Corrective Action Plans

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Uniform Data System (UDS) Reporting Planned Corrective Action: Data analysts within the Information Technology Systems Department (ITSD) will retain all supporting documentation for data elements reported in the 2024 and future years’ annual UDS report submissions. After successful UDS report submis...
Uniform Data System (UDS) Reporting Planned Corrective Action: Data analysts within the Information Technology Systems Department (ITSD) will retain all supporting documentation for data elements reported in the 2024 and future years’ annual UDS report submissions. After successful UDS report submission, the ITSD will also provide the Chief Financial Officer with supporting documentation for data elements reported in the UDS report Person Responsible for Corrective Action Plan: Joe Mendez, IT Systems Director Anticipated Date of Completion: February 28, 2025
2024-002: Missing Exit Counseling Documentation - Student Financial Aid Cluster Assistance Listing Number 84.007, 84.033, 84.063, 84.268, Grant Period - Year Ended June 30, 2024 Condition Found During our student file testing, we noted four students out of 40 did not have documentation in their file...
2024-002: Missing Exit Counseling Documentation - Student Financial Aid Cluster Assistance Listing Number 84.007, 84.033, 84.063, 84.268, Grant Period - Year Ended June 30, 2024 Condition Found During our student file testing, we noted four students out of 40 did not have documentation in their file that exit counseling was sent thirty days after the student withdrew. We consider the missing exit counseling to be a Significant Deficiency with the Eligibility Compliance Requirement. This is a repeat finding, see Prior Year Audit Findings 2023-002. Corrective Action Plan LLCC has developed a new reporting method to capture students needing exit counseling. Responsible Person for Corrective Action Plan Alison Mills-Director of Financial Aid Implementation Date of Corrective Action Plan FY25
2024-001 Incorrect Pell Disbursement Amount - Student Financial Aid Cluster Assistance Listing Number 84.007, 84.033, 84.063, 84.268, Grant Period - Year Ended June 30, 2024 Condition Found During our student file testing we noted one student out of forty had was not disbursed the correct Pell Grant...
2024-001 Incorrect Pell Disbursement Amount - Student Financial Aid Cluster Assistance Listing Number 84.007, 84.033, 84.063, 84.268, Grant Period - Year Ended June 30, 2024 Condition Found During our student file testing we noted one student out of forty had was not disbursed the correct Pell Grant award. Based on the student’s enrollment status and need, the College over awarded the student by $925. We consider this to be an instance of noncompliance relating to the Eligibility Compliance Requirement. Corrective Action Plan This is a manual process and aid is initially reviewed during the awarding process. LLCC is working to create a report to double check aid that has been cancelled for students during an ineligible term. Responsible Person for Corrective Action Plan Alison Mills-Director of Financial Aid Implementation Date of Corrective Action Plan FY25
View Audit 330436 Questioned Costs: $1
Finding 512635 (2024-002)
Significant Deficiency 2024
2024-002: Written Procurment, Suspension and Debarment Policy Finding Condition - The Town of Dayton did not have written controls in place to ensure that vendors were not suspended or debarred or included in the list of vendors prior to entering into a contract with the Town. The written standard o...
2024-002: Written Procurment, Suspension and Debarment Policy Finding Condition - The Town of Dayton did not have written controls in place to ensure that vendors were not suspended or debarred or included in the list of vendors prior to entering into a contract with the Town. The written standard of conduct covering conflicts of interest and governing the performance of its employees and contractors must be documented when engaged in the selection, award and adminstration of Federal grant contracts. Corrective Action Plan - Even though the Town didn't have a formal written policy in place regarding the search for suspended or debarred vendors/contractors, the Town did do the SAM's search before signing agreements with contractors on each of the Federal Grant projects that were in place during the year. A policy was written and signed on September 2, 2024.
Finding 512634 (2024-001)
Significant Deficiency 2024
2024-001: Written Internal Control Policies and Federal Grant Award Procedures Finding Condition - The Town did not have written internal controls and Federal grant award policies in place. Corrective Action Plan - An internal control policy and Federal grant award procedures were written and signe...
2024-001: Written Internal Control Policies and Federal Grant Award Procedures Finding Condition - The Town did not have written internal controls and Federal grant award policies in place. Corrective Action Plan - An internal control policy and Federal grant award procedures were written and signed as approved on September 2, 2024.
CDCU’s UHAF Program Manager, Eleni Alatini, will update current checklists to explicitly state that Processors and Underwriters should confirm that all support matches intake allocation sheets. CDCU’s Financial Services Director, Brayan Nava and CEO, Todd Reeder, will approve the updated checklists....
CDCU’s UHAF Program Manager, Eleni Alatini, will update current checklists to explicitly state that Processors and Underwriters should confirm that all support matches intake allocation sheets. CDCU’s Financial Services Director, Brayan Nava and CEO, Todd Reeder, will approve the updated checklists. The UHAF Program Manager, Eleni Alatini, will conduct a training for all Processors and Underwriters to ensure they understand the process and will confirm with Brayan Nava and Todd Reeder once the training is complete. CDCU’s UHAF Program Manager, Eleni Alatini, will select 10% of approved files for internal monitoring every month to ensure Processors and Underwriters are following Processing and Underwriting checklists and verify income matches between allocation sheet and support. CDCU’s Financial Services Director, Brayan Nava, will review the files on a quarterly basis as well.
CDCU’s CFO, Sarah Beaumont, will implement federal grant and loan management policies and procedures and provide training to staff responsible for completing the Schedule of Expenditure of Federal Awards (SEFA) to ensure all federal grants and loans are included in the SEFA (pursuant to Section 200....
CDCU’s CFO, Sarah Beaumont, will implement federal grant and loan management policies and procedures and provide training to staff responsible for completing the Schedule of Expenditure of Federal Awards (SEFA) to ensure all federal grants and loans are included in the SEFA (pursuant to Section 200.502(b) of 2 CFR Part 200). The CFO, Sarah Beaumont, will draft the federal grant and loan management policy and procedures which will be reviewed and approved by the Board of Directors. CDCU’s Finance Manager, Traci Norton, will create and maintain a repository (electronic file) of relevant federal grant and loan information that contains key information relating to each federal program to assist in preparing the SEFA (pursuant to Section 200.502(b) of 2 CFR Part 200). The Finance Manager, Traci Norton, will update federal grant and loan information in the electronic repository. Repository will be reviewed quarterly by the CFO, Sarah Beaumont, and reviewed and approved by the CEO, Todd Reeder.
CDCU’s CFO, Sarah Beaumont, will implement federal grant and loan management policies and procedures and provide training to staff responsible for completing the Schedule of Expenditure of Federal Awards (SEFA) to ensure all federal grants and loans are included in the SEFA (pursuant to Section 200....
CDCU’s CFO, Sarah Beaumont, will implement federal grant and loan management policies and procedures and provide training to staff responsible for completing the Schedule of Expenditure of Federal Awards (SEFA) to ensure all federal grants and loans are included in the SEFA (pursuant to Section 200.502(b) of 2 CFR Part 200). The CFO, Sarah Beaumont, will draft the federal grant and loan management policy and procedures which will be reviewed and approved by the Board of Directors. CDCU’s Finance Manager, Traci Norton, will create and maintain a repository (electronic file) of relevant federal grant and loan information that contains key information relating to each federal program to assist in preparing the SEFA (pursuant to Section 200.502(b) of 2 CFR Part 200). The Finance Manager, Traci Norton, will update federal grant and loan information in the electronic repository. Repository will be reviewed quarterly by the CFO, Sarah Beaumont, and reviewed and approved by the CEO, Todd Reeder.
2024-005 Higher Educational Institutional Aid – Assistance Listing No. 84.031X Recommendation: We recommend the College evaluate its procedures to ensure documentation is properly supported within their procurement files. Explanation of disagreement with audit finding: There is no disagreement with ...
2024-005 Higher Educational Institutional Aid – Assistance Listing No. 84.031X Recommendation: We recommend the College evaluate its procedures to ensure documentation is properly supported within their procurement files. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: All grants at NEO have been instructed about the importance of submitting sole source support for purchases where needed. The VP of Fiscal Affairs will ensure proper documents are submitted to justify purchases before approvals are done in OK Corral. Name(s) of the contact person(s) responsible for corrective action: Brando Glick, VP Fiscal Affairs Planned completion date for corrective action plan: 11/30/24
2024-004 Higher Educational Institutional Aid – Assistance Listing No. 84.031X Recommendation: We recommend the College review policies and procedures to ensure all personnel on federal grants documented time and effort reports as stated in federal regulations. Explanation of disagreement with audit...
2024-004 Higher Educational Institutional Aid – Assistance Listing No. 84.031X Recommendation: We recommend the College review policies and procedures to ensure all personnel on federal grants documented time and effort reports as stated in federal regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: A standard template will be used for all grants for time and effort reporting and a standard procedure for approvals will be enforced to show proper approvals from supervisors. Name(s) of the contact person(s) responsible for corrective action: Dr. Dustin Grover, VP of Academic Affairs; Amy Ishmael, VP of Student Affairs; Brando Glick, VP of Fiscal Affairs Planned completion date for corrective action plan: 12/31/24
2024-003 Student Financial Assistance Cluster– Assistance Listing No. 84.063, 84.007, 84.033, 84.268 Recommendation: We recommend that the College review policies and procedures related to R2T4 calculations to ensure calculations are performed correctly and timely. Explanation of disagreement with a...
2024-003 Student Financial Assistance Cluster– Assistance Listing No. 84.063, 84.007, 84.033, 84.268 Recommendation: We recommend that the College review policies and procedures related to R2T4 calculations to ensure calculations are performed correctly and timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Registrar will use original contact date from students regarding withdrawal instead of the final approval date. Name(s) of the contact person(s) responsible for corrective action: Ashley Mayfield, Director of Admission & Enrollment; David Fisher, Financial Aid Director Planned completion date for corrective action plan: 09/30/24
2024-002 Student Financial Assistance Cluster– Assistance Listing No. 84.063, 84.007, 84.033, 84.268 Recommendation We recommend that the College implement procedures to ensure that enrollment data, changes in status and effective dates within NSLDS match the records of the institution and are repor...
2024-002 Student Financial Assistance Cluster– Assistance Listing No. 84.063, 84.007, 84.033, 84.268 Recommendation We recommend that the College implement procedures to ensure that enrollment data, changes in status and effective dates within NSLDS match the records of the institution and are reported timely. And we recommend that the College implement formal review procedures to document the review process. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Registrar will prepare the files for the clearing house based on the scheduled receipt of the enrollment roster from NSLDS. Before sending the report to the clearing house the report will be reviewed for accuracy of withdrawal or change in status dates. Name(s) of the contact person(s) responsible for corrective action: Ashley Mayfield, Director of Admission & Enrollment; David Fisher, Financial Aid Director Planned completion date for corrective action plan: 01/01/2025
Management concurs with the findings. Management has communicated with the staff the importance of completing EIV reports 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 EI...
Management concurs with the findings. Management has communicated with the staff the importance of completing EIV reports 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 EIVs are run within an appropriate time frame.
View Audit 330411 Questioned Costs: $1
CONTACT PERSON: Terri Smith, Assistant Superintendent of Business Services, trsmith@rhmail.org CORRECTIVE ACTION: The District will ensure that procurements related to federal programs do not use local exemptions and that these procurements provide for full and open competition. PROPOSED COMPLETION...
CONTACT PERSON: Terri Smith, Assistant Superintendent of Business Services, trsmith@rhmail.org CORRECTIVE ACTION: The District will ensure that procurements related to federal programs do not use local exemptions and that these procurements provide for full and open competition. PROPOSED COMPLETION DATE: Prior to June 30, 2025
View Audit 330391 Questioned Costs: $1
Finding Number: 2024-004 Finding Synopsis: The District did not accurately report data submitted to the State for the LEA Data Collection Form. Action Steps: Management will implement procedures including reconciling amounts between underlying data, quarterly expenditure reports, and annual data col...
Finding Number: 2024-004 Finding Synopsis: The District did not accurately report data submitted to the State for the LEA Data Collection Form. Action Steps: Management will implement procedures including reconciling amounts between underlying data, quarterly expenditure reports, and annual data collection reports. Contact Person: Jeffrey Schubert Chief School Business Official 779-244-1000 Anticipated Completion Date: 6/30/2025
Finding Number: 2024-003 Finding Synopsis: Review and approval of quarterly expenditure reports were not documented and the same person preparing the reports is submitting them. Action Steps: Management plans to implement review procedures of quarterly expenditure reports, which will be documented b...
Finding Number: 2024-003 Finding Synopsis: Review and approval of quarterly expenditure reports were not documented and the same person preparing the reports is submitting them. Action Steps: Management plans to implement review procedures of quarterly expenditure reports, which will be documented before submission. Contact Person: Jeffrey Schubert Chief School Business Official 779-244-1000 Anticipated Completion Date: 6/30/2025
Finding Number: 2024-002 Finding Synopsis: The District submitted a claim for meals higher than the count actually served for the month due to a clerical error. The District did not have someone, other than the preparer of the monthly claim, review the claim before it was submitted to ensure its acc...
Finding Number: 2024-002 Finding Synopsis: The District submitted a claim for meals higher than the count actually served for the month due to a clerical error. The District did not have someone, other than the preparer of the monthly claim, review the claim before it was submitted to ensure its accuracy. Action Steps: Management plans to implement a review process to ensure the claim forms are filled out correctly. Contact Person: Jeffrey Schubert Chief School Business Official 779-244-1000 Anticipated Completion Date: 6/30/2025
View Audit 330371 Questioned Costs: $1
Finding Number: 2024-001 Finding Synopsis: In the population of 40 applications selected for testing, an exception was noted on 1 of the applications. This exception stemmed from the "pay frequency" section of the application, where the person filling out the application left this section blank, the...
Finding Number: 2024-001 Finding Synopsis: In the population of 40 applications selected for testing, an exception was noted on 1 of the applications. This exception stemmed from the "pay frequency" section of the application, where the person filling out the application left this section blank, thereby creating an issue where it was not possible to calculate the household's annual income. However, the District still approved the application for free status. The District noted that the frequency was confirmed verbally, however failed to obtain physical documentation. It does appear, however, that the student was appropriately classified as free status. Action Steps: Management plans to implement procedures to ensure applications are appropriately reviewed for completeness before approving. Contact Person: Jeffrey Schubert Chief School Business Official 779-244-1000 Anticipated Completion Date: 6/30/2025
Finding 512542 (2024-003)
Significant Deficiency 2024
A policy and procedure will be established to ensure the annual Project and Expenditure Report is submitted with the correct amount prior to the deadline.
A policy and procedure will be established to ensure the annual Project and Expenditure Report is submitted with the correct amount prior to the deadline.
Corrective Action Plan (CAP) Issue Overview: An error was identified in the application of the Cost of Attendance (COA) for a small group of students in the 24/25 award year. Due to changes in the FAFSA, which eliminated the housing question, certain students were incorrectly assigned a "dependent l...
Corrective Action Plan (CAP) Issue Overview: An error was identified in the application of the Cost of Attendance (COA) for a small group of students in the 24/25 award year. Due to changes in the FAFSA, which eliminated the housing question, certain students were incorrectly assigned a "dependent living with parent" budget. This error led to an inadvertent addition of $3,778 to the COA for 130 students, who should have been assigned a "dependent living off-campus" budget. Key Point: While the error affected the COA for these students, no students were over-awarded financial aid as a result of this mistake. ________________________________________ Corrective Actions Taken: 1. Immediate Correction: o Upon discovering the error, The College immediately updated the 24/25 award year budget rules in the financial aid system. This change ensures that the correct COA budget is assigned based on each student’s housing status. o The affected students’ COA amounts have been promptly corrected and updated in the system. This adjustment did not result in any over-award of financial aid. 2. System Update and Prevention: o We implemented a year-specific rule for the 24/25 award year to account for changes in the FAFSA, specifically the removal of the housing question. o This rule ensures that students are automatically assigned the correct COA budget based on their housing situation (i.e., dependent living on-campus, off-campus, or with parents), preventing the recurrence of this error in future award years. 3. Secondary Review Process: o We will implement a secondary review process of cost of attendance adjustments. This process will verify that the correct COA budget is applied to all students during award processing. 4. Communication with Auditors: o We have informed the auditors of the corrective actions taken, confirming that no questioned costs arose from this error. o We have assured the auditors that the necessary system adjustments have been implemented and that additional safeguards are now in place to prevent similar errors from occurring in the future. ________________________________________ Long-Term Preventative Measures: 1. Periodic Reviews: o We will conduct periodic reviews of the COA rules and the financial aid processing system to ensure ongoing accuracy. These reviews will take place at least once per award year and will assess whether the system is correctly applying the appropriate COA categories based on student housing data. 2. Ongoing Staff Training: o We will provide additional training for financial aid staff, focusing on:  New FAFSA regulations and changes to COA rules.  The importance of accurate budget assignments and potential consequences of errors. o Training will be conducted annually to ensure staff remains up-to-date on federal regulations and internal procedures. ________________________________________ Conclusion: The College has taken immediate corrective actions to address the error in the COA assignment for the affected students. By updating system rules, implementing a secondary review process, and taking proactive steps to ensure long-term accuracy, we are confident that similar errors will not occur in the future. Additionally, we will continue to communicate with auditors and provide them with any necessary documentation to demonstrate the effectiveness of our corrective actions. We appreciate your understanding and look forward to a continued commitment to maintaining the highest standards in financial aid processing. Should you have any further questions or need additional information, please feel free to contact me directly at Thomas Panas, Director of Financial Aid, Triton College, 2000 Fifth Ave, River Grove, IL 60171, or by phone at 708.456.0300 x3738.
Incorrect Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: With new automation we have more timely notifications when students have been dropped. The Pillar Financial Aid department has updated policies and procedures to monitor the withdrawal process to ...
Incorrect Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: With new automation we have more timely notifications when students have been dropped. The Pillar Financial Aid department has updated policies and procedures to monitor the withdrawal process to inform the Registrar’s office, which will ensure the necessary changes to the NSLDS record are made in a timely manner. Person Responsible for Corrective Action Plan: Christine Schroeder, Assistant VP of Enrollment Services Anticipated Date of Completion: Current action
Inaccurate and Untimely Return of Title IV Funds (R2T4) Planned Corrective Action: The Financial Aid team will continue to work R2T4s as the pertinent information of the drop/withdraw is received from the Academic team. Once notification is received from the Academic department, the Third-Service p...
Inaccurate and Untimely Return of Title IV Funds (R2T4) Planned Corrective Action: The Financial Aid team will continue to work R2T4s as the pertinent information of the drop/withdraw is received from the Academic team. Once notification is received from the Academic department, the Third-Service provider will review and make timely requests for additional documentation to ensure the calculations and returns are completed in a timely manner, based off the requested information needed. Both the Financial Aid and Student Accounts departments will work in conjunction with the Third-Service provider to ensure timely changes reflect on the student’s ledger. Person Responsible for Corrective Action Plan: Christine Schroeder, Assistant VP of Enrollment Services Anticipated Date of Completion: Current action
View Audit 330348 Questioned Costs: $1
In Finding 2024-003, a condition was noted in which the Organization made three draws of federal funds that were not disbursed in a timely manner for program expenditures. The Organization understands the requirements to disburse federal funds in a timely manner. In response to Finding 2024-003, p...
In Finding 2024-003, a condition was noted in which the Organization made three draws of federal funds that were not disbursed in a timely manner for program expenditures. The Organization understands the requirements to disburse federal funds in a timely manner. In response to Finding 2024-003, procedures will be established to minimize the time elapsing between the transfer of funds to the Organization from the U.S. Treasury and the issuance of payments for program purposes by the Organization.
In Finding 2024-002, it was reported that the Organization did not properly apply the sliding fee discounts for certain patients with visits to the Organization during the year ended June 30, 2024. Management recognizes the importance of complying with sliding fee guidelines. In response to Findi...
In Finding 2024-002, it was reported that the Organization did not properly apply the sliding fee discounts for certain patients with visits to the Organization during the year ended June 30, 2024. Management recognizes the importance of complying with sliding fee guidelines. In response to Finding 2024-002, proper training will be given to employees and sliding fee discounts will be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale.
Management will look to strengthen this control by improving the way they track and submit expenditures related to federal grant expenditures.
Management will look to strengthen this control by improving the way they track and submit expenditures related to federal grant expenditures.
View Audit 330341 Questioned Costs: $1
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