Open Recommendations

Treasury Office of Inspector General should follow-up with Mississippi's management to confirm if the $1,320,000 noted as unsupported expenditures within the Direct Payments greater than or equal to $50,000 payment type can be supported. If support is not provided, Treasury Office of Inspector General should recoup the funds or request Mississippi management to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance. Further, based on Mississippi's responsiveness to Treasury Office of Inspector General's requests and its ability to provide sufficient documentation and/or replace unsupported transactions charged to CRF with valid expenditures, Treasury…

Treasury Office of Inspector General should follow-up with Mississippi's management to confirm if the $4,066 noted as unsupported expenditures within the Aggregate Payments to Individuals payment type can be supported. If support is not provided, Treasury Office of Inspector General should recoup the funds or request Mississippi management to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance. Further, based on Mississippi's responsiveness to Treasury Office of Inspector General's requests and its ability to provide sufficient documentation and/or replace unsupported transactions charged to CRF with valid expenditures, Treasury Office of Inspector General…

For the Fiscal Year 2021 Single Audit report, Treasury Office of Inspector General should follow-up with Treasury's Office of Capital Access to ensure that management decision letters are issued on the findings identified by the auditor in the Single Audit report and should follow-up on any CRF related questioned costs.

Treasury Office of Inspector General should follow-up with Mississippi to determine the feasibility of conducting a limited scope review of its unemployment expenditures.

Office of Inspector General (OIG) request Arizona perform an assessment over whether there were any additional indirect costs claimed within its Grants greater than or equal to $50,000 CRF submission, and identify those for removal and repayment to Treasury, as applicable. In addition, Castro recommends that Treasury OIG request that Arizona management provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance for the $55,413 of ineligible costs charged to the Grants greater than or equal to $50,000 payment type. If support is not provided, Treasury OIG should recoup the funds.

Treasury OIG follow-up with Arizona's management to confirm if the $117,614,002 noted as unsupported expenditures within the Transfers greater than or equal to $50,000 payment type can be supported. If support is not provided, Treasury OIG should recoup the funds or request Arizona's management to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance. Further, based on Arizona management's responsiveness to Treasury OIG's requests and management's ability to provide sufficient documentation and/or replace unsupported and ineligible transactions charged to CRF with valid expenditures, Castro recommends Treasury OIG determine the feasibility of conducting…

Treasury OIG request that Arizona management completes a reconciliation of its Transfers greater than or equal to $50,000 population utilizing state agency incurred expenditures at the invoice level. Based on Arizona management's ability to provide a sufficient general ledger detail reconciliation for Transfers greater than or equal to $50,000, we recommend Treasury OIG determine the feasibility of performing additional testing over Transfers greater than or equal to $50,000.

Treasury OIG determine the feasibility of performing additional follow-up with Arizona to determine if there were other instances of unsupported balances within the remaining untested balance of Substantially Dedicated Payroll costs. Castro further recommends that Treasury OIG follow-up with Arizona's management to confirm if the $18,133,411 noted as unsupported expenditures within the Aggregate Payments to Individuals payment type can be supported. If support is not provided, Treasury OIG should recoup the funds or request Arizona's management to provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance. Further, based on Arizona management's responsiveness…

Request documentation of any additional annual leave payments that were earned prior to the CRF covered period were claimed as CRF expenses, and identify those for reversal and repayment to Treasury, as applicable. Additionally, request Arizona provide support for replacement expenses, not previously charged, that were eligible during the CRF period of performance for the $18,631 of ineligible costs charged to the Aggregate Payments to Individuals payment type. If support is not provided, recoup the funds. Based on Arizona's responsiveness to Treasury OIG's requests and Arizona's ability to provide sufficient documentation and/or replace ineligible transactions charged to CRF with valid…

The OIG recommends that executive leaders ensure staff store all high-alert medications in a secure or locked area.

The OIG recommends that executive leaders ensure staff follow their processes to prevent the storage of expired medical supplies and that supply areas remain clean.

The OIG recommends that executive leaders ensure staff keep the facility free of temporary signage that may interfere with cleaning and disinfection processes.

The OIG recommends that executive leaders ensure quality management staff implement an oversight process to validate providers compliance with patient communication and follow-up for urgent, noncritical abnormal test results.

The OIG recommends that executive leaders ensure all directories are accurate and provide specific details so veterans can easily navigate the facility.

The OIG recommends that executive leaders implement additional features to aid veterans with sensory impairments to navigate the facility.

The OIG recommends that executive leaders ensure staff train patient escorts on how to effectively communicate with sensory-impaired veterans.

The OIG recommends that executive leaders ensure the Comprehensive Environment of Care Committee reviews environment of care deficiencies for trends and opportunities for improvement.

The OIG recommends that executive leaders ensure staff review patient safety events for trends and system vulnerabilities and implement process improvement actions to prevent future occurrences.

The OIG recommends facility leaders ensure staff secure all medications and the supplies used to administer medications in the Emergency Department.

The OIG recommends facility leaders confirm staff are knowledgeable about how the lobby kiosks function to assist veterans with sensory impairments.

Confirm timely completion of required training courses for Florida 3 District postmasters and supervisors.

Ensure that FMC Devens Executive Leadership and the Central Office's Human Resource Management Division discuss the staffing projection tool methodology and how it compares with FMC Devens Executive Leadership's understanding of its current and potential future mission needs to ensure greater alignment between stakeholder staffing projections.

Ensure that FMC Devens follows BOP guidance for buprenorphine and naloxone administration and observation and that all FMC Devens employees who administer medication receive training on BOP guidance and policies for medication administration.

Implement a plan to address the medical record backlog at FMC Devens.

Ensure that FMC Devens develops a consistent and accurate medical record tracking procedure with the contracted company that includes regular and recurring reconciliation of outside inmate medical records between FMC Devens and the contracted company.