Open Recommendations

We recommend the San Diego Sector Chief, Border Patrol, CBP, implement and regularly monitor quality assurance mechanisms at short-term holding facilities to ensure detainee high-dollar currency amounts and other valuable property are itemized, documented, securely stored, and transited with detainees when they are transferred, repatriated, or released.

We recommend the San Diego Field Office Director, OFO, CBP, implement and regularly monitor quality assurance mechanisms at short-term holding facilities to ensure detainee high-dollar currency amounts and other valuable property are itemized, documented, securely stored, and transited with detainees when they are transferred, repatriated, or released.

We recommend the Office of Chief Medical Officer, CBP, ensure the medical contractors are following the Migrant Foreign Medications Validation Guidance and identify corrective actions to reduce the number of CBP-purchased prescriptions that are discarded.

We recommend the San Diego Sector Chief, Border Patrol, CBP, complete the scheduled antimicrobial coating project of the Chula Vista Border Patrol station holding rooms.

We recommend FEMA’s Administrator communicate non-Federal cost share requirements to grant recipients.

We recommend FEMA’s Administrator obtain the necessary supporting documentation or begin the process to recover $199,083 in Federal reimbursements resulting from $281,045 in unallowable costs for two PSGP recipients to meet their respective cost shares.

We recommend FEMA’s Administrator modify the applicant risk review process to use histories of past noncompliance and document the risk analysis and determination when assessing an applicant’s overall risk level.

We recommend FEMA’s Administrator modify the applicant risk review process to use histories of past noncompliance and document the risk analysis and determination when assessing an applicant’s overall risk level.

We recommend FEMA’s Administrator, in consultation with the Coast Guard, develop and implement a formal plan that includes required actions, projected milestones, and necessary support to track and measure PSGP’s performance in strengthening the security and resiliency of the Nation’s ports against emerging threats.

We recommend the Senior Vice President, Generation Projects and Fleet Services, establish steps to verify implementation estimates include the complete scope of work and are developed using definitive costs.

We recommend the Senior Vice President, Generation Projects and Fleet Services obtain additional support for the five project change requests with insufficient details to determine if the approval amounts should be revised.

We recommend the Senior Vice President, Generation Projects and Fleet Services take steps to reinforce the (1) need for adequate support before approving project change requests and (2) requirement for project change requests to document project estimate revisions.

We recommend that the Senior Vice President, Generation Projects and Fleet Services, in conjunction with the Office of the General Counsel, educate the appropriate individuals on the importance of not sharing confidential contractor information.

The VA Fayetteville Coastal Healthcare System Director reviews the endocrine consult management process and takes actions as needed to ensure compliance with current Veterans Health Administration directives and guidance.

The VA Fayetteville Coastal Healthcare System Director implements a strategy to review patients affected by delayed endocrine consults to evaluate whether harm occurred and the appropriateness of institutional disclosures.

The VA Fayetteville Coastal Healthcare System Director ensures a sustainable and effective service line agreement between endocrine and primary care services is developed and agreed upon by both services, and monitors implementation.

The VA Fayetteville Coastal Healthcare System Director confirms effective utilization of endocrine clinic appointments to ensure timely access to care.

The VA Fayetteville Coastal Healthcare System Director ensures a process is in place for monitoring and tracking clinic profile modification requests.

The VA Mid-Atlantic Health Care Network Director reviews the leadership performance of the chief of medicine related to communication and collaboration and takes action as necessary.

The VA Fayetteville Coastal Healthcare System Director evaluates communication gaps identified in this report between leaders of primary care and the Medicine Service and takes action to ensure consistency with Veterans Health Administration High Reliability Organization goals.

Create job positions where the primary responsibility is to oversee regional coordination of the shipping and handling of day-old poultry between internal and external stakeholders.

Revise Publication 52 to define when day-old poultry should be disposed of as an injurious item.

Along with the Vice President, Delivery Operations; Vice President, Processing Operations; and Vice President, Logistics, develop and provide training to staff on the correct processes for the disposal of day-old poultry.

Establish recurring meetings throughout peak shipping season of day-old poultry with the applicable internal and external stakeholders to discuss issues and implement immediate corrective action.

Communicate to staff each year the acceptance procedures for day-old poultry prior to the start of peak shipment season.