Corrective Action Plans

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Midland University Corrective Action Plan For the Year Ended May 31, 2025 Finding 2025-001: Significant Deficiency- Return of Title IV funds (R2T4) Condition: Of the 16 students tested in the sample, one student did not have an R2T4 completed during Summer 2024. Subsequent to the auditor identifying...
Midland University Corrective Action Plan For the Year Ended May 31, 2025 Finding 2025-001: Significant Deficiency- Return of Title IV funds (R2T4) Condition: Of the 16 students tested in the sample, one student did not have an R2T4 completed during Summer 2024. Subsequent to the auditor identifying this exception in July 2025 the University completed the calculation and returned the required funds. The auditor reviewed the calculation and student's account statement confirming that corrective action was taken. Corrective Action Plan: Beginning in Summer 2025, the new Financial Aid Director and Registrar have been meeting bi-weekly to discuss all changes of enrollment including withdrawals. This process ensures that all students are reviewed and R2T4's are completed on all students who withdraw from Midland University and have Title IV funding. Name(s) of Contact Person(s) Responsible for Corrective Action: Jon Dechant, Director of Financial Aid & Joseph Harnisch, CFO Anticipated Completion Date: Finding 2025-001: Completed in July 2025
View Audit 372942 Questioned Costs: $1
Corrective Actions: The University has implemented the following measures with respect to enrollment reporting (“ER”) to strengthen internal controls and ensure full compliance with federal regulations, University policy, and the requirements of NSLDS: 1. Review of ER Systems and Updates Implemented...
Corrective Actions: The University has implemented the following measures with respect to enrollment reporting (“ER”) to strengthen internal controls and ensure full compliance with federal regulations, University policy, and the requirements of NSLDS: 1. Review of ER Systems and Updates Implemented: The University has contracted with external consultants to assist the University in reviewing and reinforcing its ER systems and processes. This work is ongoing and intended to supplement the prior review of the University’s SIS noted in the Response above, which determined a delay in the chronological processing of reports in NSC due to configuration issues in the SIS contributed to the untimely/inaccurate reporting. As a result, the University updated those parameters within its SIS to ensure accurate configuration in Spring 2025. Through this Finding response and the internal and external reviews initiated by the University, Texas Wesleyan has built upon that prior examination to include an analysis of the specific deficiencies noted by auditors and ensure the same have been cured, as well as to implement any necessary compliance measures to safeguard all future ER. In addition to completing any updates required to student-level data in NSC, the University reviewed each deficiency and corresponding student record to discern the cause of the inaccurate data and made necessary systems and/or procedural changes to cure each. First, the University determined that for two of the students with ER errors, additional processes were necessary to capture students enrolled in compressed terms. In collaboration with external consultants and NSC, the Registrar’s Office is developing new processes to ensure accurate ER for these students. This process development is being overseen by Registrar and Associate Provost with a target date for implementation during the initial Spring 2026 7-week compressed terms beginning on January 12th and March 23rd, respectively, subject to testing being conducted with NSC. Second, with respect to graduation status, the University has reviewed the students noted in this Finding with its external consultants and NSC. To ensure that graduation statuses are timely and accurately reported according to University policy and federal requirements, the University is adopting updated procedures to include reporting “G” or “W” status in accordance with guidance from the NSLDS Enrollment Reporting Guide, Section 4.4.4. These procedural updates are being made by the Registrar, overseen by the Associate Provost, and are expected to be finalized by December 5, 2025 Third, together with IT and external consultants, the Registrar’s Office is continuing its review and testing of parameter settings through a comparison of SIS and NSC data to confirm that parameters are accurately configured for ER. The data for this review has been compiled as of the date of this submission and the Registrar is reviewing the data to prepare a comparative report that will be provided to the Working Group (described in Section 2 below) overseen by the Associate Provost. The Registrar’s comparative report to the Working Group is expected to be delivered on January 20, 2026. Finally, as noted below, to ensure timely and accurate reporting and the reconciliation of error reports, the University has implemented several preventive and detective measures with ongoing monitoring and review measures to ensure its compliance. 2. Preventative Measures and Monitoring: The University has integrated, and continues to integrate, updated detective and preventative controls on ER to safeguard the University’s compliance for future reporting by expanding existing reporting controls through regular monitoring efforts to test and review compliance at each reporting level. These preventative measures, monitoring and reconciliation requirements are being overseen by the Associate Provost and include the establishment of a Working Group with external consultants and service providers, as well as stakeholders from the Provost, Registrar, Information Technology, and Financial Aid offices, that meets frequently to review ER, complete the work described in these Corrective Actions, and to ensure discrepancies are discovered and resolved timely and accurately. The Registrar and the Director of Financial Aid also meet monthly to conduct reconciliations of ER which is then reported to the Provost and Associate Provost. In addition to updating its graduation ER procedures, the University has updated its reporting schedule in NSC to provide additional reporting opportunities during the end of the term to ensure all graduation information is timely reported. Finally, the University has met with NSC to review this Finding and its ER practices generally. As a result of that meeting, the University has received from NSC its “Enrollment Reporting Compliance Best Practices Checklist” which the Registrar has provided to all staff in the Registrar’s Office as a guidance document and reference tool for ER. In addition, the Registrar is conducting an office-wide review of the NSC “Enrollment Reporting Compliance Best Practices Checklist” on December 4th, 2025. 3. Staff and Training: In conjunction with this Finding and the internal and external reviews, the University has and continues to review staffing within the Registrar’s Office to ensure appropriate changes have been made as deemed necessary by management. To ensure compliance and accuracy, beginning December 9, 2025, all personnel in the Registrar’s Office will participate in a weekly “Power-Hour” meeting wherein they will complete ER training through NSC, Federal Student Aid, and other resources. This training will continue in accordance with the 2026 training plan and schedule being developed by the Registrar. The training plan and schedule will be delivered to the Associate Provost by January 1, 2026, and is subject to their review and approval. All training and participation will be documented in a report to the Associate Provost. The University has also engaged external consultants to assist staff in ER to ensure compliance and provide secondary review for the Registrar’s Office as needed. Responsible Official: Dr. Helena Bussell, Associate Provost Estimated Completion Date: April 24, 2026
Corrective Actions: To strengthen internal controls and ensure full compliance with federal regulations, the University has implemented the following measures: 1. Secondary Review Implementation: The University has contracted with an external consultant to serve as a secondary reviewer. In the inter...
Corrective Actions: To strengthen internal controls and ensure full compliance with federal regulations, the University has implemented the following measures: 1. Secondary Review Implementation: The University has contracted with an external consultant to serve as a secondary reviewer. In the interim, an internal staff member is receiving comprehensive R2T4 training and will complete the NASFAA Return of Title IV Funds Certification Program in March 2026. Upon completion of the NASFAA Program coursework, the staff member will complete an examination on or before May 31, 2026. Once certification is achieved and the University has full confidence in the internal review process, the secondary review function will transition from the external consultant to an in-house process. 2. Documentation Retention Enhancement: The University has reinforced procedures, including those document retention protocols, by adding this as an additional checklist item on the R2T4 checklist, to ensure that all post-withdrawal disbursement notifications are properly retained in each student’s financial aid record, either electronically or within the designated document management system. The checklist is meant to be a roadmap for the reviewer to ensure each step is completed in the calculation process and that documentation is retained for post-withdrawal disbursement. 3. Staff Training: All financial aid staff involved in the R2T4 process have received updated training on the correct handling of loan returns and post-withdrawal notifications in accordance with 34 CFR 668.22 and current FSA Handbook guidance. Staff involved with R2T4 administration include the Financial Aid Business Analyst and a Financial Aid Advisor. Both team members have completed either official NASFAA or FSA training. The Financial Aid Advisor will be completing the NASFAA Certificate training on R2T4. Additionally, the Assistant Director will also complete the program at the same time, increasing the depth of knowledge for the team around this topic. Responsible Official: Doug Cleary, Director of Financial Aid Estimated Completion Date: May 31, 2026
Attached to this document is a new Summer Pell Policy and Procedures that we developed after the Pell finding was brought to our attention this past summer. A mentor from another private institution that uses Colleague (the same system we use) was recommended to our team to help guide us when awardi...
Attached to this document is a new Summer Pell Policy and Procedures that we developed after the Pell finding was brought to our attention this past summer. A mentor from another private institution that uses Colleague (the same system we use) was recommended to our team to help guide us when awarding summer Pell using the Pell Grant Enrollment Intensity formula. We implemented training on the Enrollment Intensity formula and had various calculation scenarios tested by our new mentor. We then awarded all summer term students who were entitled to the Pell Grant award and disbursed aid to those students by the required deadline. For the future, we will follow the newly developed Summer Pell Policy and Procedures. We will engage with the Registrar's Office to determine and verify when students register, drop and/or change courses for the summer term. In addition, running weekly Informer reports will be another safety net for our office when determining Pell eligibility for summer students. The Financial Aid staff will also immerse themselves in various forms of training available to us on all aspects of processing and awarding aid. We will do this via webinars, TASFAA and NASFAA training opportunities, internal cross-training and various FSA training programs. This year, two members of our team are new to financial aid and the remaining two, including myself, are new to our positions and responsibilities. We feel taking advantage of the plethora of training resources available in our industry will be vital to our growth and success while navigating higher education's rapidly changing regulations. Person ResponsibLe for Corrective Action PLan: Hayley Jordan - Director of Financial Aid Anticipated Date of Completion: Implemented.
MANAGEMENT AGREES WITH THE FINDING. MANAGEMENT WILL ENSURE THAT THE REPLACEMENT RESERVE DEPOSITS ARE MADE ON A TIMELY BASIS IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. MANAGEMENT WILL ENSURE THAT THE REPLACEMENT RESERVE DEPOSITS ARE MADE ON A TIMELY BASIS IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. THE EXCESS FUNDS WERE ACCRUED TO OFFSET FUTURE SECTION 8 HAP REQUESTS.
MANAGEMENT AGREES WITH THE FINDING. THE EXCESS FUNDS WERE ACCRUED TO OFFSET FUTURE SECTION 8 HAP REQUESTS.
Section 8 Housing Assistance Payments Program – Assistance Listing No. 14.195 Corrective action plan - management response: The organization to update policies and procedures, over completing HUD Housing Assistance Payment forms, to include review by a management agent or acting management agent. Ma...
Section 8 Housing Assistance Payments Program – Assistance Listing No. 14.195 Corrective action plan - management response: The organization to update policies and procedures, over completing HUD Housing Assistance Payment forms, to include review by a management agent or acting management agent. Management experienced delays in accessing HUD platforms, due to a change in leadership during the prior year. Access to all HUD portals has now been fully restored, and management is actively reviewing HUD Housing Assistance Payment Forms. Further training is underway to ensure proper oversight and timely compliance with HUD requirements. Name(s) of the contact person(s) responsible for corrective action: Marsha Larkin Marani, Project Manager Planned completion date for corrective action plan: March 2025
Section 8 Housing Assistance Payments Program – Assistance Listing No. 14.195 Corrective action plan - management response: The organization to update policies and procedures, over completing tenant certification and re-certification, to include review by a management agent or acting management agen...
Section 8 Housing Assistance Payments Program – Assistance Listing No. 14.195 Corrective action plan - management response: The organization to update policies and procedures, over completing tenant certification and re-certification, to include review by a management agent or acting management agent. Management experienced delays in accessing HUD platforms, due to a change in leadership during the prior year. Access to all HUD portals has now been fully restored, and management is actively reviewing tenant recertification forms. Further training is underway to ensure proper oversight and timely compliance with HUD requirements. Name(s) of the contact person(s) responsible for corrective action: Marsha Larkin Marani, Project Manager Planned completion date for corrective action plan: March 2025
Section 8 Housing Assistance Payments Program – Assistance Listing No. 14.195 Corrective action plan - management response: Management to update income limits in Onesite to reflect HUD income limits applicable as of the tenant’s application date. Management experienced delays in accessing HUD platfo...
Section 8 Housing Assistance Payments Program – Assistance Listing No. 14.195 Corrective action plan - management response: Management to update income limits in Onesite to reflect HUD income limits applicable as of the tenant’s application date. Management experienced delays in accessing HUD platforms, due to a change in leadership during the prior year. Access to all HUD portals has now been fully restored, and management is actively reviewing tenant recertification forms. Further training is underway to ensure proper oversight and timely compliance with HUD requirements. Name(s) of the contact person(s) responsible for corrective action: Marsha Larkin Marani, Project Manager Planned completion date for corrective action plan: March 2025 (as Income Thresholds become available annually by HUD)
VEC will modify its procurement policy to follow the documentation requirements in 2 CFR 200.318.
VEC will modify its procurement policy to follow the documentation requirements in 2 CFR 200.318.
November 18, 2025 Donovan CPAs 9292 N. Meridian Street, Suite 150 Indianapolis, IN 46260 The PATH School already has or will take the following actions to address the FY2025 supplemental audit report comments: Required Reports 1. We will implement additional procedures and internal controls to ensur...
November 18, 2025 Donovan CPAs 9292 N. Meridian Street, Suite 150 Indianapolis, IN 46260 The PATH School already has or will take the following actions to address the FY2025 supplemental audit report comments: Required Reports 1. We will implement additional procedures and internal controls to ensure that all required student documentation is consistently collected and maintained. As part of these enhanced controls with our front office staff including receptionist and office manager, our enrollment process now includes a mandatory step requiring all students to complete the Free/Reduced Lunch Application on an annual basis. This will be implemented immediately. This measure will help ensure accurate reporting and compliance with program requirements. Sincerely, Theodore Brannum Chief Operations Officer E: tbrannum@thepathschool.org
Bais Tova, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2025 Finding 25-1: The School’s net cash resources exceeded three months average expenditures at the end of the year. Recommendation: To keep monitoring the net cash resources throughout the year to...
Bais Tova, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2025 Finding 25-1: The School’s net cash resources exceeded three months average expenditures at the end of the year. Recommendation: To keep monitoring the net cash resources throughout the year to ensure that it does not exceed three months average expenditures. Action Taken: Since being made aware of this issue, the School’s administrator has begun to routinely monitor the net cash resources to ensure that it does not exceed three months average expenditures. As such, the required correction actions have been implemented. Implementation Date Corrective Action Plan has been implemented as of November 17, 2025. Person Responsible for Implementation: Yonasan Sanders, the Administrator, is the responsible party for implementation of the CAP. Telephone number: (732) 901-3913.
The Independence Housing Authority (IHA) implemented a new software system, Bob.AI, which was intended to automatically place units into abatement following a second failed inspection. IHA has worked with the software developer to resolve the issue, and the Director of HCV is now manually updating t...
The Independence Housing Authority (IHA) implemented a new software system, Bob.AI, which was intended to automatically place units into abatement following a second failed inspection. IHA has worked with the software developer to resolve the issue, and the Director of HCV is now manually updating the unit status to abatement/termination after a second failed inspection. This update ensures that the required abatement notices are generated as intended.
Inaccurate and Late Reporting Planned Corrective Action: We will enhance our reporting process by reconciling grant expenditure on an accrual basis before each reporting cycle to ensure requested funds align with actual costs. Accuracy and timeliness will be confirmed through dual review by staff an...
Inaccurate and Late Reporting Planned Corrective Action: We will enhance our reporting process by reconciling grant expenditure on an accrual basis before each reporting cycle to ensure requested funds align with actual costs. Accuracy and timeliness will be confirmed through dual review by staff and management, with supporting documentation maintained for every transaction. Person Responsible for Corrective Action Plan: Sharada Briggs, Chief Financial Officer Anticipated Date of Completion: February 28, 2026
Oversight Agency for Audit, National Steelworkers Oldtimers Community Urban Development Company of Canton Two, Inc. respectfully submits the following corrective action plan for the year ended March 31, 2025. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N Un...
Oversight Agency for Audit, National Steelworkers Oldtimers Community Urban Development Company of Canton Two, Inc. respectfully submits the following corrective action plan for the year ended March 31, 2025. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067. Audit period: April 1, 2024 through March 31, 2025 The finding from the March 31, 2025 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number in the schedule. SECTION III - FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING NO. 2025-001: Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: Ensure the PRAC contract renewal is submitted timely and that all loans taken from the replacement reserve account are repaid upon receipt of PRAC funds, as required by HUD. Action Taken: New staff has been put in place to monitor and submit all renewals in a timely manner. If the Oversight Agency for Audit has questions regarding these plans, please call Irene Phillips at 954-835-9200. Sincerely yours, Irene Phillips CFO
Management agrees with the finding. The replacement reserve deficiency will be funded in the amount of $6,180. Management will ensure that the replacement reserve deposits are made on a timely basis in the future.
Management agrees with the finding. The replacement reserve deficiency will be funded in the amount of $6,180. Management will ensure that the replacement reserve deposits are made on a timely basis in the future.
CORRECTIVE ACTION PLAN August 12, 2025 UNITED STATES DEPARTMENT OF EDUCATION UNITED STATES DEPARTMENT OF AGRICULTURE Southwest R-V School District respectfully submits the following corrective action plan for the year ended June 30, 2025. Contact information for the individual responsible for the co...
CORRECTIVE ACTION PLAN August 12, 2025 UNITED STATES DEPARTMENT OF EDUCATION UNITED STATES DEPARTMENT OF AGRICULTURE Southwest R-V School District respectfully submits the following corrective action plan for the year ended June 30, 2025. Contact information for the individual responsible for the corrective action: Dr. Tosha Tilford, Superintendent Southwest R-V School District 529 Pineville Road Washburn, MO 65772 (417) 826-5410 Independent Public Accounting Firm: The CPA Group, PC, 217 4th Street, Monett, MO 65708 Audit Period: Year ended June 30, 2025 The findings from the June 30, 2025, Schedule of Findings and Questioned Costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT Material Weakness – Internal Control over Financial Reporting - Segregation of duties Finding 2025-001 Recommendation: We realize Because of limited resources and personnel, management may not be able to achieve a proper segregation of duties; however, our professional standards require that we bring this lack of segregation of duties to your attention in this report. Action Taken: The limited number of available personnel prohibits segregation of incompatible duties and the District does not have the resources to hire additional accounting personnel. Completion Date: Not applicable Sincerely, Dr. Tosha Tilford, Superintendent Southwest R-V School District
CORRECTIVE ACTION PLAN November 18, 2025 U.S. DEPARTMENT OF EDUCATION U.S. DEPT. OF HEALTH AND HUMAN SERVICES Purdy School District R-II respectfully submits the following corrective action plan for the year ended June 30, 2025. Contact information for the individual responsible for the corrective a...
CORRECTIVE ACTION PLAN November 18, 2025 U.S. DEPARTMENT OF EDUCATION U.S. DEPT. OF HEALTH AND HUMAN SERVICES Purdy School District R-II respectfully submits the following corrective action plan for the year ended June 30, 2025. Contact information for the individual responsible for the corrective action: Dr Travis Graham, Superintendent Purdy School District R-II 201 Gabby Gibbons Dr Purdy, MO 65734 (417) 442-3215 Independent Public Accounting Firm: The CPA Group, PC, 217 4th Street, Monett, MO 65708 Audit Period: Year ended June 30, 2025 The findings from the June 30, 2025, Schedule of Findings and Questioned Costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT Material Weakness – Internal Control over Financial Reporting - Segregation of duties Finding 2025-001 Recommendation: We realize Because of limited resources and personnel, management may not be able to achieve a proper segregation of duties; however, our professional standards require that we bring this lack of segregation of duties to your attention in this report. Action Taken: The limited number of available personnel prohibits segregation of incompatible duties and the District does not have the resources to hire additional accounting personnel. Completion Date: Not applicable Sincerely, Dr Travis Graham, Superintendent Purdy School District R-II
CORRECTIVE ACTION PLAN September 10, 2025 U.S. DEPT. OF AGRICULTURE Pierce City School District R-VI respectfully submits the following corrective action plan for the year ended June 30, 2025. Contact information for the individual responsible for the corrective action: Matthew Street, Superintenden...
CORRECTIVE ACTION PLAN September 10, 2025 U.S. DEPT. OF AGRICULTURE Pierce City School District R-VI respectfully submits the following corrective action plan for the year ended June 30, 2025. Contact information for the individual responsible for the corrective action: Matthew Street, Superintendent Pierce City School District R-VI 300 N Myrtle Street Pierce City, MO 65723 (417) 476-2555 Independent Public Accounting Firm: The CPA Group, PC, 217 4th Street, Monett, MO 65708 Audit Period: Year ended June 30, 2025 The findings from the June 30, 2025, Schedule of Findings and Questioned Costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT Material Weakness – Internal Control over Financial Reporting - Segregation of duties Finding 2025-001 Recommendation: We realize Because of limited resources and personnel, management may not be able to achieve a proper segregation of duties; however, our professional standards require that we bring this lack of segregation of duties to your attention in this report. Action Taken: The limited number of available personnel prohibits segregation of incompatible duties and the District does not have the resources to hire additional accounting personnel. Completion Date: Not applicable Sincerely, Matthew Street, Superintendent Pierce City School District R-VI
Finding #2025-001 Current Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: Clayton Improvements Association, LTD. ag...
Finding #2025-001 Current Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: Clayton Improvements Association, LTD. agrees with the auditor’s recommendations and will implement procedures to ensure timely filing in the future. For questions regarding this corrective action plan, please contact Kristi Dippel, Executive Director, at (315)686-3212 x2.
Non-compliance with Allowable Cost/Cost principle: Recommendation: The Organization should strengthen internal control so that late fees, finance charges, and penalties are identified and excluded from federal expenditures, provide training to accounting staff on allowable and unallowable costs, and...
Non-compliance with Allowable Cost/Cost principle: Recommendation: The Organization should strengthen internal control so that late fees, finance charges, and penalties are identified and excluded from federal expenditures, provide training to accounting staff on allowable and unallowable costs, and enhance the review expense coding before charges are allocated to federal programs. Planned corrective action: The Organization wil strengthen our internal controls by implementing clear procedures, increasing oversight by management, and ensuring consistent compliance with financial and operational requirements. Enhanced review processes, staff training, and improved documentation standards will support greater accuracy, transparency, and accountability accross all functions. The business office staff will review targeted training on allowable and unallowable costs to reinforce compliance with federal cost principles. In addition,the Organization will enhance its review process to verify accuracy and compliance before any charges are allocated to federal programs. Contact person responsible for corrective action: Steven Mayers Anticipated completion date: May 30, 2026 Status of Implementation: In progress
View Audit 372658 Questioned Costs: $1
The HSOR Fiscal Director and Fiscal Staff will receive T&TA training on financial management system as it relates to compliance with Uniform Guidance 45 CFR Parts 75 1303. As Part of the T&TA training the Fiscal Team will review HSOR policies and procedures that will ensure determining the allowabil...
The HSOR Fiscal Director and Fiscal Staff will receive T&TA training on financial management system as it relates to compliance with Uniform Guidance 45 CFR Parts 75 1303. As Part of the T&TA training the Fiscal Team will review HSOR policies and procedures that will ensure determining the allowability of costs and the terms and conditions of the Federal award. The HSOR Finance Director and their team will ensure that an effective financial management system is established to protect all assets, which will only be used for authorized purposes. The HSOR Fiscal Director will ensure that costs are allocated consistently and verifiably, so that all expenses are supported by proper documentation within the Notice of Award (NOA) variance threshold. These costs must also be allowable, allocable, reasonable, and consistent with federal cost principles and objectives. HSOR's Fiscal Director will revise policies and procedures to include automatic alerts and monthly budget variance checks for identifying when the budget approaches the NOA 25% threshold. HSOR's Fiscal Director will update and review policies and procedures with Board approval to ensure a formal process for escalating budget changes that approach the 25% NOA threshold.
Finding #2025-002 – Significant Deficiency and Other Noncompliance. Applicable federal program: U. S. Department of Health and Human Services, Family Planning Services, Assistance Listing #93.217, Contract Number: FPHPA006521-03-00, Contract Year: 04/01/24 – 03/31/25. Condition and context: During o...
Finding #2025-002 – Significant Deficiency and Other Noncompliance. Applicable federal program: U. S. Department of Health and Human Services, Family Planning Services, Assistance Listing #93.217, Contract Number: FPHPA006521-03-00, Contract Year: 04/01/24 – 03/31/25. Condition and context: During our testing of the Federal Financial Reports, we noted that for both quarters tested (2 out of 2), the entity reported draw down totals as federal expenditures rather than reporting the actual expenditures incurred. WHFPT management identified the errors and filed corrective reports after year-end. Recommendation: Develop a process to ensure that the federal expenditures reported are supported by actual expenditures incurred and provide training to personnel regarding the reporting requirements. Planned corrective action: WHFPT will strengthen its policies and procedures related to quarterly federal financial reporting. Responsible officer: Kristie Bardell, CEO. Estimated completion date: October 31, 2025.
Sterling Health Solutions (SHS) acknowledges the errors identified and is committed to addressing the underlining reasons that caused them. SHS will review all applicable policies and provide additional training to ensure that all personnel responsible for and involved in the sliding fee discount pr...
Sterling Health Solutions (SHS) acknowledges the errors identified and is committed to addressing the underlining reasons that caused them. SHS will review all applicable policies and provide additional training to ensure that all personnel responsible for and involved in the sliding fee discount program adequately demonstrate their understanding of the sliding fee discount application program. SHS will monitor Slide applications on a daily basis and complete, at a minimum, quarterly audits of each clinic’s Slide applications. SHS will provide ongoing training, as necessary, to address any concerns identified during the daily monitoring or quarterly audits.
2025-002 – Lack of Written Policies and Procedures. Auditor Description of Condition and Effect. Although the Village has processes in place to cover these areas, and drafts of formal written policies covering the above items that address all of the area required by the Uniform Guidance have been de...
2025-002 – Lack of Written Policies and Procedures. Auditor Description of Condition and Effect. Although the Village has processes in place to cover these areas, and drafts of formal written policies covering the above items that address all of the area required by the Uniform Guidance have been developed, these policies have not yet been formally approved and adopted by the Village. As a result of this condition, the Village did not fully comply with the Uniform Guidance applicable to the above noted grants. Auditor Recommendation. We recommend that the Village review and approve the draft policies as soon as practical, but no later than the end of fiscal year 2026. Corrective Action. The Village has prepared a policies and procedures manual for the federal grant programs, which will be approved by the Village Council before the end of fiscal year 2026. Responsible Person. Vicki Burrell, Village Clerk. Anticipated Completion Date: February 2026.
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