Open Recommendations

CMS should include on Hospice Compare the survey reports from State agencies

CMS should include on Hospice Compare the survey reports from accrediting organizations, once authority is obtained

CMS should expand the deficiency data that accrediting organizations report to CMS and use these data to strengthen its oversight of hospices

CMS should monitor surveyors' use of Immediate Jeopardy citation

We recommend the Federal Coordinating Officer for FEMA-4339-PR conduct a comprehensive analysis of Cobra contract costs in accordance with PA grant guidelines and disallow any costs that are not reasonable.

We recommend that the New York State Department of Health refund $65,468,943 to the Federal Government.

Embassy Port-au-Prince should close out procurement files in accordance with Department standards.

The Bureau of Overseas Buildings Operations, in coordination with Embassy Port-au-Prince, should connect the “Stecher-Roumain” housing compound to the local power grid, and put funds of up to $3.03 million over 5 years to better use.

Embassy Port-au-Prince should clear overdue travel advances in accordance with Department guidelines, and put up to $146,557 to better use.

OIG recommends that the Bureau of Counterterrorism and Countering Violent Extremism, in coordination with the Office of the Legal Adviser, provide written guidance for developing and implementing programs and projects intended to rehabilitate and reintegrate former violent extremists into society in a manner consistent with U.S. laws prohibiting material support to terrorists and terrorist organizations.

Develop and implement electronic checks in the EPA’s Emissions Collection and Monitoring Plan System or through an alternative mechanism to retroactively evaluate emissions and quality assurance data in instances where monitoring plan changes are submitted after the emissions and quality assurance data have already been accepted by the EPA.

We recommend that FDA ensure that its registered entities verify and maintain documentation to assure that employees who are required to have select agent training understand the training received.

We recommend that FDA update its registered entities' security plans to include procedures for notifying FSAP if a select agent package is received damaged to the extent that a release of the select agent may have occurred.

We recommend that FDA update its registered entities' security plans to include procedures for notifying FSAP if a select agent transfer authorization becomes void because the facts supporting the authorization changed.

We recommend that FDA Update its policies for shipping inactivated select agents to require that its registered entities record a description of the viability testing protocol used, the names of the personnel who inactivated the select agent, and the location of the inactivation.

We recommend that FDA update its registered entities' security plans to include procedures for notifying FSAP if a select agent shipment is not received within 48 hours after the expected time of delivery.

We recommend that FDA update its registered entities' security plans to include procedures for notifying FSAP if a select agent shipment will not be completed within 30 calendar days after transfer authorization issuance.

Issue guidance to PHAs to ensure any applicant for or tenant of public or assisted housing whose name appears on the SAM excluded parties list are reviewed by PHAs to determine eligibility in a manner consistent with the regulations in 2 CFR 180 and 2424 so that ineligible applicants or tenants are not admitted or recertified to put up to $13.7 million to better use.

Complete the actions and milestones identified in the Office of Pesticide Programs’ PRIA Maintenance Fee Risk Assessment document and associated plan regarding the fee payment and refund posting processes.

We recommend the Under Secretary for Management ensure the designated entity implement a formal reporting process, with documented procedures for handling and reporting all misconduct allegations.

We recommend the Under Secretary for Management require that the designated misconduct oversight entity conduct a comprehensive assessment of components' policies to establish a baseline for handling allegations and disciplinary actions that promotes quality and consistency across components.

We recommend the Chief Human Capital Officer work with the Under Secretary for Management to require the designated misconduct oversight entity: a. identify all offices that receive misconduct allegations or identify potential misconduct; and b. establish a system of record and process to routinely capture, manage, and monitor components' management of misconduct.