Finding 41798 (2022-001)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-03-21
Audit: 38645
Organization: Holy Family University (PA)

AI Summary

  • Core Issue: The University has not conducted required risk assessments for protecting student financial aid information, violating GLBA standards.
  • Impacted Requirements: The lack of risk assessments affects employee training, information systems security, and safeguards against data breaches.
  • Recommended Follow-Up: The University should perform and document an annual risk assessment, ensuring safeguards are in place for each identified risk.

Finding Text

Award Year: July 1, 2021 - June 30, 2022 Federal Agency: U.S. Department of Education Pass Through Entity: Not applicable Criteria: In accordance with Title IV regulations (CFR 314.1 (b)), an Institution must protect student financial aid information by designating an individual to coordinate the information security program, perform a risk assessment that addresses (1) employee training and management; (2) information systems, including network and software design, as well as information processing, storage, transmission and disposal; and (3) detecting, preventing and responding to attacks, intrusions, or other systems failures, and document safeguards for identified risks. Condition: The University has not performed a risk assessments to address (1) employee training and management; (2) information systems, including network and software design, as well as information processing, storage, transmission and disposal; and (3) detecting, preventing and responding to attacks, intrusions, or other systems failures, and document safeguards for identified risks as required by the Gramm-Leach Bliley Act (GLBA). In addition, the University has not documented safeguards for identified risks. Cause: The University did not have procedures and processes in place specific to GLBA and therefore, did not document the required risk assessment or risk mitigation. Effect: With no formal policies and procedures surrounding student information security, the University may be susceptible to threats of consumer nonpublic personal information. Failure to comply with GLBA standards may bring penalties ranging from monetary fines to restriction or loss of eligibility for Title IV funding. Questioned Costs: None. Recommendation: The University should perform and document an annual risk assessment to determine the University's specific risks relevant to protecting consumer nonpublic personal information. At a minimum, the University should have at least one risk statement aligned or referenced to each of the three required areas noted in the GLBA law at 16 CFR 314.4 (b). Finally, the University should identify and document at least one safeguard (i.e., control) for each of the risks identified and document in the risk assessment. Each control should be aligned or referenced to the risk(s) to which the safeguard applies. Management Response: While a specific GLBA audit has not been performed, the general guidance from the National Institute of Standard and Technology (NIST) is well aligned with the controls needed to protect data as required by the Family Educational Rights and Privacy Act (FERPA) guidance.In addition to these policies and procedures in place at the University, in November 2021, an Interim CIO consultant was engaged to assess the technology environment and make recommendations. Risk-based priorities were established that included strengthening the network, firewalls, email access (including Multi-Factor Authentication (MFA)), applications and policies/procedures. The Interim CIO consultant was hired as a fulltime employee as of January 1, 2022. A significant investment was made to upgrade and enhance the security features of the network. Moving forward, management plans to address 1) designing a student portal to mitigate risks associated with data in transit from students and 2) reviewing and updating policies to align with stronger security measures required by employees, account deactivation, guidance/consolidation of data storage and new processes being streamlined across the University initiated by new leadership and organizational re-alignment.

Corrective Action Plan

Holy Family University respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Baker Tilly US, LLP 1650 Market Street, Suite 4500 Philadelphia, Pennsylvania 19103 Audit period: June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs are discussed below. Finding 2022-001: Special Tests and Provisions - Gramm-Leach Bliley Act (?GLBA?) 84.268 Federal Direct Loan Program; 84.063 Federal Pell Grant Program, 84.033 Federal Work Study Program, 84.007 Federal Supplemental Education Opportunity Grant; 84.038 Federal Perkins Loan Program Recommendation: The University should perform and document an annual risk assessment to determine the University's specific risks relevant to protecting consumer nonpublic personal information. At a minimum, the University should have at least one risk statement aligned or referenced to each of the three required areas noted in the GLBA law at 16 CFR 314.4 (b). Finally, the University should identify and document at least one safeguard (i.e., control) for each of the risks identified and document in the risk assessment. Each control should be aligned or referenced to the risk(s) to which the safeguard applies. Action Taken: The institution acknowledges and understands the requirements set forth by the Gramm-Leach-Bliley Act (GLBA) and is in the process of selecting a qualified individual for the partner role. Our team is actively developing a timeline to ensure full compliance with GLBA by June 9, 2023. In order to prioritize our efforts, we have identified areas of risk and implemented risk-based priorities to strengthen our network security, including firewalls, email access with Multi-Factor Authentication (MFA), applications, and policies/procedures. As part of our compliance efforts, our team will conduct a risk assessment to address three areas of concern, including 1. employee training and management 2. information systems (including network and software design 3. as well as information processing, storage, transmission, and disposal), and detecting, preventing and responding to attacks, intrusions, or other systems failures. We will document safeguards for identified risks by June 30, 2023. Name(s) of Contact Person(s) Responsible for Corrective Action: Mark Green, Associate Vice President Institutional Effectiveness, IT, and Innovation Anticipated Completion Date: June 9, 2023 If there are any questions regarding this corrective action plan please contact Eric Nelson, Vice President for Finance & Administration, at enelson@holyfamily.edu.

Categories

Student Financial Aid Subrecipient Monitoring Eligibility

Other Findings in this Audit

  • 618240 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
84.268 Federal Direct Student Loans $21.95M
84.063 Federal Pell Grant Program $4.04M
84.425 Education Stabilization Fund $971,750
93.364 Nursing Student Loans $727,257
84.038 Federal Perkins Loan Program $408,603
84.031 Higher Education_institutional Aid $355,140
84.033 Federal Work-Study Program $296,257
84.007 Federal Supplemental Educational Opportunity Grants $181,435
93.264 Nurse Faculty Loan Program (nflp) $50,703