Federal Reports

In November 2022, we conducted unannounced inspections of U.S. Customs and Border Protection (CBP) facilities, specifically two U.S. Border Patrol facilities in the El Paso sector and one Office of Field Operations (OFO) port of entry (POE) in El Paso, Texas.

The Office of Inspector General (OIG) performed an inspection of the Farm Service Agency (FSA) to determine the likely level of sophistication an attacker would need to compromise selected USDA systems or data.

The VA Office of Inspector General (OIG) conducted this audit to determine whether the Veterans Benefits Administration’s Veteran Readiness and Employment Service (VR&E) properly approved and monitored participants’ use of Chapter 31–only programs, which assist veterans who have service-connected disabilities that limit employment opportunities. By law, these programs may only be used when approved GI Bill programs are insufficient to meet a veteran’s unique training needs.The OIG found that VR&E did not properly implement a December 2016 law that required individual waivers from the VR&E executive director each time a Chapter 31–only program was selected for a participant. This was because VR&E did not correctly interpret the law. Consequently, VR&E did not issue these veteran-specific waivers and did not implement controls to provide the necessary oversight to limit these programs to veterans with the requisite needs. Further, VR&E did not complete compliance surveys for Chapter 31–only programs, though the law and VR&E’s manual require them. The OIG determined that VA paid over $13 million in questioned costs for these programs that likely would not have received those funds had VR&E limited use of the programs.After the OIG presented its findings, VR&E took steps to remedy these issues, such as issuing new guidance to require approved GI Bill programs to the maximum extent possible or approve each participant individually, ensure proper documentation of decisions, develop training, and update the manual to clarify when these programs may be used.VA concurred with the OIG’s five recommendations to ensure VR&E understands the laws and regulations that govern Chapter 31–only programs, trains all staff on waivers and compliance surveys, reviews and updates the manual as needed, and develops a monitoring process. Two recommendations have been closed as implemented based on VA-submitted documentation.

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the VA Sierra Nevada Health Care System, which includes the Ioannis A. Lougaris VA Medical Center and multiple outpatient clinics in California and Nevada. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (emergency department and urgent care center suicide prevention initiatives)The OIG issued six recommendations for improvement in three areas:1. Quality, Safety, and Value• Peer review aspects of care• Peer Review Committee improvement actions2. Environment of Care• Panic alarm testing documentation• Patient safety cameras• Minimizing risk of self-harm3. Mental Health• Patient follow-up