Corrective Action Plans

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Context: For the three small purchase method procurements sampled for testing, we noted that the School Corporation, did not obtain quotes from an adequate number of qualified sources. The total amount disbursed for the sample items was $127,299 in FY23 and $25,354 in FY24 for contracted rehabilitat...
Context: For the three small purchase method procurements sampled for testing, we noted that the School Corporation, did not obtain quotes from an adequate number of qualified sources. The total amount disbursed for the sample items was $127,299 in FY23 and $25,354 in FY24 for contracted rehabilitation therapy and speech pathology services. Additionally, the School Corporation did not perform suspension and debarment checks on the sample vendors Contact Person Responsible for Corrective Action: David Rowe, Business Manager, and Ashleigh Allison, Director of Exceptional Learners Contact Phone Number: 765-298-6505 (David), 765-298-6410 (Ashleigh) Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Acquire and document quotes/bids from the necessary number of vendors for projects requiring bids. In addition, suspension and debarment checks will be performed on the sample vendors, with documentation of the checks being maintained. Anticipated Completion Date: Begin immediately, ongoing.
Pursuant to federal regulations, Uniform Administrative Requirements Section 200.511, the following are the findings as noted in the Bay Mills Community College Single Audit report for the year ended June 30, 2024, and corrective actions to be completed. 2024-001 – Status Change Reporting Issues. Au...
Pursuant to federal regulations, Uniform Administrative Requirements Section 200.511, the following are the findings as noted in the Bay Mills Community College Single Audit report for the year ended June 30, 2024, and corrective actions to be completed. 2024-001 – Status Change Reporting Issues. Auditor Description of Condition and Effect. During our testing of the Pell Grant program, we selected a sample of forty students to test for timeliness and accurate reporting of student status changes to the National Student Loan Data System (NSLDS). Of the forty tested, nine were out of compliance based on the criteria outlined in the Department of Education's Code of Federal Regulations at 34 CFR 690.83(b)(2). As a result of this condition, the NSLDS system may not be updated with correct student information, which may cause subsequent awarding issues or loan repayment discrepancies. Auditor Recommendation. We recommend that the College establish a withdrawal policy to improve the accuracy of status change reporting. We also recommend enhanced processes for reviewing and verifying the accuracy of data submissions to NSLDS. Corrective Action. The College has implemented an Administrative Withdrawal Policy, approved by the Board of Regents on November 15, 2024. This policy will enhance the identification and reporting of students who cease attending classes. Additionally, the College will receive a Roster Response file from the National Student Clearinghouse, containing the full dataset sent to NSLDS, which will be reviewed for accuracy. Responsible Person. Katie Corbiere, Director of Financial Aid. Anticipated Completion Date. June 30, 2025
Federal Program: Consolidated Health Centers Grant Assistance Listing No. 93.224 & 93.527 Recommendation: Our auditors We recommend the Organization retain all documentation and support to show that the procurement policy was followed. Explanation of disagreement with audit finding: There is no disa...
Federal Program: Consolidated Health Centers Grant Assistance Listing No. 93.224 & 93.527 Recommendation: Our auditors We recommend the Organization retain all documentation and support to show that the procurement policy was followed. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization maintains procurement policies and procedures, including sole source award procedures, that closely track federal procurement regulations. However, the Organization was unable to locate the sole source documentation prepared at the time of the award in 2021. This is likely attributable to management turnover, along with the operational impact of the COVID Public Health Emergency in effect at that time. The Organization will schedule training for managers on procurement, sole source awards, and document retention. In addition, the Finance Department will review its forms and workflows to ensure filing accuracy and strengthen procurement controls.
Federal Program: Consolidated Health Centers Grant Assistance Listing No. 93.224 & 93.527 Recommendation: Our auditors recommended the Organization review internal controls in regards to the determination, recording, and monitoring of the sliding fee process to ensure that appropriate sliding fee ra...
Federal Program: Consolidated Health Centers Grant Assistance Listing No. 93.224 & 93.527 Recommendation: Our auditors recommended the Organization review internal controls in regards to the determination, recording, and monitoring of the sliding fee process to ensure that appropriate sliding fee rates/categories are utilized for each sliding fee encounter and that all documentation supporting the sliding discount provided is retained. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization corrected the claims on October 17, 2024 to reverse the sliding fee discounts that were provided without proper sliding fee application support and billing staff will work with the patients to attempt to collect the balance. The Organization has made changes to it's workflow and provided education to staff instructing them the importance of sliding fee applications and only applying the correct sliding fee discount amount when proper documentation support exists.
Finding 522763 (2024-001)
Significant Deficiency 2024
1. 2024-01 i. Comments on Finding: There was insufficient security deposits. As a result, Cottages at Camden is in noncompliance with HUD and state laws. We recommend that management implement policies and procedures necessary to ensure that tenant security deposits are always equal to or greater th...
1. 2024-01 i. Comments on Finding: There was insufficient security deposits. As a result, Cottages at Camden is in noncompliance with HUD and state laws. We recommend that management implement policies and procedures necessary to ensure that tenant security deposits are always equal to or greater than the tenant security deposit liabilities. ii. Actions Taken or Planned: Policies and procedures will be reviewed to ensure security deposits are recorded in accordance with HUD requirements.  Responsible Person: Jill Cromartie  Anticipated Completion Date: 12/31/2024  Steps to Implement: Management will establish controls to guarantee that tenant security deposits are equal to or greater than the tenant security deposit liabilities.
View Audit 342149 Questioned Costs: $1
2. 2024-02 i. Comments on Finding: In 2024, there were payments made for non project expenses. The result is that the Project is not in compliance with HUD requirements. We recommend that management review procedures surrounding payments to vendors and ensure they are paying for Project expenses. ii...
2. 2024-02 i. Comments on Finding: In 2024, there were payments made for non project expenses. The result is that the Project is not in compliance with HUD requirements. We recommend that management review procedures surrounding payments to vendors and ensure they are paying for Project expenses. ii. Actions Taken or Planned: Policies and procedures will be reviewed to prevent future payment of non Project expenses.  Responsible Person: Jill Cromartie  Anticipated Completion Date: 12/31/2024  Steps to Implement: Review of old controls or the implementation of new controls to avoid future noncompliance with HUD.
View Audit 342148 Questioned Costs: $1
1. 2024-01 i. Comments on Finding: There was insufficient property insurance coverage for 2024. The new policy began 12/10/2024 and will end on 12/10/2025. Controls were not in place to make sure that property insurance coverage was in place at year-end. The effect is that the Project is not in comp...
1. 2024-01 i. Comments on Finding: There was insufficient property insurance coverage for 2024. The new policy began 12/10/2024 and will end on 12/10/2025. Controls were not in place to make sure that property insurance coverage was in place at year-end. The effect is that the Project is not in compliance with HUD requirements. We recommend that management ensure controls are in place so that there is proper insurance coverage at year-end. ii. Actions Taken or Planned: Policies and procedures will be reviewed to ensure property insurance coverage is recorded in accordance with HUD requirements.  Responsible Person: Jill Cromartie  Anticipated Completion Date: 12/31/2024  Steps to Implement: Management will enroll into a insurance policy covering 12/31/2024.
1. 2024-01 i. Comments on Finding: There was insufficient property insurance coverage for 2024. The new policy began 12/10/2024 and will end on 12/10/2025. Controls were not in place to ensure property insurance coverage was in place at year-end. The effect is that the project is not in compliance w...
1. 2024-01 i. Comments on Finding: There was insufficient property insurance coverage for 2024. The new policy began 12/10/2024 and will end on 12/10/2025. Controls were not in place to ensure property insurance coverage was in place at year-end. The effect is that the project is not in compliance with HUD requirements. We recommend that management ensure controls are in place so that there is proper insurance coverage at year-end. ii. Actions Taken or Planned: Policies and procedures will be reviewed to ensure property insurance coverage is recorded in accordance with HUD requirements.  Responsible Person: Jill Cromartie  Anticipated Completion Date: 12/31/2024  Steps to Implement: Management will enroll into an insurance policy covering 12/31/2024.
Condition: The district did not have internal control over compliance procedures designed and implemented for the review of vendors for possible suspension or debarment. Views of Responsible Officials: The district's Business Manager is the responsible office for federal programs. The Business Manag...
Condition: The district did not have internal control over compliance procedures designed and implemented for the review of vendors for possible suspension or debarment. Views of Responsible Officials: The district's Business Manager is the responsible office for federal programs. The Business Manager stated that they understand and agree with the finding. Planned Corrective Action: A documented process will be designed and implemented for the review of vendors for possible suspension or debarment. Person Responsible for Corrective Action Plan: Business Manager Anticipated Completion Date: February 28, 2025
As per the Organization's policies and procedures on invoice approval, the Fiscal Director has assumed the responsibility of ensuring that all invoices are approved by the department head and himself before payment is initiated
As per the Organization's policies and procedures on invoice approval, the Fiscal Director has assumed the responsibility of ensuring that all invoices are approved by the department head and himself before payment is initiated
A. Finding Finding 2024-001: Moving to Work Resident Files - Eligibility- Rent Calculations & HAP Disbursements Noncompliance & Significant Deficiency -ALN #14.881 B. Condition & Cause Twenty (20) HCV tenant-based resident files and twenty (20) HCV project-based resident files were reviewed for a t...
A. Finding Finding 2024-001: Moving to Work Resident Files - Eligibility- Rent Calculations & HAP Disbursements Noncompliance & Significant Deficiency -ALN #14.881 B. Condition & Cause Twenty (20) HCV tenant-based resident files and twenty (20) HCV project-based resident files were reviewed for a total of forty (40) Moving to Work resident files reviewed. In the TBV file review, one (1) instance of a resident's income being miscalculated on HUD form 50058 was noted. The Authority understated the resident's income which resulted in a lower rent charge amount than expected. Also in the TBV file review, one (I) instance of the Authority issuing a double payment of HAP funding to a landlord was noted. The total amount of the overpayment was $2,006 which has since been requested back from the property owner. C. Background Information Due to organizational restructuring, the HCV Manager moved to the Multi-family Housing department and the new HCV Manager was an internal promotion from within the HCV Department leaving a vacancy in the PBV Caseworker position. In addition, the TBV Caseworker resigned in November 2023 and was replaced by a new staff member in December 2023. The HCV application/in-take position also had turnover during the fiscal year, resulting in a relatively inexperienced HCV staff for a significant portion of the fiscal year. Due to the new staff, HCV has devoted significant resources to train new staff and implement internal control measures to minimize non-compliance and reduce errors; however, the process is still ongoing and will be continually evaluated and adjusted to ensure compliance with HUD's regulatory requirements. D. Controls to Correct the Deficiency In an effort to correct the finding noted above, the Auburn Housing Authority (AHA) has implemented and/or will implement the following by FYE2025: a. HCV Manager will perform a comprehensive audit of tenant files for existing tenants to identify any additional deficiencies and assess the need for staff training. b. HCV Manager will perform monthly file reviews on all recertifications completed during FYE2025 to identify rent calculation errors and compliance issues and assess the need for staff training. c. During FYE2025, the Chief Operating Officer (COO) will perform quality controls by randomly selecting departmental files for review. d. To eliminate HAP Disbursement Errors, monthly HAP Requests will be prepared by the Caseworker and reviewed by the IICV Manager and COO prior to submission to the Chief Executive Officer (CEO) for final review and approval. e. Other internal control measures to eliminate future audit findings. E. Person Responsible: Sharon N. Tolbert, CEO F. Anticipated Completion Date: June 30, 2025
View Audit 342124 Questioned Costs: $1
At this time all fiscal standard and procedures are being updated. We will ensure documented policies exist and are being adhered to.
At this time all fiscal standard and procedures are being updated. We will ensure documented policies exist and are being adhered to.
At this time all fiscal standard and procedures are being updated. We will ensure documented policies exist and are being adhered to.
At this time all fiscal standard and procedures are being updated. We will ensure documented policies exist and are being adhered to.
At this time all fiscal standard and procedures are being updated. In addition, with the new GL, approvals are required for different levels of expenditures. There will be periodic review of all system expenditures with appropriate updates to procedures as needed.
At this time all fiscal standard and procedures are being updated. In addition, with the new GL, approvals are required for different levels of expenditures. There will be periodic review of all system expenditures with appropriate updates to procedures as needed.
Financial Statements Management’s Response and Planned Corrective Action: The College is in the process of identifying customer data that should be disposed of or retained beyond two years. Management also acknowledged that implementation of multi-factor authentication for the Banner INB system has...
Financial Statements Management’s Response and Planned Corrective Action: The College is in the process of identifying customer data that should be disposed of or retained beyond two years. Management also acknowledged that implementation of multi-factor authentication for the Banner INB system has taken more time due to the complexity of the system in place. The secure customer information disposal and multi-factor authentication on the Banner INB system is expected to be implemented in 2025. Corrective Action Plan Pages Finding Number: 2024-001 Federal Assistance Listing Number: Various – Student Financial Aid Cluster Year Ended: May 31, 2024 Responsible Individual: Angelo Santabarbara Information Security Officer Management’s Response and Corrective Action Plan: The College agrees with the finding and recommendation. The College did not fully implement secure customer information disposal or multi-factor authentication by June 9, 2023, which was the effective deadline. The College is in the process of identifying customer data that should be disposed of or retained beyond two years. Management also acknowledged that implementation of multi-factor authentication for the Banner INB system has taken more time due to the complexity of the system in place. The secure customer information disposal and multi-factor authentication on the Banner INB system is expected to be implemented in 2025.
FINDING No. 2024-004: Section 8 Project Based Rental Assistance, ALN 14.195 Recommendation: The Project should ensure that all withdrawals from the replacement reserve account are accompanied by an approved form HUD-9250. Action Taken: Staff training has been provided to ensure proper procedures are...
FINDING No. 2024-004: Section 8 Project Based Rental Assistance, ALN 14.195 Recommendation: The Project should ensure that all withdrawals from the replacement reserve account are accompanied by an approved form HUD-9250. Action Taken: Staff training has been provided to ensure proper procedures are followed. If the Oversight Agency for Audit has questions regarding this plan, please call Irene Phillips at 954- 835-9200. Sincerely yours, Irene Phillips, CFO Irene Phillips CFO
FINDING No. 2024-003: Section 8 Project Based Rental Assistance, ALN 14.195 Recommendation: The Project should ensure that excess residual receipts funds are authorized by HUD for withdrawal prior to offsetting the funds against monthly HAP vouchers to avoid those funds not being available for use i...
FINDING No. 2024-003: Section 8 Project Based Rental Assistance, ALN 14.195 Recommendation: The Project should ensure that excess residual receipts funds are authorized by HUD for withdrawal prior to offsetting the funds against monthly HAP vouchers to avoid those funds not being available for use in operations. Action Taken: Staff training has been provided to ensure proper procedures are followed.
FINDING No. 2024-002: Section 8 Project Based Rental Assistance, ALN 14.195 Recommendation: The Project should implement procedures to ensure that replacement reserve monthly deposits are increased at a factor in line with the authorized OCAF rental increase or HUD stipulated factor and that the cor...
FINDING No. 2024-002: Section 8 Project Based Rental Assistance, ALN 14.195 Recommendation: The Project should implement procedures to ensure that replacement reserve monthly deposits are increased at a factor in line with the authorized OCAF rental increase or HUD stipulated factor and that the correct required monthly amount is deposited into the replacement reserve account. Action Taken: Staff training has been provided and included in monthly reporting procedures.
Oversight Agency for Audit, Senior Citizens Housing Development Corporation of Chicago respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Co...
Oversight Agency for Audit, Senior Citizens Housing Development Corporation of Chicago respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067 Audit period: July 1, 2023 through June 30, 2024 The findings for the June 30, 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. SECTION III – FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING No. 2024-001: Section 8 Project Based Rental Assistance, ALN 14.195 Recommendation: The Project should implement procedures to ensure that proper initial eligibility procedures are conducted for potential tenants and that tenant files are accurately maintained. Action Taken: Monthly reminders are being sent to all managers to run their EIV reports for the month. In addition, random files are being reviewed by compliance to ensure EIV reports are pulled, unit inspections performed, and required documentation is complete and accurate.
The Organization will review and implement processes and controls to ensure they provide accurate year-end account balances.
The Organization will review and implement processes and controls to ensure they provide accurate year-end account balances.
Finding 522702 (2024-001)
Significant Deficiency 2024
Webster University is in the midst of an enterprise system implementation, set to go live, June 2025, which will provide the institution with better tools with which to detect and update enrollment reporting discrepancies in a timely manner. Additionally, recently the enrollment reporting responsibi...
Webster University is in the midst of an enterprise system implementation, set to go live, June 2025, which will provide the institution with better tools with which to detect and update enrollment reporting discrepancies in a timely manner. Additionally, recently the enrollment reporting responsibilities have been transitioned to a more tenured member of the Registrar team, who is knowledgeable about enrollment reporting and understands its nuances and challenges and is positioned to be more successful in identifying and resolving discrepancies going forward. The Registrar’s Office, who is responsible for enrollment reporting, has also agreed to a system of monthly internal auditing processes so that there are more frequent and reliable checks to compare institutional data against NSLDS data for accuracy.
Finding 2024-002- Moving to Work Demonstration ALN 14.881 - Procurement- Formal Competitive Requirements - Noncompliance & Significant Deficiency Noncompliance & Significant Deficiency Movingto Work Demonstration - ALN #14.881 Corrective Action Plan: We will have staff attend procurement training to...
Finding 2024-002- Moving to Work Demonstration ALN 14.881 - Procurement- Formal Competitive Requirements - Noncompliance & Significant Deficiency Noncompliance & Significant Deficiency Movingto Work Demonstration - ALN #14.881 Corrective Action Plan: We will have staff attend procurement training to stay connected with guidelines. We will also update our procurement policy in this fiscal year. Although we received prices for different properties, we did not anticipate, nor have we ever done roof replacement collectively for our entire portfolio. It is not uncommon to obtain pricing based on the remaining useful life of the roofs as they were not initially installed at the same time in the past. Also, as part of capital improvement planning, we consider each properties need of priorities accordingly. Person Responsible: Richard Brockington Anticipated Completion Date: June 30th, 2025
Finding 2024-001 – Moving to Work Demonstration ALN 14.881 - Income Verification Requirements, Eligibility- Noncompliance & Significant Deficiency Corrective Action Plan: We are using the recommendations provided by the auditor's and are changing our file check list so that the EIV report will be i...
Finding 2024-001 – Moving to Work Demonstration ALN 14.881 - Income Verification Requirements, Eligibility- Noncompliance & Significant Deficiency Corrective Action Plan: We are using the recommendations provided by the auditor's and are changing our file check list so that the EIV report will be included in all the necessary check list. Also, the HA staff will use hierarchy for documentation in order of priority for participants for the HCV program. • Up-front income verification (UIV) using HUD EJV system • Up-front income verification (UIV) using a non-HUD system • Written third-party verification provided by applicant or participant • Written third-party verification form • Oral third-party verification • Self-certification Person Responsible: Doris Jamison and Janie Robinson Anticipated Completion Date: June 30, 2025
SIGNIFICANT DEFICIENCY IN INTERNAL CONTROL OVER COMPLIANCE – U.S. DEPARTMENT OF AGRICULTURE, PASSED THROUGH MINNESOTA DEPARTMENT OF EDUCATION, CHILD NUTRITION CLUSTER – FEDERAL ALN 10.553 AND 10.555 2024-002 Internal Control Over Compliance With Federal Suspension and Debarment Requirements Findi...
SIGNIFICANT DEFICIENCY IN INTERNAL CONTROL OVER COMPLIANCE – U.S. DEPARTMENT OF AGRICULTURE, PASSED THROUGH MINNESOTA DEPARTMENT OF EDUCATION, CHILD NUTRITION CLUSTER – FEDERAL ALN 10.553 AND 10.555 2024-002 Internal Control Over Compliance With Federal Suspension and Debarment Requirements Finding Summary 2 CFR § 180 requires the District to establish and maintain effective internal control over compliance with requirements applicable to federal program expenditures, including suspension and debarment requirements applicable to the child nutrition cluster federal program. The District did not have sufficient controls in place within its child nutrition cluster federal program to assure that it was not contracting for goods or services with parties that are suspended or debarred, or whose principals are suspended or debarred from participating in contracts involving the expenditures of federal program funds. Corrective Action Plan Actions Planned – The District will review policies and procedures relating to suspension and debarment for its federal programs and will ensure that all parties with which it contracts for goods or services are eligible to participate in contracts involving the expenditures of federal program funding. Official Responsible – Kerstin Quigley, Business Manager. Planned Completion Date – June 30, 2025. Disagreement With or Explanation of Finding – The District agrees with this finding. Plan to Monitor – The District’s Business Manager and the Superintendent will ensure appropriate controls are in place to verify that any vendor with which the District contracts for federal program goods or services exceeding $25,000 is not listed as suspended or debarred on the federal Excluded Parties List System website.
2024-001: Late Return of Title IV Financial Aid - Student Financial Aid Cluster – Assistance Listing #s 84.007, 84.033, 84.063, 84.268 - Grant Period - Year Ended June 30, 2024 Condition Found During our Return of Title IV Fund testing, we noted that the College did not calculate or return Title IV ...
2024-001: Late Return of Title IV Financial Aid - Student Financial Aid Cluster – Assistance Listing #s 84.007, 84.033, 84.063, 84.268 - Grant Period - Year Ended June 30, 2024 Condition Found During our Return of Title IV Fund testing, we noted that the College did not calculate or return Title IV Student Financial Aid for two out of twenty-five students tested until after 45 days when the student ceased attendance. We consider the untimely calculation and Return of Title IV Student Financial Aid to be an instance of noncompliance relating to the Special Tests and Provisions Compliance Requirement. Corrective Action Plan The Financial Aid Department has implemented a practice in which Return of Title IV funding will be performed, no later than the day prior to the weekly disbursement of funding to ensure accuracy while performing our awarding and disbursing processes. The practice includes a report creating a list of all students who require an evaluation on due to withdrawals from all Title IV eligible courses or grades of F in all courses or a combination of the two for an entire term. Upon report creation, the Director of Financial Aid will review all students accordingly and make a Return of Title IV calculation. This calculation will be reviewed by the Coordinator of Financial Aid to ensure accuracy and that a timely return has been completed. A document has been created that the Director of Financial Aid and the Coordinator of Financial Aid will Initial as they have completed their steps in the process. Responsible Person for Corrective Action Plan Financial Aid Director, Chris Heftka Coordinator of Financial Aid, Erik Mitchell Implementation Date of Corrective Action Plan October 1, 2024
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