Open Recommendations

We recommend the Commissioner of CBP develop and implement controls to ensure CBP officers and agents send documents to the Fraud Detection and Analysis Unit, as required.

We recommend the Senior Vice President, Transmission, evaluate Transmission’s budget and determine if there are other funds that could be reallocated to close the funding gap or consider escalating the request for additional funding.

Verify that Tech2Peace corrects the instance of material noncompliance detailed on pages 17 to 18 of the audit report

The Country Director establishes memoranda of understanding, or informal cooperative agreements with clear expectations, with the Madagascar ministries of health, education, and agriculture.

The Office of Volunteer Recruitment and Selection, the Office of Communications, and the post work together to develop and implement strategies that address applicant concerns specific to Madagascar to increase application and retention rates.

The Country Director develops post-specific procedures for receiving and responding to Safety and Security incidents, to include roles and responsibilities, and then trains staff in those procedures.

The Country Director works with the Peace Corps Medical Officers to ensure they visit more Volunteers at site per TG 204 requirements and develop and implement a plan to assess healthcare facilities and consultants as required.

The Chief Information Officer should ensure that the ECM Office prioritizes incorporating and decommissioning
of the legacy case management systems.

The Chief Information Officer should ensure that all existing legacy case management systems, and any new projects incorporated into the ECM platform, comply with the April 2025 legacy definition.

The Under Secretary for Health ensures that VA homeless program staff consistently document, in patients electronic health records, the clinical information from the Homeless Operations Management and Evaluation System.

The Under Secretary for Health makes certain that a suicide risk screening is completed with patients during intake into VA homeless programs, consistent with Veterans Health Administration policy.

The Under Secretary for Health ensures that staff complete suicide risk screening in response to danger of self-harm identified in the Homeless Operations Management and Evaluation System.

The Under Secretary for Health makes certain that homeless program staff provide and document care coordination to address patients mental health and substance use disorder treatment needs as identified in the Homeless Operations Management and Evaluation System.

Executive leaders ensure there are clear signs during construction projects, and maps at the main entrance information desk to help veterans navigate the facility.

The Medical Center Director ensures contractors inspect and test emergency generators and fire doors as required, and staff report compliance to an environment of care committee.

The Associate Director of Patient Care Services/Nurse Executive ensures nursing staff monitor proper food clean-up, storage, and disposal in the Mental Health Residential Rehabilitation Treatment Programs areas.

The Medical Center Director ensures staff refill hands-free sanitizer dispensers throughout the facility.

Executive leaders ensure staff develop service-level workflows for the communication of test results for each service.

The Medical Center Director ensures staff implement a process to monitor providers compliance with communicating abnormal test results to patients.

Executive leaders ensure staff complete improvement actions from root cause analyses within one year.

Facility leaders ensure providers who order tests communicate the results to patients timely.

Require annual training for personnel responsible for reporting mail conditions to improve mail condition reporting accuracy.

In coordination with the Vice President, Technology Applications, update policies and manuals related to condition reporting to include newly established categories and mail conversion rates in the Mail Condition Visualization system and Handbook M-32.

Some or all of the recommendation is not publicly available due to concerns with information protected under the Freedom of Information Act.

Develop and implement periodic reviews of scanner inventory.