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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 Health & Human Services
California Needs To Improve Oversight of Community-Based Adult Services Providers' Compliance With Health and Safety and Administrative Requirements
We have conducted health and safety reviews of adult day care facilities, adult day service centers, and adult foster care homes in various States. Those reviews identified multiple health and safety issues that put vulnerable adults at risk. We conducted this review to determine whether similar issues existed in California's Community-Based Adult Services Program (the Program). California operates the Program under a Federal waiver to its Medicaid State plan. The Program funds community-based adult services for people aged 65 years and older and individuals with disabilities aged 18 years and older who are eligible for medical assistance and require the level of care provided in a nursing home but choose to live in the community. These services include skilled nursing care, social services, therapies, and personal care.
FEMA did not take sufficient actions to prevent fraud, waste, and abuse of transportation assistance funds for vehicles considered damaged or destroyed by Hurricanes Harvey, Irma, and Maria in FY 2017. These weakness occurred because FEMA does not require that agencies collect and retain documentation used to establish applicant eligibility; consider pre-disaster vehicle market value when determining award amounts; provide guidance to state, territorial and tribal governments on how to set transportation assistance thresholds; and conduct post-payment reviews to ensure funds are spent appropriately. We made three recommendations that, when implemented, will help FEMA ensure it is spending Federal funds for transportation assistance properly. FEMA concurred with one recommendation and non-concurred with two recommendations.
This report provides the results of our audit to assess the Department of Commerce’s (the Department’s) cybersecurity information sharing program, consistent with the Cybersecurity Information Sharing Act of 2015 (CISA). Our audit objective was to determine the capabilities and practices of the Department to carry out cybersecurity information sharing.
This report updates prior reports dealing with grants administered by ARC for which no payments have been made at least 24 months since grant approval, grants with expiration dates and remaining balances, smaller and zero balances