reference: 2025-001 - SFA - Special Tests - Return of Title IV Funds (MVSU) Responsible Official: Angela Fant, Director of Financial Aid (Angela.Fant@mvsu.edu) and Jeffery Loggins, University Registrar (JLoggins@mvsu.edu) Corrective Action Planned: As part of ongoing corrective actions, the Office of Financial Aid will continue to verify the accuracy of data provided by the Registrar’s Office prior to processing and awarding aid. In addition, better coordination will be implemented to manage and ensure the submission of accurate data. Estimated Completion Date: June 30, 2026 Finding Reference: 2025-001 - SFA - Special Tests - Return of Title IV Funds (UMMC) Responsible Official: Davita Weary, Director Financial Aid (FinancialAid@umc.edu) Corrective Action Planned: To ensure accuracy, uniformity, and compliance across all UMMC schools, the following corrective actions will be implemented. All academic calendars must clearly state standardized semester start and end dates using the required language. In addition, standardized break and holiday language must be applied consistently for all holidays, recesses, and institutional closures. Oversight of the academic calendar will be provided by the UMMC Academic Affairs Council, and all academic calendars and associated verbiage must be submitted for review and approval by the Council. The Academic Affairs Council will conduct a full review prior to publication, provide feedback and required revisions during the review period, and return any non‑compliant submissions for correction. In addition to calendar requirements, Financial Aid Advisors will be required to participate in Return to Title IV (R2T4) training offered through the National Association of Student Financial Aid Administrators (NASFAA), and the Financial Aid Director will conduct periodic spot checks of R2T4 submissions throughout the year to ensure continued compliance. Estimated Completion Date: Immediately Finding Reference: 2025-001 - SFA - Special Tests - Return of Title IV Funds (USM) Responsible Official: David Williamson, Director of Financial Aid (david.williamson@usm.edu) Corrective Action Planned: The University of Southern Mississippi (USM) acknowledges the audit finding and agrees that controls surrounding Return of Title IV (R2T4) calculations must be strengthened to ensure full compliance with federal requirements. During the Spring 2025 semester, the institution experienced a two‑day weather‑related delay in the start of classes. As a result, the Registrar updated the academic calendar start date to align with the actual commencement of instruction. No in‑person or online classes were held, and no federal aid disbursements occurred prior to the revised start date. The Spring 2025 semester remained a standard academic term with at least 15 weeks of instructional time. While the institution believed the revised calendar reasonably reflected student attendance and instructional activity, the audit identified that the payment period start date used in Return of Title IV calculations did not align precisely with the approved term structure for purposes of federal aid calculations. This misalignment resulted in incorrect day counts for certain withdrawals. To address this issue and mitigate future risk, the University will implement the following corrective actions: •The Office of Financial Aid will formally coordinate with the Registrar prior to the start of each semester to confirm that academic calendar dates used for Title IV purposes align with approved payment periods and federal regulations. •Any future adjustments to the academic calendar regardless of instructional time impact will be reviewed for Title IV implications, and written guidance will be obtained from the U.S. Department of Education by contacting caseteams@ed.gov as appropriate. •Internal procedures for Return of Title IV calculations will be updated to require verification of calendar day inputs against the institution’s final, approved academic calendar prior to processing. These actions are intended to reinforce internal controls over compliance and ensure consistent application of federal requirements across all withdrawals. Estimated Completion Date: March 18, 2026
Management agent will be responsible for signing off and completion of PRAC renewal. As part of the PRAC renewal process checklist, verification of returned residual receipts will be added. Consistent review of Marion Corner Financials balance sheet will further ensure compliance with HUD requiremen...
Management agent will be responsible for signing off and completion of PRAC renewal. As part of the PRAC renewal process checklist, verification of returned residual receipts will be added. Consistent review of Marion Corner Financials balance sheet will further ensure compliance with HUD requirements.
Management agent will be responsible for signing off and completion of PRAC renewal. As part of the PRAC renewal process checklist, verification of returned residual receipts will be added. Consistent review of Findley Place Financials balance sheet will further ensure compliance with HUD requiremen...
Management agent will be responsible for signing off and completion of PRAC renewal. As part of the PRAC renewal process checklist, verification of returned residual receipts will be added. Consistent review of Findley Place Financials balance sheet will further ensure compliance with HUD requirements.
Management agent will be responsible for signing off and completion of PRAC renewal. As part of the PRAC renewal process checklist, verification of returned residual receipts will be added. Consistent review of Charles Place Financials balance sheet will further ensure compliance with HUD requiremen...
Management agent will be responsible for signing off and completion of PRAC renewal. As part of the PRAC renewal process checklist, verification of returned residual receipts will be added. Consistent review of Charles Place Financials balance sheet will further ensure compliance with HUD requirements.
The Agency will improve its reconciliation and reporting procedures. All grant reports will be prepared using general ledger data and reviewed before submission. Monthly reconciliations and periodic compliance checks will be performed and documented. These actions are intended to improve accuracy, c...
The Agency will improve its reconciliation and reporting procedures. All grant reports will be prepared using general ledger data and reviewed before submission. Monthly reconciliations and periodic compliance checks will be performed and documented. These actions are intended to improve accuracy, consistency, and compliance across all grants. Monthly check-ins for WCIAAA staff currently take place to help improve communication, monitoring, and oversight of all grant and fiscal reporting.
West Central Illinois Area Agency on Aging will strengthen its budgeting and monitoring process to ensure required minimum spending levels are met. Beginning in FY2026, staff will verify earmarked requirements during budget preparation and review expenses quarterly to confirm compliance. Responsibil...
West Central Illinois Area Agency on Aging will strengthen its budgeting and monitoring process to ensure required minimum spending levels are met. Beginning in FY2026, staff will verify earmarked requirements during budget preparation and review expenses quarterly to confirm compliance. Responsibility for monitoring has been assigned to fiscal leadership, with review and oversight by Director, Assistant Director, as well as Program Manager. The Agency believes this was an isolated incident and expects these steps to prevent recurrence in accordance with requirements from the Illinois Department on Aging.
Finding 2024-001: Supportive Housing for the Elderly (Section 202), Federal Assistance Listing Number 14.157 Condition: The required deposit of $7,387 for the year ended June 30, 2023 was made after the 60 day deadline. Recommendation: Lucille Manor Apartments should ensure residual receipts are mad...
Finding 2024-001: Supportive Housing for the Elderly (Section 202), Federal Assistance Listing Number 14.157 Condition: The required deposit of $7,387 for the year ended June 30, 2023 was made after the 60 day deadline. Recommendation: Lucille Manor Apartments should ensure residual receipts are made within 60 days of year-end in accordance with the HUD Regulatory Agreement. Action Taken: Lucille Manor Apartments made the required payment in March 2024.
Corrective Action Plan Federal Award Findings and Questioned Costs For the Fiscal Year Ended June 30, 2025 Finding 2025-003 – F. Equipment and Real Property Management Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Federal Program: 93.493, Congres...
Corrective Action Plan Federal Award Findings and Questioned Costs For the Fiscal Year Ended June 30, 2025 Finding 2025-003 – F. Equipment and Real Property Management Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Federal Program: 93.493, Congressional Directives Award Period: July 1, 2024 through June 30, 2025 Summary of finding: UC Health did not appropriately design and execute internal controls to establish and maintain property records that included all requirements for equipment purchased under the federal grant. Planned corrective action: Management agrees with this finding. Federal awards for capital projects are infrequent for UC Health. However, management acknowledges the importance of adhering to the terms of the award terms. The Finance staff will oversee future projects, and review all terms and requirements of the federal awards. The Finance staff will review and implement functionality within the Enterprise Resource Planning (ERP) system to track the property purchased through federal awards. Once functionality is identified and tested, the property records for assets purchased with federal awards during fiscal year 2025 will be updated to include all federally required criteria. Anticipated completion date: September 30, 2026 Responsible contact person: Michael Wiedeman, Vice President and Controller
Corrective Action Plan Federal Award Findings and Questioned Costs For the Fiscal Year Ended June 30, 2025 Finding 2025-002 – C. Cash Management, G. Matching, H. Period of Performance Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Federal Program:...
Corrective Action Plan Federal Award Findings and Questioned Costs For the Fiscal Year Ended June 30, 2025 Finding 2025-002 – C. Cash Management, G. Matching, H. Period of Performance Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Federal Program: 93.493, Congressional Directives Award Period: July 1, 2024 through June 30, 2025 Summary of finding: UC Health did not appropriately design and execute internal controls to verify they were eligible for the full balance of the cash draw down made during the year under audit, which ultimately resulted in an inappropriate expenditure balance reported on the original schedule of expenditures of federal awards (SEFA). Planned corrective action: Management agrees with this finding. Federal awards for capital projects are infrequent for UC Health. However, management acknowledges the importance of adhering to the terms of the award. Responsibilities to validate and confirm the accuracy of amounts billed for each federal award will transition to the Finance staff. The Finance staff will request and review the federal award agreement and related documents and highlight the terms and conditions needed to timely and accurately request cash draws and report on the cost incurred related to the award. Request for cash draws will be validated by the Vice President and Controller to review the support, ensure the requirements are met for the expenditures, and confirm the terms are being met prior to submission. Anticipated completion date: April 1, 2026 Responsible contact person: Michael Wiedeman, Vice President and Controller
Corrective Action Plan Finding 2025-001 – I. Procurement Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Federal Program: 93.493, Congressional Directives Award Period: July 1, 2024 through June 30, 2025 Summary of finding: UC Health did not approp...
Corrective Action Plan Finding 2025-001 – I. Procurement Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Federal Program: 93.493, Congressional Directives Award Period: July 1, 2024 through June 30, 2025 Summary of finding: UC Health did not appropriately design and execute internal controls over their procurement process outside of general construction costs when utilizing federal funds to ensure that all federal requirements were satisfied and documented, including retention of documentation to evidence performance of controls. Planned corrective action: Management agrees with this finding. Federal awards for capital projects are infrequent for UC Health. However, management acknowledges the importance of adhering to the terms of the award terms. For future awards, the Finance staff will assume responsibility for explaining the procurement process for federal awards with the appropriate areas and request and review the documents that support a competitive solicitation process for both general construction and equipment purchases. Documentation on the requirements for federal awards will be strengthened and maintained. Formal policies that outline the required competitive solicitation process noting federal thresholds and requirements will be put in place for future awards. Further, controls will be established to retain documentation over the applied procurement approach or resulting decisions made, including evidence of bids received. Anticipated completion date: September 30, 2026 Responsible contact person: Michael Wiedeman, Vice President and Controller
FINDING 2025-008 Finding Subject: COVID-19 - Education Stabilization Fund – Condition of Records Federal Agency: Department of Education Audit Findings: Material Weakness, Modified Opinion Contact Person Responsible for Corrective Action: Lela Simmons, CFO Contact Phone Number and Email Address: 219...
FINDING 2025-008 Finding Subject: COVID-19 - Education Stabilization Fund – Condition of Records Federal Agency: Department of Education Audit Findings: Material Weakness, Modified Opinion Contact Person Responsible for Corrective Action: Lela Simmons, CFO Contact Phone Number and Email Address: 219 391 4100 Ex 12365: lesimmons@ecps.org Views of Responsible Officials: We concur with the finding Description of Corrective Action Plan: Internal controls will be put in place to ensure all COVID 19 ESSER Funds are reported accurately to the State and Federal Department of Education. Reimbursements will be attached to State Email for disbursement. Anticipated Completion Date: We anticipate having the above corrective action plan in place by October 31, 2026
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