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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
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Department of Veterans Affairs
Care Failures for a Patient with Alcohol Withdrawal at the Hampton VA Medical Center in Virginia
The U.S. Environmental Protection Agency Office of Inspector General is issuing this report addressing concerns regarding access to Superfund information identified in the EPA’s annual reports to Congress.
Summary of Findings
We discovered that more than half of federal facility and some nonfederal facility Five-Year Reviews, or FYRs, are not publicly available, despite the EPA stating in its annual Superfund FYR Reports to Congress that the FYRs can be found on its “Search for Superfund Five-Year Reviews” webpage.
After meeting with more than 140 individuals from DHS and other Federal agencies, we determined U.S. Immigration and Customs Enforcement (ICE) cannot effectively monitor the location and status of all unaccompanied alien children (UACs) once released or transferred from Department of Homeland Security and U.S. Department of Health and Human Services’ (HHS) custody. From fiscal years 2019 to 2023, ICE transferred more than 448,000 UACs to HHS; most were released to sponsors. However, more than 31,000 of the 448,000 children’s release addresses were blank, undeliverable, or missing apartment numbers. ICE also was not always aware of the location for UACs who fled HHS’ custody.
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 Hampton Healthcare System in Virginia.
This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety • Primary care • Veteran-centered safety net
The OIG issued six recommendations for improvement in three domains: 1. Environment of care • Accessible parking space access aisles and pavement markings • Crosswalk visibility and pedestrian safety • Doorway safety • Hand hygiene supplies 2. Patient safety • Communication of test results 3. Veteran-centered safety net • Social work positions
Jacksonville State University (Jacksonville State) did not always account for and expend Federal Emergency Management Agency (FEMA) grant funds according to Federal regulations and FEMA guidelines. Specifically, Jacksonville State did not fully comply with Federal regulations and FEMA guidelines to include federally required contract provisions in its disaster contracts. Jacksonville State’s exclusion of the required contract provisions exposed FEMA funding to unnecessary risks.
The AmeriCorps Office of Inspector General investigated potential displacement of paid staff at Hawaii Community Assets (HCA), undisclosed dual employment by a program official at HCA and Aloha United Way (AUW), and improper charging of time by two Volunteers in Service to America (VISTA) program officials at AUW.
