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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of the Interior
Progress Made by the U.S. Department of the Interior in Implementing Government Charge Card Recommendations, Fiscal Year 2025
Peace Corps OIG'S Semiannual Report to Congress describes OIG's work in identifying significant findings relating to the Peace Corps' administration programs and operations at both headquarters and overseas posts during the semiannual reporting period from April 1, 2025, through September 30, 2025.
Chemical Safety and Hazard Investigation Board, Environmental Protection Agency
OIG Report to the Office of Management and Budget on the EPA’s and the CSB’s Implementation of Recommendations Related to Purchase and Travel Card Programs
The Government Charge Card Abuse Prevention Act of 2012, Pub. L. No. 112-194, requires inspectors general to conduct periodic audits and assessments of purchase card programs and periodic audits or reviews of travel card programs at their agencies.
Summary of Findings
The U.S. Environmental Protection Agency Office of Inspector General conducts periodic audits, assessments, and reviews of the travel and purchase card programs at the EPA and the U.S. Chemical Safety and Hazard Investigation Board. In fiscal year 2025, however, we did not perform a purchase or travel card program audit, assessment, or review for the EPA or the CSB. Also, as of the date of this letter, there are no outstanding OIG recommendations related to the EPA or CSB travel and purchase card programs.
The Government Charge Card Abuse Prevention Act of 2012, Pub. L. 112-194, and Office of Management and Budget Circular No. A-123, Appendix B, A Risk Management Framework for Government Charge Card Programs, directs each head of an executive agency with more than $10 million in purchase card spending annually, and each inspector general of such an executive agency, to submit to the OMB director, on a semiannual basis, a joint report on purchase card violations.
Summary of Findings
The U.S. Environmental Protection Agency prepared the Semi-Annual Report on Purchase Charge Card Violations for the period of April 1, 2025, to September 30, 2025. The EPA reported no violations for the period. The OIG received no information that is inconsistent with the EPA’s violation report for the reporting period. Additionally, the OIG received no allegations of misuse of the government purchase card for the semiannual period.
This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Central Alabama Health Care System in Montgomery.
This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety • Primary care • Veteran-centered safety net
The OIG issued 15 recommendations for VA to correct identified deficiencies in three domains: 1. Environment of care • Detectable warning surfaces • Training for toxic exposure screenings • Repeat findings • Biohazardous material storage • Clean and safe environment 2. Patient safety • Communication of test results • Peer Review Committee attendance • Sentinel events and institutional disclosures • Action plan tracking • Medical emergency roles and responsibilities • Emergency response policy • Basic life support certification 3. Primary care • Patients assigned to primary care teams
Review of Veterans Integrated Service Network 7 Leaders’ Effectiveness in Resolving Operational and Leadership Challenges at the VA Dublin Healthcare System in Georgia
The VA Office of Inspector General (OIG) conducted an inspection to evaluate the Veterans Integrated Service Network (VISN) 7 leaders’ effectiveness in identifying and resolving concerns regarding the VA Dublin Healthcare System’s (system’s) leadership and operational challenges.
The OIG determined VISN leaders engaged with system leaders and identified clinical vulnerabilities and operational deficiencies during 2022 and 2023 VISN site visits but did not hold system leaders accountable for resolving the issues. Not providing continued oversight contributed to prolonged unsafe clinical practices later identified by Veterans Health Administration’s (VHA’s) Office of Nursing Service in June 2024, that led to the curtailment of patient admissions to the community living center, domiciliary, and inpatient acute care units.
The OIG found VHA has not clearly established VISN leaders’ roles, responsibilities, and authorities in a manner that empowers VISN leaders to provide proactive oversight and hold system leaders accountable for promptly addressing and resolving deficiencies. These shortcomings likely contributed to VISN executive leaders’ passive oversight. At the time of the publication of this report, VHA announced significant changes in VHA’s management structure.
As of December 2024, the system’s units were open for patient admissions and services. On November 2, 2025, a new System Director was permanently appointed; however, remaining members of the executive leadership team are either acting or interim leaders.
The OIG made one recommendation to the Under Secretary for Health related to standardizing the VISN Chief Medical Officer and Chief Nursing Officer roles and responsibilities, and two recommendations to the VISN Network Director related to providing sustained system support and resolution of identified deficiencies. The Acting Under Secretary for Health concurred in principle and the VISN Director concurred with and provided action plans to address the OIG’s recommendations. The OIG considers the recommendation to the Under Secretary for Health closed at publication.