Corrective Action Plans

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CORRECTIVE ACTION PLAN October 21, 2024 Berkeley County Public Service Water District respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 1909 Financial Drive Harrisonb...
CORRECTIVE ACTION PLAN October 21, 2024 Berkeley County Public Service Water District respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 1909 Financial Drive Harrisonburg, VA 2280l Audit period: June 30, 2024 The findings from the June 30, 2024 Schedule of Findings and Questioned Costs (the "Schedule”) are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS- FINANCIAL STATEMENT AUDIT 2024-001: Material Audit Adjustments (Material Weakness) Condition: During the audit, we detected material misstatements in the trial balance. Generally accepted auditing standards dictate that detection of errors in an audit is a strong indicator of a significant deficiency or material weakness. Accordingly, we are required to communicate this finding as such. Recommendation: Material audit adjustments indicate that financial information presented to us for the audit was missing or inaccurate. We recommend that management implement processes to ensure accuracy of a accounts. Additionally, all adjustments that were made as a result of our current year audit should be reviewed during the next year as a reminder of matters needing accounting attention in preparing for the 2025 audit. Corrective Action: The District uses outside parties to oversee grant management and lease calculations, both items that required material adjustments. District management will review work performed by outside parties to ensure completeness and accuracy. FINDINGS AND QUESTIONED COSTS-MAJOR FEDERAL AWARD PROGRAM AUDIT 2024-002: Single Audit Performance -Assistance Listing #66.468 and Reporting Condition: A single audit was not performed for a major program for the fiscal year ended June 30, 2023. Criteria: A single audit in accordance with the requirements set forth in the Uniform Guidance is required if total federal expenditures exceed $750,000 in a fiscal year. Federal expenditures exceeded $750,000 and the major program was a high-risk Type A program for the year ended June 30, 2023. Cause: The program required revolving loan fund drawdowns, which did not occur within the fiscal year funds were expended. Effect: The identified Type A high risk program was not tested as major. Questioned Costs: N/A Recommendation: Ensure management considers federal award compliance requirement and ensures that such requirements are satisfied each year. Corrective Action: Management will monitor major programs and ensure that they are tested when necessary. The grant in question was tested during 2024. 2024-003: Controls Over Cutoff - COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Assistance Listing #21.027 and Compliance- Material Weakness Condition: During our review of CSLFRF expenditures, we noted approximately $2,577,622 of allowable costs that were recorded in the wrong period. Criteria: The expenditures must be reported in the proper period for accurate reporting on the Schedule of Expenditures of Federal Awards. Cause: Procedures in place to ensure all expenditures are recorded in the proper period were not followed. Effect: Approximately $2,577,622 of allowable costs were recorded in fiscal year 2025 instead of fiscal year 2024. Questioned Costs: N/ A - the expenditures in question are allowable costs that were reported in the wrong fiscal year. Perspective Information: Five invoices were recorded in the wrong fiscal year. Recommendation: We recommend continued communications with all individuals involved in the grant process to ensure activity is recorded in the proper reporting period. Corrective Action: The District uses an outside party to oversee grant management. District management will review work performed by outside parties to ensure completeness and accuracy. If the Federal Audit Clearinghouse has questions regarding this plan, please call Jim Ouellet, Executive Director, at 304 262 3371.
Finding 2024-001 - Moving To Work Demonstration Tenant Files - Eligibility - Internal Control over Tenant Files- Noncompliance and Significant Deficiency Moving To Work Demonstration – subsidy ALN14.881 Corrective Action Plan: Effective November 1, 2024, the Authority will implement a Compliance...
Finding 2024-001 - Moving To Work Demonstration Tenant Files - Eligibility - Internal Control over Tenant Files- Noncompliance and Significant Deficiency Moving To Work Demonstration – subsidy ALN14.881 Corrective Action Plan: Effective November 1, 2024, the Authority will implement a Compliance Coordinator position for the review of tenant files on a regular basis. The Compliance Coordinator will be under the immediate direction of the Finance Director, so as to be independent of the public housing and voucher programs. Person Responsible: Alan Zais, Executive Director Anticipated completion Date: March 31, 2025
CORRECTIVE ACTION PLAN November 13, 2024 Frontier Health respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 636 Shelby Street, Suite 400 Bristol, TN 37620 Audit period...
CORRECTIVE ACTION PLAN November 13, 2024 Frontier Health respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 636 Shelby Street, Suite 400 Bristol, TN 37620 Audit period: June 30, 2024 The findings from the June 30, 2024, Schedule of Findings and Questioned Costs (the "Schedule") are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS AND QUESTIONED COSTS - MAJOR FEDERAL AWARD PROGRAM AUDIT 2024-001: Opioid State Targeted Response - AL# 93.788, Unallowable Costs Condition: Food and beverage items were charged to the grant that were unallowable. Criteria: Only allowable costs should be charged to the grant. Cause: Procedures in place to ensure that only allowable expenditures were charged were not followed. Effect: The food and beverage items are subject to disallowance. Questioned Costs: NIA Perspective Information: One out of twenty-five items tested contained unallowable items. The amount of the unallowable costs was $59 out of a total of $7,912 dollars tested. Repeat Finding: No Recommendation: Frontier Health should review all grant agreements and approved budgets to ensure only allowable items are being charged to the grant. Corrective Action: Frontier Health will request that in future contracts they be allowed to charge food/beverage expenses for meetings since they are legitimate expenses. This was corrected in September 2024. We reached out to the state rep and due to the small amount of the item we were advised to make an adjustment to back off this amount from food and beverage expense and charge it to a covered expense. This grant runs from October 1st to Sept 30th each year. 2024-002: Substance Abuse and Mental Health Services -AL# 93.243, Overcharged Grant Condition: The Impact August 2023 expenditures were overcharged to the grant. Criteria: Only allowable costs should be charged to the grant. Cause: Procedures in place to ensure that only the correct amount of expenditures were charged were not followed. Effect: The overcharged amount is subject to disallowance. Questioned Costs: NI A Perspective Information: One month out of eleven months where expenditures were tested contained an overcharge of amounts to the grant. Repeat Finding: No Recommendation: Frontier Health should review all grant expenditure documents to ensure the correct amount of expenditures are being charged to the grant. Corrective Action: Frontier Health has issued a check back to the grantor for the overcharged amount and will ensure only the correct amounts are submitted for reimbursement in the future. If the Federal Audit Clearinghouse has questions regarding this plan, please call Allen Harris, CFO, at 423-467- 3723. Sincerely yours, Allen Harris Chief Financial Officer
CORRECTIVE ACTION PLAN November 13, 2024 Frontier Health respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 636 Shelby Street, Suite 400 Bristol, TN 37620 Audit period...
CORRECTIVE ACTION PLAN November 13, 2024 Frontier Health respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 636 Shelby Street, Suite 400 Bristol, TN 37620 Audit period: June 30, 2024 The findings from the June 30, 2024, Schedule of Findings and Questioned Costs (the "Schedule") are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS AND QUESTIONED COSTS - MAJOR FEDERAL AWARD PROGRAM AUDIT 2024-001: Opioid State Targeted Response - AL# 93.788, Unallowable Costs Condition: Food and beverage items were charged to the grant that were unallowable. Criteria: Only allowable costs should be charged to the grant. Cause: Procedures in place to ensure that only allowable expenditures were charged were not followed. Effect: The food and beverage items are subject to disallowance. Questioned Costs: NIA Perspective Information: One out of twenty-five items tested contained unallowable items. The amount of the unallowable costs was $59 out of a total of $7,912 dollars tested. Repeat Finding: No Recommendation: Frontier Health should review all grant agreements and approved budgets to ensure only allowable items are being charged to the grant. Corrective Action: Frontier Health will request that in future contracts they be allowed to charge food/beverage expenses for meetings since they are legitimate expenses. This was corrected in September 2024. We reached out to the state rep and due to the small amount of the item we were advised to make an adjustment to back off this amount from food and beverage expense and charge it to a covered expense. This grant runs from October 1st to Sept 30th each year. 2024-002: Substance Abuse and Mental Health Services -AL# 93.243, Overcharged Grant Condition: The Impact August 2023 expenditures were overcharged to the grant. Criteria: Only allowable costs should be charged to the grant. Cause: Procedures in place to ensure that only the correct amount of expenditures were charged were not followed. Effect: The overcharged amount is subject to disallowance. Questioned Costs: NI A Perspective Information: One month out of eleven months where expenditures were tested contained an overcharge of amounts to the grant. Repeat Finding: No Recommendation: Frontier Health should review all grant expenditure documents to ensure the correct amount of expenditures are being charged to the grant. Corrective Action: Frontier Health has issued a check back to the grantor for the overcharged amount and will ensure only the correct amounts are submitted for reimbursement in the future. If the Federal Audit Clearinghouse has questions regarding this plan, please call Allen Harris, CFO, at 423-467- 3723. Sincerely yours, Allen Harris Chief Financial Officer
Finding 507875 (2024-002)
Significant Deficiency 2024
Finding 2024-002: Disbursements to or on Behalf of Students – Credit Balances Corrective Action Plan: We concur with the auditor’s finding. This was a unique situation as the refund in question related to interterm for which there are no charges. The student completed interterm but did not return fo...
Finding 2024-002: Disbursements to or on Behalf of Students – Credit Balances Corrective Action Plan: We concur with the auditor’s finding. This was a unique situation as the refund in question related to interterm for which there are no charges. The student completed interterm but did not return for spring. Refunds are a very manual process and the late refund in question was an oversight. There have been multiple changes made since the fiscal year under review. We will no longer be offering an interterm session which presented unique challenges around student accounts and financial aid. We have implemented an updated accounting software which will simplify the process of reviewing accounts for refunds. We have a new staff person in student accounts and have reviewed all processes related to the issuance of refunds. We are reviewing accounts and issuing refunds on a weekly basis. We believe these changes will reduce the likelihood of a late refund. Contact Person Responsible for Corrective Action: Carol Summervill, VP for Finance Anticipated Completion Date: Corrective Action was completed as of the date of this report.
Finding 507874 (2024-001)
Significant Deficiency 2024
Finding 2024-001: Perkin’s Loan Recordkeeping and Record Retention Corrective Action Plan: We concur with the auditor’s finding. As we were unable to assign the loan, we reimbursed the Perkins fund for the full amount of the outstanding loan, interest and fees. The loan is fully paid off. Contact Pe...
Finding 2024-001: Perkin’s Loan Recordkeeping and Record Retention Corrective Action Plan: We concur with the auditor’s finding. As we were unable to assign the loan, we reimbursed the Perkins fund for the full amount of the outstanding loan, interest and fees. The loan is fully paid off. Contact Person Responsible for Corrective Action: Carol Summervill, VP for Finance Anticipated Completion Date: Corrective action was completed October 9, 2024.
2024-001 Level of Effort (Maintenance of Effort) Recommendation: The District should monitor operations to ensure that it is maintaining the required level of expenditures of local funds for the education of children with disabilities. Action Taken: The District will monitor operations to ens...
2024-001 Level of Effort (Maintenance of Effort) Recommendation: The District should monitor operations to ensure that it is maintaining the required level of expenditures of local funds for the education of children with disabilities. Action Taken: The District will monitor operations to ensure that it is maintaining the required level of expenditures of local funds for the education of children with disabilities. Anticipated Completion Date: Throughout Fiscal Year Ending June 30, 2024
View Audit 328387 Questioned Costs: $1
Finding: 2024-004 Eligibility Federal agency: U.S. Department of Agriculture Federal program Title: Child Nutrition Cluster Federal Assistance Listing Number: 10.553 and 10.555 Federal Award Identification Number and Year: 212MN061N1199- 2024 Pass-Through Agency: Minnesota Department of Education P...
Finding: 2024-004 Eligibility Federal agency: U.S. Department of Agriculture Federal program Title: Child Nutrition Cluster Federal Assistance Listing Number: 10.553 and 10.555 Federal Award Identification Number and Year: 212MN061N1199- 2024 Pass-Through Agency: Minnesota Department of Education Pass-Through Number(s): 1-213-000 Award Period: June 30, 2024 Type of Finding: Significant Deficiency in Internal Control Over Compliance Recommendation: We recommend that District management and financial personnel have internal controls designed to ensure proper documentation of eligibility for Child Nutrition. Views of Responsible Officials: There is no disagreement with the audit finding. Action Taken in Response to Finding: The District will continue to work at ensuring there is a second person to review applications. Name of the Contact Person Responsible for Corrective Action Plan: Justin Dahlheimer, Superintendent Planned Completion Date for Corrective Action Plan: June 30, 2025
Finding #2024-003 Management acknowledges that the reporting method utilized for the Annual Education Stabilization ESSER Fund report should have been completed on a cash basis which is based on reimbursement of expenses received during the fiscal year. Classical Charter Schools will take the necess...
Finding #2024-003 Management acknowledges that the reporting method utilized for the Annual Education Stabilization ESSER Fund report should have been completed on a cash basis which is based on reimbursement of expenses received during the fiscal year. Classical Charter Schools will take the necessary steps to comply with the cash basis reporting method on all future Annual Education Stabilization ESSER Funds reports. The Grants Manager will review the instructions for completing the Annual Education Stabilization ESSER Fund when it is open in the portal (normally in January). Name of Contact Person: Dr. Vivian Cassaberry-Furby, Director of Business vfurby@classicalcharterschools.org
Pittsburgh Institute of Mortuary Science Student Financial Aid Audit Corrective Action Plan This corrective action plan is in response to the institute's single audit report for the year ended June 30, 2024, prepared by McClintock & Associates, P.C. Finding 2024-001: Pell Grant Award Recommendatio...
Pittsburgh Institute of Mortuary Science Student Financial Aid Audit Corrective Action Plan This corrective action plan is in response to the institute's single audit report for the year ended June 30, 2024, prepared by McClintock & Associates, P.C. Finding 2024-001: Pell Grant Award Recommendation: The Institution should adjust the 2023-2024 Pell awards according to the amounts listed in Summary. Corrective Action: The Institute has returned the Pell awards in the amounts listed in the Summary. The Institute wrote off the dollar amounts so as not to penalize the students identified. The Institute has also reviewed all students who received a Pell award du1ing the current Fiscal Year and recalculated and returned funds appropriately. The Institute again wrote off these dollar amounts. The Institute now has a clear understanding as to how and when the Pell awards should be recalculated. Since this item directly applies to our online student population only, the Institute has rewritten and implemented a specific "Pell Recalculation for Online Students" portion into the already robust Withdrawal procedure. Additionally, the Institute has initiated a weekly meeting to review all students who changed statuses during the prior week. Any online, Pell-eligible students will be recalculated during the meeting and funds will be returned within 7 days of the meeting when deemed necessary. Persons Responsible for Corrective Action: Financial Aid Advisor, Senior Financial Aid Administrator, and Registrar/Director of Administrative & Student Services. Anticipated Completion Date for Corrective Action: The Corrective Action was immediately implemented in response to the auditors' recommendation.
View Audit 328332 Questioned Costs: $1
Strengthening Institutions Program - Department of Education Federal Financial Assistance Listing #84.031 P031A080196 Reporting Material Weakness in Internal Control over Compliance and Material Noncompliance Finding Summary: Annual report for the year ending June 30, 2023, was not filed. Respons...
Strengthening Institutions Program - Department of Education Federal Financial Assistance Listing #84.031 P031A080196 Reporting Material Weakness in Internal Control over Compliance and Material Noncompliance Finding Summary: Annual report for the year ending June 30, 2023, was not filed. Responsible Individuals: Michael Van Surksum, Vice President for Business and Finance Corrective Action Plan: Management will review their current process to ensure reporting requirements are met. Anticipated Completion Date: Already complete - annual report for the year-ending June 30, 2024 has now been submitted.
Student Financial Assistance Program Cluster - Department of Education Federal Financial Assistance Listing #84.268 Federal Direct Student Loans P268K242212,P268K232212 Special Tests and Provisions: Enrollment Reporting Significant Deficiency in Internal Control over Compliance Finding Summary: Th...
Student Financial Assistance Program Cluster - Department of Education Federal Financial Assistance Listing #84.268 Federal Direct Student Loans P268K242212,P268K232212 Special Tests and Provisions: Enrollment Reporting Significant Deficiency in Internal Control over Compliance Finding Summary: The audit identified an instance in which a student withdrew from the University however the change in status was not reported to National Student Clearinghouse. Responsible Individuals: Anna Halbur, Registrar Corrective Action Plan: Management will review their current process to ensure enrollment statuses are reported correctly within National Student Clearinghouse. Anticipated Completion Date: October 31, 2024.
Student Financial Assistance Program Cluster - Department of Education Federal Financial Assistance Listing #84.063 Federal Pell Grant Program P063P222212, P063P232212 Federal Financial Assistance Listing #84.038 Federal Perkins Loans Federal Financial Assistance Listing #84.007 Federal Supplement...
Student Financial Assistance Program Cluster - Department of Education Federal Financial Assistance Listing #84.063 Federal Pell Grant Program P063P222212, P063P232212 Federal Financial Assistance Listing #84.038 Federal Perkins Loans Federal Financial Assistance Listing #84.007 Federal Supplemental Educational Opportunity Grants P007A223837, P007A233837 Reporting Significant Deficiency in Internal Control over Compliance Finding Summary: The amount reported for Cash on Hand as of 6/30/2023, line-item Part II Section A Field Item 1.1, did not agree to supporting documentation Responsible Individuals: Michael Van Surksum, Vice President for Business and Finance Corrective Action Plan: Management will review their current process to ensure that line items reported are accurate. Anticipated Completion Date: June 30, 2025.
View Audit 328325 Questioned Costs: $1
Student Financial Assistance Program Cluster - Department of Education Federal Financial Assistance Listing #84.063 Federal Pell Grant Program P063P222212,P063P232212 Eligibility Significant Deficiency in Internal Control over Compliance Finding Summary: One student was not awarded Pell assistance...
Student Financial Assistance Program Cluster - Department of Education Federal Financial Assistance Listing #84.063 Federal Pell Grant Program P063P222212,P063P232212 Eligibility Significant Deficiency in Internal Control over Compliance Finding Summary: One student was not awarded Pell assistance during the summer term as the student's FAFSA was not completed at the time the financial aid office was determining award eligibility. The student later completed the FAFSA within the award year and became eligible for a retroactive disbursement of Pell assistance; however, the financial aid office did not provide the student a retroactive disbursement of Pell. Responsible Individuals: Karrie Morgan, Director of Financial Aid Corrective Action Plan: Management will review procedures and control processes over monitoring retroactive disbursements. Anticipated Completion Date: October 31, 2024.
View Audit 328325 Questioned Costs: $1
2024-001 ...
2024-001 Name of Contact Person: Anita Ramachandran, Interim PH Director and Victor Isler, Assistant County Manager - Successful People Corrective Action: Management promptly provided training to staff that teen clinic services are billable based on income and eligibility requirements. Proposed Completion Date: Management has already addressed this with staff.
View Audit 328314 Questioned Costs: $1
Title I – Assistance Listing No. 84.010 Recommendation: We recommend the District review their controls and procedures surrounding review of individuals charged to the grant to ensure allowability under the grant. Explanation of disagreement with audit finding: There is no disagreement with the audi...
Title I – Assistance Listing No. 84.010 Recommendation: We recommend the District review their controls and procedures surrounding review of individuals charged to the grant to ensure allowability under the grant. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken: The District will improve controls and procedures for the review of substitute teachers charged to the grant to ensure allowability under the grant. Name of the contact person responsible for corrective action: Scott Smith, Chief Financial and Operating Officer Planned completion date for corrective action plan: January 1, 2025
Finding 2024‐001 – Special Tests and Provisions – Significant Deficiency in Internal Control over Compliance It was identified that the implementation of a new electronic health record system significantly impacted the control environment as it relates to compliance with federal awards. As a result,...
Finding 2024‐001 – Special Tests and Provisions – Significant Deficiency in Internal Control over Compliance It was identified that the implementation of a new electronic health record system significantly impacted the control environment as it relates to compliance with federal awards. As a result, the control system did not consistently apply the appropriate sliding fee discounts for patients based on qualification criteria and certain patients were billed amounts less than the sliding fee discount schedule. To address the finding related to system limitations that resulted in patients being billed amounts lower than those specified in the sliding fee discount schedule, the Organization will implement a comprehensive corrective action plan. First, a thorough review of the electronic health record system will be conducted to identify specific limitations as it relates to data capture of federal poverty level at time of patient registration. This has already been completed. Second, the Organization will modify the set-up of its electronic health record to systematically seek approved and active documentation related to sliding fee discounts and will modify the system to not allow sliding fee discounts without the presence of said documentation. The Organization is in the process of setting a meeting to modify its system build, which it expects to be finalized in 30 calendar days. To ensure ongoing compliance, regular monitoring procedures will be established to review data capture accuracy, with the Chief Financial Officer overseeing this effort and the first review scheduled for 30 calendar days from the date on which the electronic health record system fix is implemented. Finally, thorough documentation of all corrective actions taken, including system changes and monitoring results, will be maintained. The Chief Financial Officer will report findings to management on a monthly basis, with the first report due one month from date on which the system fix is implemented. Through these measures, the Organization aims to enhance billing accuracy, ensure compliance with federal requirements, and prevent future discrepancies.
The issues identified in the previous audit were identified part way through fiscal year 2023. Corrective actions identified in the prior audit and listed below are in place going forward. To address these issues, SBU employees have taken the following corrective measures: 1. We reworked the repor...
The issues identified in the previous audit were identified part way through fiscal year 2023. Corrective actions identified in the prior audit and listed below are in place going forward. To address these issues, SBU employees have taken the following corrective measures: 1. We reworked the reporting process for withdrawals. All withdrawals now go to the Associate Provost regardless of campus or program. They are then processed by the Registrar's Office and placed in a shared drive. Once there, they are reviewed weekly by the Financial Aid Office, and R2T4s are completed in a timely manner. If there are any withdrawals outside of the normal process timeframe they are escalated and the Registrar and Executive Director of Financial Aid are notified. 2. R2T4 requests are completed by one Financial Aid staff member and verified and processed by another to ensure accuracy and reliability. 3. We have implemented an administrative withdrawal process to give campus and program directors the ability and authority to withdraw students who are no longer in attendance to limit the number of all Fs at the end of the semester.
View Audit 328266 Questioned Costs: $1
Due to turnover in the Controller position, the calculations for the FISAP cash balances was not retained in a shared drive for future reference and audit review. This practice is against University policy and resulted in the inability of current staff to produce the documentation for audit re...
Due to turnover in the Controller position, the calculations for the FISAP cash balances was not retained in a shared drive for future reference and audit review. This practice is against University policy and resulted in the inability of current staff to produce the documentation for audit review. To address these issues, SBU employees have taken the following corrective measures: 1. The current Controller will adhere to University policy and save documentation in a shared drive for future review and reference.
Lakeshore Community Health Care, Inc. (the "Organization") submits the following corrective action plan for the identified finding and questioned costs for the year ending May 31, 2024. Finding 2024-001: Sliding Fees Statement of Condition: External auditors reviewed 40 sliding fee transactions to...
Lakeshore Community Health Care, Inc. (the "Organization") submits the following corrective action plan for the identified finding and questioned costs for the year ending May 31, 2024. Finding 2024-001: Sliding Fees Statement of Condition: External auditors reviewed 40 sliding fee transactions to verify if the amount charged under the Organization's sliding fee program was calculated properly based on the patient's income level and in compliance with the Organization's sliding fee policy. External auditors noted that one of the sampled transactions was not properly determined resulting in the patient being undercharged for services. Corrective Action: The Organization will review its sliding fee policies and monitor determinations. Staff responsible for sliding fee determinations will be trained on properly computing sliding fees. The Organization will also review the Organization's electronic health record system's controls and safeguards for assisting in sliding fee calculation accuracy. Person Responsible for Corrective Action: Caleb Jensema, Chief Financial Officer, and Kristin Stearns, Chief Executive Officer Anticipated Timing for Completion of Corrective Action: November 30, 2024.
Finding 505519 (2024-002)
Significant Deficiency 2024
Management will discuss possible additional training.
Management will discuss possible additional training.
The board plans to continually review current procedures to determine if further segretation can be done with current limited personnel
The board plans to continually review current procedures to determine if further segretation can be done with current limited personnel
Marshall B. Ketchum University Corrective Action Plan For the Fiscal Year Ended June 30, 2024 U.S. Department of Education – Student Financial Assistance Cluster Federal Awards Finding Item 2024-001 – Special Tests and Provisions – Return of Title IV Funds – Significant Deficiency In Internal Contr...
Marshall B. Ketchum University Corrective Action Plan For the Fiscal Year Ended June 30, 2024 U.S. Department of Education – Student Financial Assistance Cluster Federal Awards Finding Item 2024-001 – Special Tests and Provisions – Return of Title IV Funds – Significant Deficiency In Internal Controls Over Compliance Conditions – A sample of seven students out of a population of 21 were identified by the University as having received some federal assistance and withdrew from the University during the year under audit. The auditors found two calculations of the return of Title IV funds contained errors related to the total number of days in the term because consideration for the exclusion of certain days from the winter scheduled break were not properly implemented. This calculation error caused two of the seven samples to have the wrong total of aid earned because those two students had withdrawn before the 60% completion threshold. In this same sample universe, two students had incorrect calculations of values to be returned because the institutional charges were not included in the R2T4 calculation. In both cases, the students began a term while the school evaluated their academic performance form the previous term. The students were dismissed from their respective programs based on academic performance, but the school refunded full tuition and fees as the students were not given adequate opportunity to attend the terms for which they withdrew. As such, the school had considered the full tuition refund as a $0 institutional charge on the R2T4 calculation which caused calculation errors for what was earned in the term. These two errors caused an understatement of $24,127 unsubsidized loan that would be required to be returned by the school. Corrective Action Plan: In response to the findings regarding Return of Title IV funds Marshall B. Ketchum University is taking the following corrective actions. The Financial Aid Office has revised the Return of Title IV Aid policy to now include the following statement: When calculating the amount the school must return, the tuition and fee charges that were applicable at the time of withdrawal are used for purposes of calculation the Return of Title IV funds. Any subsequent tuition and fee refunds credited back to the students account after the withdrawal date will not be taken into consideration for purposes of calculating the Return of Title IV funds. The revised R2T4 policy above will be updated in the university catalog as well. When Financial Aid is processing the configuration and system setup for the upcoming academic year, we will take into account any additional days in which there are no scheduled classes that are not included in the university defined scheduled breaks. For example, if the scheduled Winter Recess break as defined by the University Registrar for the 2024-2025 academic year is 12/23/24-1/5/25, we will also include 12/21/24 & 12/22/24 as part of the scheduled break for Return of Title IV purposes, as there will be no scheduled classes on those days. This will increase the scheduled break for R2T4 purposes from 14 to 16 days and will be excluded from the R2T4 calculation. The scheduled R2T4 breaks for the 2024-2025 academic year have already been reviewed and confirmed for compliance purposes per FSA R2T4 regulations. The Director of Financial Aid has reviewed the Title IV federal regulations on Return of Title IV funding and acknowledges the issues and is prepared to be compliant going forward. In addition, Financial Aid Staff will be properly trained and will continue to be trained as needed. Sincerely, Kyle Pryor, Director of Financial Aid, (714) 449-7448 Projected Completion Date: October 15, 2024
2024-003 Finding: Special Tests - Wage Rate Requirements Federal Assistance Listing Number 84.425U - COVID-19 - Elementary and Secondary School Emergency Relief Fund (ESSER III) Passed-through Colorado Department of Education Award Number - 4414/4431/9414; Award Year 2021 Summary of Finding: The Dis...
2024-003 Finding: Special Tests - Wage Rate Requirements Federal Assistance Listing Number 84.425U - COVID-19 - Elementary and Secondary School Emergency Relief Fund (ESSER III) Passed-through Colorado Department of Education Award Number - 4414/4431/9414; Award Year 2021 Summary of Finding: The District did not have adequate internal controls in place to ensure that all certified Payrolls were obtained or reviewed for both the contractor and subcontractor, so laborers and mechanics employed by contractors or subcontractors may not have been paid prevailing wage rates. Status: Corrective action in progress Client Planned Action: The District concurs with the recommendations and is currently developing and implementing internal controls to ensure Compliance. Grants Dept. personnel met with Capital Construction and Procurement Personnel to discuss the processes and procedures to implement, and internal controls that would ensure this. The District’s Grants Department will: 1. Require departments/teams utilizing federally funded grants which involve construction/labor, to designate two staff members responsible for collection of wage-rate payroll certifications. 2. Conduct a meeting/training that involves all responsible parties, prior to any work being done, to establish processes/procedures to obtain, track, monitor, and review certified payrolls and compare them to prevailing wage rates. Client Responsible Party: Annette Bass, Director of Grants Completion Date: Review of process began in October 2024. Adjustments and revisions to initial processes will be made as needed, but will be completed by June 30, 2025.
2024-002 Finding: Allowable Costs and Allowable Activities Federal Assistance Listing Number 84.425U - COVID-19 - Elementary and Secondary School Emergency Relief Fund (ESSER III) Passed-through Colorado Department of Education Award Number - 4414/4431/9414; Award Year 2021 Summary of Finding: The D...
2024-002 Finding: Allowable Costs and Allowable Activities Federal Assistance Listing Number 84.425U - COVID-19 - Elementary and Secondary School Emergency Relief Fund (ESSER III) Passed-through Colorado Department of Education Award Number - 4414/4431/9414; Award Year 2021 Summary of Finding: The District did not have adequate internal controls in place over the ESSER grant which resulted in unallowable costs being applied to the grant and inconsistently applying indirect costs to the grant. Status: Corrective action in progress Client Planned Action: The District concurs with the recommendations and is currently developing and implementing internal controls to ensure compliance. The inadequate internal controls that caused the inconsistency in supporting payroll information involved the End-of-Year Closeout process. The District will ensure End-of-Year Closeout procedures are up to date and adhered to. These procedures will include a second review of calculations used to determine the expenditure amount in accruals, to ensure it recalculates. The District will also conduct a second review of the supporting detail used to determine Indirect Costs to ensure they are consistent with CDE recommendations and District policies and procedures. Client Responsible Party: Annette Bass, Director of Grants Completion Date: Review of department End-of Year Closeout process began in September 2024. Adjustments and revisions will be made to these processes as needed, prior to End-of-Year Closeout, June 30, 2025.
View Audit 328203 Questioned Costs: $1
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