Federal Reports

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the South Texas Veterans Health Care System in San Antonio. 

This evaluation focused on five key content domains:
     •    Culture
     •    Environment of care
     •    Patient safety
     •    Primary care
     •    Veteran-centered safety net

The OIG issued two recommendations for VA to correct identified deficiencies in two domains:
   1.    Environment of care
     •    Patient care area cleanliness and clean storage areas free of dirty items and equipment
   2.    Patient safety
     •    Service-level workflows for the communication of test results

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 Tampa Healthcare System in Florida. 

This evaluation focused on five key content domains:
     •    Culture
     •    Environment of care
     •    Patient safety
     •    Primary care
     •    Veteran-centered safety net

The OIG issued three recommendations for VA to correct identified deficiencies in two domains:
   1.    Environment of care
     •    Sinks and hand hygiene supplies
     •    Video laryngoscope supplies
   2.    Patient safety
     •    Service-level workflows for the communication of test results

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 Sioux Falls Health Care System in South Dakota. 

This evaluation focused on five key content domains:
     •    Culture
     •    Environment of care
     •    Patient safety
     •    Primary care
     •    Veteran-centered safety net

The OIG issued five recommendations for VA to correct identified deficiencies in two domains:
   1.    Environment of care
     •    Safety risk assessment permits
     •    Construction Safety Committee chair
     •    Privacy curtains in exam rooms
     •    Handrails in Community Living Center hallway
   2.    Patient safety
     •    Communication of abnormal test results

The SBIR and STTR Extension Act of 2022 reauthorized the Small Business Innovation Research (SBIR) and the Small Business Technology Transfer (STTR) programs. The Inspector General of a Federal agency that participates in the SBIR or STTR programs must submit an annual report to Congress describing its investigations involving those programs (15 U.S.C. Section 638b(c). Information in this report presents the OIG investigative information related to SBIR for FY 2025.

Our Objective(s)To assess the Department of Transportation's (DOT) (1) progress implementing the Federal policy on return to in person work and (2) procedures for overseeing compliance with worksite requirements.
Why This AuditSenators Joni Ernst and Ted Cruz requested that our office review DOT's worksite practices in June 2024. We announced an audit shortly thereafter, but in January 2025, the Federal worksite landscape changed significantly. A Presidential Memorandum instructed all eligible Federal employees to return to full-time, in-person work as soon as practicable, essentially eliminating telework and remote work except in limited circumstances.
What We FoundDOT complied with current Federal return to in-person work requirements and guidance.

DOT previously expected telework-eligible staff to work in person 4 days per pay period but now requires full-time, in-person work with few exceptions.
DOT's data show its telework use substantially declined from approximately 38 percent of employees teleworking at least 1 day during a September/October 2024 pay period to just 8 percent by a March/April 2025 pay period.

DOT implemented procedures to oversee individual employee compliance with worksite requirements and began using a broader monitoring process.

DOT had worksite policies in place over the full period of our review that established roles and responsibilities for employees and supervisors participating in telework and remote work, including training requirements.
A few Operating Administrations identified limited instances of employee non-compliance with worksite policies and described corrective actions taken.
DOT began generating regular and recurring reports in June 2025 to review data in timekeeping and other systems to assess employee compliance with in-office requirements Departmentwide, but this process has not been documented.
DOT implemented a data accuracy review process to provide reasonable assurance that the Department's timekeeping and other worksite-related datasets are accurate.

RecommendationsWe made 1 recommendation to fully implement and document DOT's process for monitoring compliance with worksite requirements.

Why We Did This Report

The Office of Inspector General for the U.S. EPA, which also provides oversight for the U.S. Chemical Safety and Hazard Investigation Board, or CSB, contracted with the independent accounting firm SB & Company LLC to initiate an audit of the CSB’s compliance with the Federal Information Security Modernization Act of 2014, or FISMA. While conducting the audit of the CSB’s compliance with FISMA for fiscal year 2025, OIG Project No. OA-FY25-0042, SB & Company identified issues that may have a significant impact on the confidentiality, integrity, and availability of the CSB’s information technology resources. The OIG decided to issue this management alert to inform the CSB of these security concerns because they could affect the CSB’s ability to fulfill its mission and carry out its obligations under FISMA and Office of Management and Budget Memorandum M-25-04. 
 

Summary of Findings

Issues were identified that may have significant impact on the confidentiality, integrity, and availability of the agency’s IT resources. Improvements are needed related to managing privileged user access, availability of audit logs and maintaining an accurate inventory.

The independent public accounting firm of McBride, Lock & Associates, LLC, under contract with the Office of Inspector General, audited Help America Vote Act (HAVA) grants administered by the Montana Secretary of State, totaling $10.83 million. This included federal funds, state matching funds, and interest income earned on the Election Security grant.