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Inspector General Open Recommendations

06/21/2022 - Department of Veterans Affairs Comprehensive Healthcare Inspection of the Washington DC VA Medical Center [Report Details] Inspection / Evaluation - Open Recommendations

09
The Executive Director evaluates and determines any additional reasons for noncompliance and ensures employees complete all required prevention and management of disruptive behavior training based on the risk level assigned to their work areas.
08
The Associate Director, Clinical Services and Associate Director, Patient Care Services evaluate and determine any additional reasons for noncompliance and make certain that required members attend Disruptive Behavior Committee meetings.
07
The Executive Director evaluates and determines any additional reasons for noncompliance and ensures Employee Threat Assessment Team meetings are held and members complete training, as required.
06
The Associate Director, Patient Care Services evaluates and determines any additional reasons for noncompliance and ensures nurse-to-nurse communication occurs between sending and receiving facilities.
05
The Associate Director, Clinical Services and Associate Director, Patient Care Services evaluate and determine reasons for noncompliance and ensure staff monitor and evaluate all inter-facility transfers as part of VHA’s Quality Management Program.
04
The Associate Director, Clinical Services evaluates and determines any additional reasons for noncompliance and ensures staff complete mandatory suicide safety plan training prior to developing suicide safety plans.
03
The Executive Director evaluates and determines any additional reasons for noncompliance and makes certain that credentialing staff complete primary source verification of all registered nurses’ licenses prior to initial appointment.
02
The Executive Director evaluates and determines any additional reasons for noncompliance and designates a systems redesign and improvement coordinator.
01
The Executive Director evaluates and determines reasons for noncompliance and ensures leaders identify adverse events as sentinel events when criteria are met and conduct institutional disclosures as required.

06/21/2022 - National Science Foundation Performance Audit of Incurred Costs – Cal Poly Corporation [Report Details] Audit - Open Recommendations

5.2
Direct Cal Poly to (i) strengthen its administrative and management procedures to ensure travelers submit their travel expense reports within 10 days of returning from their trip, and/or (ii) update its policies and procedures to reflect its current expense reimbursement policies.
5.1
Direct Cal Poly to strengthen its administrative and management procedures to ensure the appropriate personnel complete and authorize an independent contractor agreement before a consultant begins work on a project.
4.3
Direct Cal Poly to strengthen its policies and procedures for creating and retaining documentation, including introducing additional controls to help ensure that it appropriately creates and maintains all documentation necessary to support the allowability of travel expenses charged to sponsored programs. Updated procedures could include: • Requiring travelers to document the business purpose of each day of a planned trip before charging travel costs to NSF awards. • Implementing additional reviews for all airfare purchases, including requiring the reviewer to verify that the traveler purchased an economyclass ticket before charging the expense to an NSF award. • Verifying that subawardees claiming travel costs on federal awards provide sufficient documentation to support the allowability of claimed expenses.
4.2
Direct Cal Poly to provide documentation supporting that it has repaid or otherwise credited the $661 of questioned subawardee travel costs for which it has agreed to reimburse NSF.
4.1
Resolve the $3,520 in questioned inadequately supported travel expenses for which Cal Poly has not agreed to reimburse NSF and direct Cal Poly to repay or otherwise remove the sustained questioned costs from its NSF awards.
3.2
Direct Cal Poly to strengthen its monitoring procedures and internal control processes for applying indirect costs to federal awards. Updated procedures could include implementing an annual review process for costs charged to awards that include funding for participant support costs to ensure Cal Poly is appropriately segregating these expenses in accounts that it has excluded from its Modified Total Direct Cost base.
3.1
Direct Cal Poly to provide documentation supporting that it has repaid or otherwise credited the $4,699 in questioned indirect costs for which it has agreed to reimburse NSF.
2.2
Direct Cal Poly to strengthen its administrative and management controls and processes for supporting the allocation of expenses to sponsored projects. Updated processes could include: • Implementing a standard documentation and retention process to support the allocation of publication costs that benefit multiple awards. • Requiring Principal Investigators or other designated staff to both document and justify the allocation methodologies used when charging expenses to sponsored projects near the grant expiration date. • Performing reconciliations at the end of each summer program to verify that the costs charged to sponsored projects were appropriate based on the number of program participants.
2.1
Direct Cal Poly to provide documentation supporting that it has repaid or otherwise credited the $9,059 in questioned publication, supply, and participant support costs for which it has agreed to reimburse NSF.
1.4
Direct Cal Poly to strengthen its processes and procedures surrounding the booking and approval of travel expenses. Updated procedures could include implementing additional reviews for all airfare purchases, including requiring the reviewer to verify the traveler purchased an economy-class ticket and/or has appropriate justification for a travel upgrade before charging the travel expense to an NSF award.
1.3
Direct Cal Poly to implement additional administrative and management procedures surrounding the payment of intra-Institution of Higher Education consulting services. Updated procedures should require that Cal Poly: • Request and receive approval from NSF before charging NSF awards for intra-Institution of Higher Education consulting payments made to Cal Poly employees. • Document the methodology used to calculate the amount of any intraInstitution of Higher Education consulting payments made to Cal Poly employees.

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