Corrective Action Plans

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• Developing a standardized budget tracking and review process to identify and address any variances between actual expenditures and the approved budget.
• Developing a standardized budget tracking and review process to identify and address any variances between actual expenditures and the approved budget.
• Conducting quarterly reviews of Title I expenditures against budgeted amounts, allowing management to request budget amendments as needed when expenditures approach or exceed the 10% threshold.
• Conducting quarterly reviews of Title I expenditures against budgeted amounts, allowing management to request budget amendments as needed when expenditures approach or exceed the 10% threshold.
• Training finance staff on federal budget compliance requirements, including the need for pre-approval of significant budget modifications. These actions will strengthen our compliance with federal requirements and ensure expenditures are appropriately budgeted before reimbursement requests.
• Training finance staff on federal budget compliance requirements, including the need for pre-approval of significant budget modifications. These actions will strengthen our compliance with federal requirements and ensure expenditures are appropriately budgeted before reimbursement requests.
Three Rivers Community Schools has developed and put in place enhanced policies and procedures for personnel activity reports to ensure compliance with federal time and effort documentation requirements.
Three Rivers Community Schools has developed and put in place enhanced policies and procedures for personnel activity reports to ensure compliance with federal time and effort documentation requirements.
This includes:
This includes:
• Implementing a new time and effort reporting system that accurately captures and allocates time for all salaried employees working on Title I activities.
• Implementing a new time and effort reporting system that accurately captures and allocates time for all salaried employees working on Title I activities.
• Conducting regular training sessions for staff involved in time and effort reporting to ensure they understand the updated procedures.
• Conducting regular training sessions for staff involved in time and effort reporting to ensure they understand the updated procedures.
• Instituting periodic supervisory reviews to ensure PARs align with actual activities and that documentation is completed and approved in a timely manner. Management will monitor the effectiveness of these new controls throughout the year and adjust procedures as needed to maintain full compliance.
• Instituting periodic supervisory reviews to ensure PARs align with actual activities and that documentation is completed and approved in a timely manner. Management will monitor the effectiveness of these new controls throughout the year and adjust procedures as needed to maintain full compliance.
• PARS will be collected with all requests for funds
• PARS will be collected with all requests for funds
Management concurs with the finding regarding compliance with the regulation requiring that all vendors are listed in SAM. In lieu of that, vendors must provide a notarized certifying statement that neither the entity nor its principals have been suspended or debarred. Management is committed to mai...
Management concurs with the finding regarding compliance with the regulation requiring that all vendors are listed in SAM. In lieu of that, vendors must provide a notarized certifying statement that neither the entity nor its principals have been suspended or debarred. Management is committed to maintaining compliance with this federal regulation for all vendors. All new contracts will be required to complete certification via one of the two following methods: 1. Register with www.SAM.gov and provide a copy of its active non-debarment status. 2. Sign and submit a Debarment and Suspension Certification form. Additionally, an annual update process will be completed for all active contracts to recertify compliance with this federal regulation. All submitted documentation will be maintained on the agency’s shared drive. Anticipated Completion Date: June 30, 2025 Name of Contact PersonAmanda Vandegrift Deputy CEO, Finance and Administration Metropolitan Transit Authority (615) 862-6129
View Audit 330148 Questioned Costs: $1
Management concurs with the finding that the internal control policy as it relates to cash disbursements was not followed. Management is committed to following the internal control policy and has added two additional reviews of all checks issued for greater than the specified threshold to ensure tha...
Management concurs with the finding that the internal control policy as it relates to cash disbursements was not followed. Management is committed to following the internal control policy and has added two additional reviews of all checks issued for greater than the specified threshold to ensure that each check issue includes two authorized signatures. One is completed by the person circulating the checks for signature and the other is completed by the person finalizing the payment processing procedures. Anticipated Completion Date: September 17, 2024
View Audit 330148 Questioned Costs: $1
Educational Enrichment Systems, Inc. November 4, 2024 Corrective Action Plan Finding Number: 2024-001 Condition: A sample of 10 vendors was selected and documentation of procurement history was requested. For 4 of the 1 O vendors selected, EES had not retained or was unable to provide documenta...
Educational Enrichment Systems, Inc. November 4, 2024 Corrective Action Plan Finding Number: 2024-001 Condition: A sample of 10 vendors was selected and documentation of procurement history was requested. For 4 of the 1 O vendors selected, EES had not retained or was unable to provide documentation of the rationale for the procurement method, contract type selection, contractor selection and approval, and the bids or other basis for the contract price. Planned Corrective Action: EES will review our Policies and Procedures for reasonableness and alignment with the Funding Terms and Conditions for the California Department of Education and the California Department of Social Services. Once completed, EES will implement proper procedures and controls ensuring that appropriate documentation of the rationale for the procurement method, contract type selection, contractor selection and approval, and the bids or other basis for the contract price happen in practice. Contact person responsible for corrective action: James Masias, CFO Anticipated Completion Date: February 14, 2025
Compliance Requirement: Special Tests and Provisions Criteria.· In accordance with Code of Federal Regulations (CFR) Title 34, unless the School expects to complete its next roster file within sixty days, the School must notify NSLDS within thirty days, if it discovers a student who received a loan ...
Compliance Requirement: Special Tests and Provisions Criteria.· In accordance with Code of Federal Regulations (CFR) Title 34, unless the School expects to complete its next roster file within sixty days, the School must notify NSLDS within thirty days, if it discovers a student who received a loan either did not enroll or ceased to be enrolled on at least a half-time basis. The College did not submit studem status changes in accordance with CFR 34. Context: Five of the 25 students tested did not comply. Cause: The College's procedures for reporting all students were not designed appropriately to allow for timely reporting to the NSLDS. Effect: The accuracy of Title fV student loan records depends heavily on the accuracy of the enrollment information reported by schools. If an institution does not review, update and verify student enrollment statuses, effective dates of the enrollment status and the anticipated completion dates, then the Title IV student loan records will be inaccurate. Questioned Costs: There are no questioned costs associated with this finding. Views of Responsible Individuals: Management agrees with this finding. Corrective Action Taken: While this was an unusual situation resulting from a rare occurrence when the academic calendar was altered only three months prior to the start of 2023-2024 academic year, the Registrar and Senior Leadership Team immediately implemented the following action steps to prevent the deficiency from reoccurring: 1) The Assistant Registrar submitted status change corrections to the National Student Clearinghouse/NSLDS on the same day (07/15/2024) we received the information on which student records were impacted by the reporting discrepancy. 2) The Registrar, Assistant Registrar, and Provost (Chief Academic Officer) implemented processes to ensure that all necessary controls are in place to verify that course dates and degree conferral dates are synchronized with academic calendar dates. Dawn M. Scialabba, Registrar Anticipated Completion Date of Corrective Action: July 15, 2024
Name of Responsible Individual: Jason Byrd, University Registrar Corrective Action: Liberty University acknowledges that its FY24 single audit identified one instances where students’ enrollment reporting was not updated in a timely manner in accordance with U.S. Department of Education (ED) requi...
Name of Responsible Individual: Jason Byrd, University Registrar Corrective Action: Liberty University acknowledges that its FY24 single audit identified one instances where students’ enrollment reporting was not updated in a timely manner in accordance with U.S. Department of Education (ED) requirements. Additionally, Liberty acknowledges that there were numerous instances where Clearinghouse error reports identified students with repeat errors which were not corrected within the required timeframe. Liberty has invested significant effort into ensuring its enrollment reporting process is handled compliantly and within alignment with ED’s best practices. Liberty’s Registrar’s Office created a new Director of Clearinghouse Reporting position, which was filled in May 2024, to specifically address any enrollment reporting deficiencies. This new position is responsible for monitoring Clearinghouse feeds and any associated error reports and works closely with Liberty’s Financial Aid and Information Technology (ADS) offices to ensure enrollment reporting compliance. Liberty has continued the work of developing a more comprehensive quality control (QC) process. The QC process utilizes National Student Loan Data System (NSLDS) reporting and compares it to Banner, Liberty’s system of record, to identify students who may not have been accurately reported for a variety of reasons. This process relies on the NSLDS Enrollment History Report -SCHHS1, which is a very large and somewhat unstable report due to the volume of enrollment reporting that Liberty completes. Because of the complexities of this report, and the many changes that occurred with NSDLS updates to reporting, Liberty had to file numerous inquiries with ED to be able to run a functioning report, including an NSLDS ticket submitted on September 20, 2022, (Case # 220920-000436). The report was first successfully run in January 2024, though it took several months for Liberty to build QC reports internally that could leverage the report results. Liberty seeks to run the report at least once per month, though failures at NSLDS are unfortunately somewhat common and require escalation to ED for resolution. NSLDS – SCHHS1 Report: Once downloaded, this report is uploaded into Liberty’s system and is utilized internally for four additional QC reports which compare the NSLDS output to Banner. It should be noted that the QC reports are primarily useful for identifying common and repeat issues that require further research and are not fine-tuned enough to identify all individual instances of missing or incomplete records. Liberty Internal QC Reporting: Below are multiple screenshots of the four additional QC reports that Liberty has created. The Graduated Dates Prior to Term End report compares graduation dates by term to identify NSLDS graduation dates that appear to not match Banner’s graduation date in SHDGMR. The NSLDS MisMatches report generates an Excel file showing instances where it believes a student’s enrollment in Banner does not appear to match their reported enrollment in NSLDS. The NSLDS No Banner SSN report pulls students who appear in NSLDS’ enrollment file but do not appear to have a corresponding student ID record in Liberty’s system. The NSLDS Record Missing report pulls Liberty University students who appear to be missing a corresponding record in NSLDS. With all of these reports, there may be a legitimate reason for the discrepancy between Liberty’s Banner data and the NSLDS system, which causes the reports to generate a number of false positives, however, the reports have been helpful to identify more common/persistent errors and provides an additional layer of QC to ensure that Liberty’s enrollment files are as accurate as possible. Liberty is also engaging in a review of its Clearinghouse file generation process to ensure that student’s enrollment changes, particularly for program level records, are reported in a timely manner. Accountability Meetings Finally, in addition to running regular QC reports and hiring a dedicated Director of Clearinghouse reporting position, Liberty began holding a series of bi-weekly “Enrollment Reporting Check-In” meetings with key stakeholders from University Compliance, Financial Aid, Registrar, and IT/ADS in February 2024, which are dedicated to discussing current and upcoming enrollment reporting submissions and errors, trends seen with SSCR errors, and brainstorming ways to ensure ongoing compliance. While improvement efforts continue to be underway, Liberty believes these efforts are starting to bear fruit as evidenced by a 98.7% reduction in the number of repeat errors in the 2024 calendar year compared to total reporting period. Moving forward Liberty will continue to hold monthly meetings with key stakeholders to discuss any errors being pulled and ensure best practices are implemented to ensure ongoing accuracy. The University’s Registrar’s Office will also continue to review the QC reports in a timely manner, as well as evaluate the current processes for withdrawal/graduated student files. Liberty will continue to review and implement updates as necessary to maintain enrollment reporting compliance and believes these new processes will allow us to be compliant in subsequent years. Anticipated Completion Date: April 2025
2024-001 – Special Tests and Provisions – Wage Rate Requirements U.S. Department of Education – COVID-19 - Education Stabilization Fund (ALN 84.425D); Passed through the Michigan Department of Education; All project numbers. Auditor Description of Condition and Effect. For the amounts tested that ...
2024-001 – Special Tests and Provisions – Wage Rate Requirements U.S. Department of Education – COVID-19 - Education Stabilization Fund (ALN 84.425D); Passed through the Michigan Department of Education; All project numbers. Auditor Description of Condition and Effect. For the amounts tested that were subject to the Wage Rate Requirements the District did not obtain the required certified payrolls during project completion and was unable to obtain them in a timely fashion upon request. As a result, the District did not follow federal requirements to obtain the required certified payrolls from contractors. Auditor Recommendation. We recommend that the District reviews its procedures to ensure that certified payrolls are obtained from any contractors used (including subcontractors) whenever federal funds are used. Corrective Action. District officials will ensure that construction contracts contain these requirements during the bid process and that certified payroll is obtained from the contractors in a timely fashion and retained as audit support. Responsible Person: Mikki Boury, Finance Director Anticipated Completion Date: June 30, 2025
View Audit 330104 Questioned Costs: $1
CONTACT PERSON: Matt Owens, Chief Financial Officer, mattowens@pickens.k12.sc.us 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 t...
CONTACT PERSON: Matt Owens, Chief Financial Officer, mattowens@pickens.k12.sc.us 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 330094 Questioned Costs: $1
Finding 2024-006 - Material Weakness and Material Noncompliance: Documentation of Payroll and Disbursement (Literacy Excellence Accelerates Performance LEAP) Corrective Action: The Business Office will work with Grant Managers to ensure accurate recording of all LEAP program staff, distinguishing be...
Finding 2024-006 - Material Weakness and Material Noncompliance: Documentation of Payroll and Disbursement (Literacy Excellence Accelerates Performance LEAP) Corrective Action: The Business Office will work with Grant Managers to ensure accurate recording of all LEAP program staff, distinguishing between contract staff and District employee stipends through coding. The Business Director and Grant Manager will continue to collaborate with the U.S. Department of Education to meet coding, budgeting, and spending standards. Responsible Person: Director of Finance and Grant Managers
View Audit 330083 Questioned Costs: $1
Finding 2024-005 - Material Weakness and Material Noncompliance: Documentation of Payroll Distribution (Head Start) Corrective Action: The Business Office will enhance the payroll process by collaborating with Human Resources, District Leaders, and Building Principals to monitor staffing, duty locat...
Finding 2024-005 - Material Weakness and Material Noncompliance: Documentation of Payroll Distribution (Head Start) Corrective Action: The Business Office will enhance the payroll process by collaborating with Human Resources, District Leaders, and Building Principals to monitor staffing, duty location, and work assignments. The Business Office will leverage electronic and digital tools like Child Plus and Title 1 Crate to assist District leaders with employee accounting and will continue to coordinate with Grant Managers and building leaders to maintain accurate staff records. Responsible Person: Director of Finance
View Audit 330083 Questioned Costs: $1
Finding 2024-004 - Material Weakness and Material Noncompliance: Eligibility and Reimbursement Request for Child and Adult Care Food Program Corrective Action: The District will collaborate with MDE Nutrition staff to complete training, staff assistance visits, and previously established corrective ...
Finding 2024-004 - Material Weakness and Material Noncompliance: Eligibility and Reimbursement Request for Child and Adult Care Food Program Corrective Action: The District will collaborate with MDE Nutrition staff to complete training, staff assistance visits, and previously established corrective actions. The Business Director and Food Service Director will schedule additional training and visits with Nutrition liaisons and MDE PAL partners. The District will implement electronic point-of-sale devices and digital filing systems to improve recordkeeping and sharing. Documented training for YCS Food Service Staff will be ongoing. District monitoring will be reinstated to ensure compliance with pre-COVID standards. Responsible Person: Director of Finance and Food Service Director
View Audit 330083 Questioned Costs: $1
Finding 2024-002 - Material Weakness: Budget Violations Corrective Action: The Finance Director and Business Office will undergo additional training with Tyler Technologies, Michigan School Business Officials and others to optimize financial processes and transaction processing. The team will adhere...
Finding 2024-002 - Material Weakness: Budget Violations Corrective Action: The Finance Director and Business Office will undergo additional training with Tyler Technologies, Michigan School Business Officials and others to optimize financial processes and transaction processing. The team will adhere to the state business calendar for timely reconciliations, budget amendments, and internal control reviews. Responsible Person: Director of Finance
Finding 2024-007: Year End Reporting Rural Rental Housing Loan-10.415 Noncompliance/Material Weakness: AGREED RCHA Administration agrees it is responsible for completing and submitting Form RD 3560-7, Form RD 3560-10 and Attachment 4-F, Performance Standards Borrower Self-Certification letter, wi...
Finding 2024-007: Year End Reporting Rural Rental Housing Loan-10.415 Noncompliance/Material Weakness: AGREED RCHA Administration agrees it is responsible for completing and submitting Form RD 3560-7, Form RD 3560-10 and Attachment 4-F, Performance Standards Borrower Self-Certification letter, within 90 days following the close of the project year end. RCHA does believe these forms were presented to USDA representatives for the program, and was refused due to RD personnel believing RCHA was using the wrong fiscal year. This issue lasted many months and only after a change of USDA personnel and contact with the fee accountant and auditor, was the issue resolved. Corrective Action: RCHA Administration will have forms completed accurately and presented to those required immediately and will keep thorough copies of those items. RCHA continues to have issues with the MINC program, including approvements for timely payments. Corrective Action: RCHA Administration will complete forms and turn them into USDA personnel on time and accurately. Policies and procedures will be clear, approved and monitored by the Board of Commissioners, and completed by RCHA Administration before June 29th each year. This action will be completed immediately.
Finding 2024-006: Special Tests and Provisions Rural Rental Housing Loan-Assistance Listing 10.415 Repeat Finding 2023-005 Noncompliance: AGREED RCHA agrees that the Rural Development Properties are required to make a $20,000 deposit into the replacement reserve annually until the balance in the ...
Finding 2024-006: Special Tests and Provisions Rural Rental Housing Loan-Assistance Listing 10.415 Repeat Finding 2023-005 Noncompliance: AGREED RCHA agrees that the Rural Development Properties are required to make a $20,000 deposit into the replacement reserve annually until the balance in the account is at $200,00 or higher. These properties should have adequate cash balances that exceed security deposit liability. Corrective Action: RCHA Administration is working on increasing rent and occupancy to improve revenue, as well as discussing options on nonfederal funds to help fund the program. This action will continue. Corrective Action: RCHA Administration and Board members will be approving and monitoring a budget that will help support the RD programs and the aging buildings including building the reserve payments that are required. This is an ongoing action that will continue. Corrective Action: RCHA Administration is discussing re-positioning of programs to assist in improving the RD program and properties. This action continues.
Finding 2024-008: Allowable Costs Capital Funds 14.872 Noncompliance: AGREED Questioned Costs-$305,004 RCHA agrees that the five-year plan indicates what each annual grant will be spent on, and the annual budget must be modified upon the grant award to match the grant amount. Allowable costs mu...
Finding 2024-008: Allowable Costs Capital Funds 14.872 Noncompliance: AGREED Questioned Costs-$305,004 RCHA agrees that the five-year plan indicates what each annual grant will be spent on, and the annual budget must be modified upon the grant award to match the grant amount. Allowable costs must be included within the budget. Corrective Action: RCHA Administration will begin monitoring and assuring grant monies are only spent on budgeted items, and those monies are recorded appropriately. This action will begin immediately. Corrective Action: RCHA Administration will continue with education on this process and maintain policies and procedures regarding Capital Funds. This action will continue on a regular basis, including updates to HUD requirements. Corrective Action: RCHA Administration will continue working with HUD field office with regular communication and clarification of items regarding the five-year plan, capital funds utilization and modifications.
View Audit 330072 Questioned Costs: $1
Corrective Action Report Summary FINDING 2024‐001 Criteria: For each fiscal year, the amount of expenditures for special education and related services provided to federally connected children with disabilities must be at least equal to the amount of funds received or credited under Section 7003(d) ...
Corrective Action Report Summary FINDING 2024‐001 Criteria: For each fiscal year, the amount of expenditures for special education and related services provided to federally connected children with disabilities must be at least equal to the amount of funds received or credited under Section 7003(d) of the ESEA for that fiscal year. This is demonstrated by comparing the amount of Section 7003(d) funds received or credited with the result of the following calculation: a. Divide total LEA expenditures for special education and related services for all children with disabilities by the average daily attendance (ADA) of all children with disabilities served during the year. b. Multiply the amount determined in paragraph a, above by the ADA of the federally connected children with disabilities claimed by the LEA for the year. If the amount of Section 7003(d) funds received or credited is greater than the amount calculated above, an overpayment equal to the excess Section 7003(d) funds exits. This overpayment may be reduced or eliminated to the extent that the LEA can demonstrate that the average per pupil expenditure for special education and related services provided to federally connected children with disabilities exceeded its average per pupil expenditure for serving non-federally connected children with disabilities (Section 7003(d) of ESEA (20 USC 7703(d)); 34 CFR section 222.53(d)). Audit Recommendation: We recommend management of the District review processes related to required level of expenditures for Impact Aid and establish appropriate internal controls to ensure all requirements are met. Auditee Response: The entire current year allocation was expended, however not all the accumulated unearned was spent. In FY 25 management budgeted to expend the entire balance of unearned as well as the actual currently year amounts received. We further will be using a calculation to check if we are in excess, per Section 7003(d), which would require a repayment. Corrective Action Plan: Managements plan is to fully expend Impact Aide funds each fiscal year, prior to using other funding sources for Special Education. Person Responsible: Kim Barnhurst, Chief Financial Officer Timeline: Managements plan is to be in full compliance by end of FY 25.
Planned Corrective Action Finding: The Organization did not have adequate and effective controls over compliance in place as it relates to applying the sliding fee discount. We found two (2) instances where an individual was not appropriately charged based on the sliding fee policy in place. Crite...
Planned Corrective Action Finding: The Organization did not have adequate and effective controls over compliance in place as it relates to applying the sliding fee discount. We found two (2) instances where an individual was not appropriately charged based on the sliding fee policy in place. Criteria: Uniform Guidance requires that controls are implemented to ensure the Organization is in compliance with special tests and provisions. This includes charging the appropriate sliding fee discount based on the Organization's policy. Corrective Response: Before the audit testing, management discovered there were situations where the sliding fee wasn’t being correctly applied. Discounts were being calculated by staff because the system calculations were wrong. The Sliding Fee Scale system rebuild has undergone successful testing and is now in the process of being implemented. Management has suggested adjustments to the sliding fee scale to guarantee accurate calculation of patient balances. The board has already approved those changes, and the updated Sliding Fee Scale involves removing the percentage-based charges and setting fixed payments for nominal and minimum fees per visit. The system rebuild for the Sliding Fee Scale has already been tested and is being rolled out. Alternatively, management has proposed changes to the sliding fee scale to ensure that the system will be able to properly calculate the amount due from patients by taking away the percentage due and making the nominal and minimum charges a flat amount per visit. These policy changes will make the application of the sliding fee scale easier to manage for the system, staff, and patients. Anticipated Completion Date 12/31/2024 Responsible Contact Person CFO/Revenue Cycle Director
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