Corrective Action Plans

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Dodge County Housing has a system of internal controls that is reviewed and updated annually. Duties are segregated within the staff members to ensure that no one individual handles a transaction from inception to completion. Board Commissioners are aware of the limitations and participate in revie...
Dodge County Housing has a system of internal controls that is reviewed and updated annually. Duties are segregated within the staff members to ensure that no one individual handles a transaction from inception to completion. Board Commissioners are aware of the limitations and participate in reviewing purchases and payments in addition to monitoring budgets and monthly financials. We will continue to segregate duties whenever possible and implement procedures to incorporate the above recommendation throughout the year and monitor, update or change internal controls and procedures as necessary. This action is continually monitored with an annual review of internal controls in place as of the date of this letter. Administrative staff has increased to allow duties to be further segregated. Contact Donna Braun at 920-386-2866 x 101.
We continue to implement procedures to incorporate the above recommendation throughout the year to take advantage of training and information as available. The Executive Director has taken on more responsibility to reduce the reliance on the audit firm. Discussion and review of any auditor entries a...
We continue to implement procedures to incorporate the above recommendation throughout the year to take advantage of training and information as available. The Executive Director has taken on more responsibility to reduce the reliance on the audit firm. Discussion and review of any auditor entries are reviewed prior to the audit submission. The Board of Commissioners will continue to monitor this situation and may attempt to fill future board positions with a member who has expertise to contribute to the review of financials or consider contracting an accounting firm to assist in preparation. The Executive Director and Supervisor will utilize accounting degrees and participate in trainings to further reduce the reliance on the audit firm in the March 2025 submission. Contact Donna Braun at 920-386-2866 x 101.
Program: Emergency Rental Assistance Program Federal Agency: US Department of Treasury AL #: 21.023 Federal Award Identification Number and Year: Various – See SEFA Pass-through Entity: N/A Type of Compliance Finding: M – Subrecipient Monitoring Internal Control Impact: Material Weakness Fin...
Program: Emergency Rental Assistance Program Federal Agency: US Department of Treasury AL #: 21.023 Federal Award Identification Number and Year: Various – See SEFA Pass-through Entity: N/A Type of Compliance Finding: M – Subrecipient Monitoring Internal Control Impact: Material Weakness Finding: Management did not annually monitor “all” subrecipients as required by the Federal regulations and City policy. Status: In progress – The Housing Department anticipates this will be completed by April 30, 2025 for subrecipient contracts. The City Grants Manual is being updated by the Finance Department grant staff currently and the anticipated completion is January 31, 2025. Corrective Action Plan: The Housing Department will have procedures in place to ensure the subrecipient monitoring is completed for each subrecipient contract annually. Information regarding subrecipient monitoring will be included in the updated City Grants Manual. Person(s) Responsible for Implementation: LaToya Jones, Financial Manager, Housing and Community Development, Telephone: (816) 513-8436; Email: LaToya.Jones@kcmo.org Dion Lewis, Deputy Director, Housing and Community Development, Telephone: (816) 513-8494; Email: Dion.Lewis@kcmo.org Robin Flaherty, Financial Manager, Finance Department, Telephone: (816) 513-1202; Email: Robin.Flaherty@kcmo.org
View Audit 332625 Questioned Costs: $1
Program: Community Development Block Grant/Entitlement Grants Federal Agency: Department of Housing and Urban Development AL #: 14.218 Federal Award Identification Number and Year: Various – See SEFA Pass-through Entity: N/A Type of Compliance Finding: N – Special Tests and Provisions Interna...
Program: Community Development Block Grant/Entitlement Grants Federal Agency: Department of Housing and Urban Development AL #: 14.218 Federal Award Identification Number and Year: Various – See SEFA Pass-through Entity: N/A Type of Compliance Finding: N – Special Tests and Provisions Internal Control Impact: Material Weakness Finding: The City did not provide evidence supporting the City’s compliance with this requirement. Status: In progress – anticipated completion December 2024 with the current round of contracts. Corrective Action Plan: The Housing Department will implement procedures to ensure that all the contract requirements listed in Uniform Guidance are included prior to the City signing the contract with the outside agency. Person(s) Responsible for Implementation: LaToya Jones, Financial Manager, Housing and Community Development, Telephone: (816) 513-8436; Email: LaToya.Jones@kcmo.org Dion Lewis, Deputy Director, Housing and Community Development, Telephone: (816) 513-8494; Email: Dion.Lewis@kcmo.org
The security deposit has been refunded and management is currently reviewing internal controls over security deposit refunds to ensure all deposits are returned timely and correctly.
The security deposit has been refunded and management is currently reviewing internal controls over security deposit refunds to ensure all deposits are returned timely and correctly.
Finding 514319 (2024-002)
Significant Deficiency 2024
2024-002 – 93.432 ACL Centers for Independent Living Significant Deficiency and Noncompliance: One expense charged to this major federal award program lacked readily available support and 2 expenses did not have documented approval. Questioned Costs: Expenses charged to major federal award program...
2024-002 – 93.432 ACL Centers for Independent Living Significant Deficiency and Noncompliance: One expense charged to this major federal award program lacked readily available support and 2 expenses did not have documented approval. Questioned Costs: Expenses charged to major federal award program for which there was not readily available support or approval of expenditures was not documented totaled $558. Recommendation: Procedures should be implemented requiring documentation be maintained to support every expense charged to federal programs including documentation of approval of expenditures. Responsible Person for Corrective Action: Thomas Newman, Executive Director Corrective Action to be Taken: Management agrees with the audit findings and has already taken immediate corrective action by re-training accounting staff on the importance of maintaining all supporting documentation and obtaining the necessary approvals before processing any cash disbursements. To further strengthen internal controls, management is exploring the implementation of a system upgrade that would automate the documentation and approval process for expenditures charged to federal award programs. The anticipated completion date for this corrective action is 11/30/2024.
View Audit 332596 Questioned Costs: $1
Finding 514316 (2024-003)
Material Weakness 2024
2024-003 – Material Weakness – Internal Control Material Weakness in Internal Control: The following errors were noted and corrected as a result of auditing procedures on the SEFA: • CRA program federal expenditures (CFDA #14.228) were understated by $23,893. • ACL Independent Living State Grants f...
2024-003 – Material Weakness – Internal Control Material Weakness in Internal Control: The following errors were noted and corrected as a result of auditing procedures on the SEFA: • CRA program federal expenditures (CFDA #14.228) were understated by $23,893. • ACL Independent Living State Grants federal expenditures (CFDA #93.369) were overstated by $21,856 due to errors in SEFA preparation. • Several presentational errors including incorrect identifying numbers listed, incorrect award terms listed, and incorrect CFDA #’s listed for multiple awards. Recommendation: Management should continue to seek additional training for the fiscal department on preparation of the SEFA and reporting standards. In addition, review processes over the SEFA and supporting reports should be strengthened. Both the preparer and reviewer should have a clear understanding of the required minimum elements and instructions. As part of the review, all required minimum elements should be vouched to original source documents including copies of awards, grant reporting, and the trial balance profit and loss reports. Steps should be taken to prevent further adjustment of supporting profit and loss reports once reconciled without the express review and approval of the Fiscal Director. Review of the standards for supporting grant reports should be strengthened to prevent errors in reporting leading to errors on the SEFA. Any inconsistencies should be resolved before beginning the audit. Management has taken steps to identify and seek training in areas they have identified as needing improvement. Responsible Person for Corrective Action: Thomas Newman, Executive Director Corrective Action to be Taken: Management acknowledges the audit findings and the material weakness related to the preparation of the Schedule of Expenditures of Federal Awards (SEFA). The errors identified stemmed from insufficient internal controls over the preparation and review process. Additionally, there were inconsistencies in how the SEFA was prepared in previous years, compounded by a quick turnover to a new controller at year-end, which disrupted continuity and contributed to the lack of clear guidance in the SEFA preparation process. To address these challenges, management has implemented immediate corrective actions, including enhanced training for all staff involved in the SEFA preparation to ensure a thorough understanding of federal reporting standards and the required minimum elements. Furthermore, all SEFA components will be reconciled with original source documents, such as grant awards and trial balances, prior to submission for audit. Management believes that, with the new internal control measures and training in place, these errors are not expected to occur in future years. The anticipated completion date for this corrective action is 6/30/2025.
Management concurs with the findings. Management has communicated with the staff the importance of completing EIV reports, move-in inspections and annual recertifications in accordance with HUD Program guidelines, and on a go forward basis will enhance its monitoring of compliance with this requirem...
Management concurs with the findings. Management has communicated with the staff the importance of completing EIV reports, move-in inspections and annual recertifications in accordance with HUD Program guidelines, and on a go forward basis will enhance its monitoring of compliance with this requirement to ensure that EIV's are run within an appropriate time frame.
View Audit 332589 Questioned Costs: $1
The Organization agrees with the findings and recommendation procedures have been implemented.
The Organization agrees with the findings and recommendation procedures have been implemented.
Finding 2024-004 Reporting – Child Nutrition Cluster Material Weakness in Internal Control Over Compliance Finding Summary: The District does not have an internal control system designed to review and ensure submitted free and reduced meal counts agree to underlying records. Responsible Individuals:...
Finding 2024-004 Reporting – Child Nutrition Cluster Material Weakness in Internal Control Over Compliance Finding Summary: The District does not have an internal control system designed to review and ensure submitted free and reduced meal counts agree to underlying records. Responsible Individuals: Shannon Hunstad, Superintendent Corrective Action Plan: The District will review and strengthen the controls surrounding the review and submission of free and reduced meal counts to ensure they are supported and accurate. Anticipated Completion Date: June 30, 2025
Controller's Office Yosemite Community College District P.O. Box 4065 / Modesto, CA 95352 / 2201 Blue Gum Avenue 95358 Phone (209) 575-6527 / FAX (209) 575-6562 CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2024 Identifying number: 2024-001 Finding: Special Tests and Provisions - Gr...
Controller's Office Yosemite Community College District P.O. Box 4065 / Modesto, CA 95352 / 2201 Blue Gum Avenue 95358 Phone (209) 575-6527 / FAX (209) 575-6562 CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2024 Identifying number: 2024-001 Finding: Special Tests and Provisions - Gramm-Leach-Bliley Act (GLBA) - Student Information Security - Yosemite Community College District (the "District") did not have a written security program in place that addresses the minimum required elements as required under GLBA. Corrective action taken or planned: The District has begun preparing risk assessments that meet the requirements of 16 CFR 314.4(b). Once the risk assessment has been completed, safeguards will be implemented to meet the GLBA requirements, and will serve as a comprehensive information security program for the District. Anticipated completion date: June 30, 2025 Contact person responsible: Brandon Ellenburg Director of Information Security
Finding 514284 (2024-001)
Significant Deficiency 2024
Finding 2024-001 Finding Title: Student Financial Assistance Cluster Name of Contact Person: Traci Boeve, Director of Financial Aid Corrective Action: The Assistant Registrar and the Office of Financial Aid will continue to be included in the receipt of the graduation file. The Assistant Registrar w...
Finding 2024-001 Finding Title: Student Financial Assistance Cluster Name of Contact Person: Traci Boeve, Director of Financial Aid Corrective Action: The Assistant Registrar and the Office of Financial Aid will continue to be included in the receipt of the graduation file. The Assistant Registrar will confirm in NSC (National Student Clearinghouse) the file was uploaded with no errors for campus level and program level reporting. The Office of Financial Aid will add to its current procedure by requesting an additional report from NSLDS to show graduates and withdrawal information reported at the program level. Anticipated Date of Completion: In place for 2024-2025 school year
2024-003 – Student Financial Assistance Cluster – (a) Federal Supplemental Educational Opportunity Grants (b) Federal Work-Study Program (c) Federal Perkins Loan (d) Federal Pell Grant Program (e) Federal Direct Student Loans (f) Teacher Education Assistance for College and Higher Education Grants (...
2024-003 – Student Financial Assistance Cluster – (a) Federal Supplemental Educational Opportunity Grants (b) Federal Work-Study Program (c) Federal Perkins Loan (d) Federal Pell Grant Program (e) Federal Direct Student Loans (f) Teacher Education Assistance for College and Higher Education Grants (TEACH Grants) (a) 84.007 (b) 84.033 (c) 84.038 (d) 84.063 (e) 84.268 (f) 84.379 – Year Ended June 30, 2024 Criteria: 34 CFR 685.203 states, "A first (second) (third) year student can receive up to $3,500 ($4,500) ($5,500) in subsidized loans in one academic year (34 CFR 685.203).” Condition: We tested 40 files, 37 of which were Federal Direct Loan recipients, and 1 student did not receive the full amount of her Federal Direct Subsidized Loans. Questioned Costs: $1,375 Cause and Effect: The result is a student received unsubsidized loans prior to receiving full subsidized loans. Recommendation: We recommend the College evaluate policies and procedures to ensure students receive the proper amount of Title IV aid. Views of Responsible Officials: Management agrees with this Single Audit Finding. All members of the Financial Aid Office staff will complete the loan learning track on the FSA training site. There will also be a refresher on steps to take prior to awarding a student to ensure the right credit hours are being used for Direct Loan recipients.
The district acknowledges the intent of the grant and plans to distribute the devices to individual students for use during the 2024-25 school year.
The district acknowledges the intent of the grant and plans to distribute the devices to individual students for use during the 2024-25 school year.
Recommendation: The College should update its procedures and related calculations to factor in the current semester enrollment status when a student is close to the Lifetime Eligibility Usage max in order to ensure proper disbursement amounts. Action Taken: The Financial Aid office at SCC is in the...
Recommendation: The College should update its procedures and related calculations to factor in the current semester enrollment status when a student is close to the Lifetime Eligibility Usage max in order to ensure proper disbursement amounts. Action Taken: The Financial Aid office at SCC is in the process of developing a comprehensive policy and set of procedures that will provide detailed, step-by-step instructions for managing cases involving students who are approaching or have reached their Pell Lifetime Eligibility Used (LEU). The identified error has been thoroughly reviewed with the relevant employee. We expect the updated policy and procedures to be in place by March 2025. Upon completion and approval of the policy and procedures, the office will conduct in-house training to ensure all staff members are well-informed and equipped to implement these guidelines effectively.
Finding 514267 (2024-001)
Significant Deficiency 2024
The College has established a policy of governing the Return of Title IV funds for its students in prison. The policy better defines withdrawals for this unique student population, and institutes regular meetings at critical dates throughout the semester between the Director of the Moreau College pr...
The College has established a policy of governing the Return of Title IV funds for its students in prison. The policy better defines withdrawals for this unique student population, and institutes regular meetings at critical dates throughout the semester between the Director of the Moreau College prison initiative, the Registrar, Finance, the Office of Financial Aid, and the Vice President for Enrollment and Student Engagement to ensure student withdrawals from both the prison program as well as the residential campus are known and recorded, and the Return of Title IV funds process can be completed within the required timeframe. Additionally, the College continues to invest in its Office of Financial Aid through hiring of additional support and enrolling its senior administrators in the NASFAA Certified Financial Aid Administrator Program.
Finding 514266 (2024-001)
Significant Deficiency 2024
SAFE House agrees with this finding. In order to ensure that internal controls related to payroll costs allocation are sufficient to prevent or detect errors in compliance with the standards The Executive Director shall review biweekly payroll allocations for propriety and initial them.
SAFE House agrees with this finding. In order to ensure that internal controls related to payroll costs allocation are sufficient to prevent or detect errors in compliance with the standards The Executive Director shall review biweekly payroll allocations for propriety and initial them.
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System will ensure that the FEMA reimbursement requests have clear evidence of the individuals preparing and reviewing of the submission. Documentation will be maintained to evidence preparat...
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System will ensure that the FEMA reimbursement requests have clear evidence of the individuals preparing and reviewing of the submission. Documentation will be maintained to evidence preparation and review process.
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System will review, modify, and implement policies and procedures over the program to ensure that expenditures being charged to the program are specifically identified in the grant contract.
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System will review, modify, and implement policies and procedures over the program to ensure that expenditures being charged to the program are specifically identified in the grant contract.
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System will review, modify, and implement policies and procedures over the program to ensure that required reports are prepared and reviewed by separate individuals. Documentation will be mai...
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System will review, modify, and implement policies and procedures over the program to ensure that required reports are prepared and reviewed by separate individuals. Documentation will be maintained by the program to evidence preparation and review processes and timely filing of annual report.
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System has finalized the standard work procedure titled, Request for Funds/Reimbursement Claims (2-201’s), to ensure costs are appropriately charged based on the contract’s performance period...
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System has finalized the standard work procedure titled, Request for Funds/Reimbursement Claims (2-201’s), to ensure costs are appropriately charged based on the contract’s performance periods. Review of cost activity will occur in fiscal year 2025 to ensure policy is followed.
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System has drafted the policy titled, Alameda Health System Reports Policies – SUD Program, to ensure earmarking requirements of the program and proper documentation is retained to evidence f...
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System has drafted the policy titled, Alameda Health System Reports Policies – SUD Program, to ensure earmarking requirements of the program and proper documentation is retained to evidence fulfilled requirements. The policy will be finalized in fiscal year 2025.
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System finalized the standard work procedures titled, Internal Controls for Proper Verification, which include procedures to ensure reported timesheet hours agree to hours on the time study a...
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System finalized the standard work procedures titled, Internal Controls for Proper Verification, which include procedures to ensure reported timesheet hours agree to hours on the time study and costs incurred are appropriately charged based on the contracts’ performance periods. Staff is implementing policy in fiscal year 2025.
October 23, 2024 Department of Education Dudley Street Neighborhood Charter School respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: AAFCPAs, Inc. 50 Washington Street Westborough, MA 01581 Audit period...
October 23, 2024 Department of Education Dudley Street Neighborhood Charter School respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: AAFCPAs, Inc. 50 Washington Street Westborough, MA 01581 Audit period: The findings from the schedule of findings and questioned costs for the year ended June 30, 2024 are discussed below. The finding is numbered consistently with the number assigned in the schedule. SIGNIFICANT DEFICIENCY AND MATERIAL INSTANCE OF NON‐COMPLIANCE DEPARTMENT OF EDUCATION 2024‐01 COVID‐19 ‐ Education Stabilization Fund Assistance Listing Number 84.425U Recommendation: AAFCPAs recommends that management follows its internal controls as intended to ensure the annual performance report agrees back to the Schedule of Expenditures of Federal Awards. Action Taken: Management has taken measures to ensure that all Federal reports will be filed in compliance with and in agreement by program as reported in the Schedule of Expenditures of Federal Awards in the future. If the Department of Education has questions regarding this plan, please call Clara Arroyo at 617‐275‐0739. Sincerely yours, Clara Arroyo Chief Financial Officer
FINDING 2024-003 Subject: COVID-19 - Education Stabilization Fund - Reporting Federal Agency: Department of Education Federal Program: COVID-19 - Education Stabilization Fund Assistance Listing Number: 84.425U Federal Award Numbers and Years (or Other Identifying Numbers): S425U210013 Pass-Throug...
FINDING 2024-003 Subject: COVID-19 - Education Stabilization Fund - Reporting Federal Agency: Department of Education Federal Program: COVID-19 - Education Stabilization Fund Assistance Listing Number: 84.425U Federal Award Numbers and Years (or Other Identifying Numbers): S425U210013 Pass-Through Entity: Indiana Department of Education Compliance Requirement: Reporting Audit Finding: Material Weakness Condition: An effective internal control system was not in place at the School District in order to ensure compliance with requirements related to the grant agreement and the Reporting compliance requirements. Context: The School Corporation had not designed nor implemented a system of internal control to ensure that the annual Elementary and Secondary School Emergency Relief (ESSER) annual Data Collection reports (Reports) were complete and accurately submitted. The reports were prepared and submitted in JotForm, the online application used by the Indiana Department of Education to collect information, without an oversight or secondary review process in 2 place to prevent, or detect and correct, errors. During tie out of the Year 3 report, a variance between the underlying records and reported expenditures of $187,649 was noted due to the lack of effective controls surrounding annual data reporting. 84.425U expenditures submitted within the Year 3 report were overstated by $187,649. Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: Management will implement a formal review process over data reporting to ensure compliance with reporting requirements for federal awards. A Grant Coordinator has been hired and is already in place. Both the Grant Coordinator and Treasurer will review and sign off of required reporting and ensure it is completed in a timely manner. Responsible Party and Timeline for Completion: Andrew Grismore - Grant Coordinator and Moriah Crane - Treasurer will be responsible. These corrective measures are already in place.
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