Open Recommendations

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Establish a means of documenting a list of users with significant information system responsibilities to ensure the listing is complete and accurate and the appropriate training is completed.

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Ensure policies and procedures governing the provisioning and de-provisioning of access to information systems are followed in a timely manner and documentation of completion of these processes is maintained.

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Perform a comprehensive periodic review of the appropriateness of personnel with access to systems.

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Document access rights to systems to include roles, role descriptions and privileges or activities associated with each role and role or activity assignments that may cause a segregation of duties conflict.

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Prepare audit logging and monitoring procedures for databases within application boundaries. Review audit logs on a pre-defined periodic basis for violations or suspicious activity and identify individuals responsible for follow up or elevation of issues to the appropriate team members for review. The review of audit logs should be documented for record retention purposes.

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Establish a means of documenting all users who have access to systems, and all users who had their systems access revoked.

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Establish a methodology to systematically track all configuration items that are migrated to production and be able to produce a complete and accurate listing of all configuration items for both internal and external audit purposes, which will in turn support closer monitoring and management of the configuration management process.

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Enforce existing policy developed by OPM, vendors or federal agencies requiring mandatory security configuration settings and implement a process to periodically validate the settings are appropriate.

Grant Thornton recommends that the Office of the Chief Information Officer (OCIO), in coordination with system owners, enforce and monitor the implementation of corrective actions to: Develop interface / data transmission design documentation that specifies data fields being transmitted, controls to ensure the completeness and accuracy of data transmitted, and definition of responsibilities.

We recommend that the Centers for Medicare & Medicaid Services: take action to ensure that all registered nurses’ supervisory visits of hospice aides are documented in accordance with applicable CMS regulations and interpretive guidelines.

We recommend that the Centers for Medicare & Medicaid Services: promote hospices’ compliance with the condition-of-participation standard that requires registered nurses to visit hospice beneficiaries’ homes at least once every 14 days to assess the quality of care and services provided by hospice aides, which could include: o working with State survey agencies and accreditation organizations to increase emphasis on oversight of this requirement, o educating hospices about the requirements associated with this standard, and o making this standard a quality measure.

We recommend that the Executive Committee establish policies and procedures for ensuring agency compliance with indirect laws, regulations, and contracts.

We recommend that the Executive Committee establish policies and procedures for identifying treaties and international agreements impacting the Railroad Retirement Board or its component, the National Railroad Retirement Investment Trust.

We recommend that the Bureau of Fiscal Operations acquire additional staff and funding to increase the Audit and Compliance Section’s coverage of railroad employer compensation reporting to ensure that a sufficient quantity of railroad audits, including Class 1 railroads, are conducted to establish and maintain a level of control effectiveness.

Calculate and recover the questioned Federal costs, match costs, and related administrative costs. Also, determine the impact on Federal costs due to questioned match costs.

Correct identified safety-critical technical issues before the crewed test flights, including parachute and propulsion systems testing, to ensure sufficient safety margins exist.

We recommend that the BOR determine the cost and benefit of continued operation of the Demo-Plant.

We recommend that the BOR establish specific goals or outcomes if it determines that there is a benefit to continued operation of the Demo-Plant at the conclusion of the cooperative agreement.

We recommend that the BOR establish firm criteria for evaluating the Demo-Plant's future operational performance if the BOR continues Demo-Plant operation.

We recommend that the DOI and its bureaus work with the vendor bank to develop an online review and approval system for cardholders and approving officials and develop policies and procedures that require cardholders and approving officials to use the bank's online system to review and approve transactions.

We recommend that the California Department of Public Health conduct more frequent site surveys at nursing homes to follow up on deficiencies.

(U) Rec. 1.a: Recommendation is Classified.

(U) Rec. 1.b: Recommendation is Classified.

(U) Rec. 1.c: Recommendation is Classified.