Open Recommendations

Ensure all unaddressed facility conditions that we identified as deficient (torn bedding and plumbing issues) are corrected.

Ensure facility staff are aware of what criteria constitute a use of force event and reinforce the practice of documenting and reviewing such events.

Ensure paper forms for facility requests are available, collected, logged, and responded to within 3 business days of receipt.

Ensure electronic request and grievance logs are available for inspection, as required.

Ensure classification records document the date and time detainees are classified, as required.

We recommend that the Plan return $103,555 to the FEHBP for defective pricing.

We recommend that the Plan return $4,547 to the FEHBP for LII, calculated through November 30, 2022. We also recommend that the Plan return LII on amounts due for the period beginning December 1, 2022, until all defective pricing finding amounts have been returned to the FEHBP.

STB perform a review of all employees' leave balances to ensure they are accurate and comply with 5 United States Code (U.S.C.) 6304 requirements.

STB work with its payroll service provider to determine and address the cause of the error.

STB perform a review of the identified employee's leave balances (i.e., beginning balance, leave accrued/taken, and ending balance) for each year since the error first occurred in order to recalculate the employee's corrected leave balance.

Management record all equipment purchases that meet its capitalization thresholds as capitalized assets. If the acquired property is not ready to be placed into service, then that property should be classified as Construction in Progress or Other General Property, Plant and Equipment, depending on the circumstances that apply to the purchased items at that time.

Management regularly assess all capitalized property and identify assets that require reclassification, such as when assets are being placed into, or taken out of, service.

Management update its financial reporting and property management policies and procedures to include the recording of new capitalized purchases in accordance with generally accepted accounting principles.

Implement procedures and related mechanisms to show when unobligated transferred funds are obligated and to what projects.

Advise WSDOT as part of stewardship and oversight activities to include change orders in WSDOT's next project management review of SDOT.

Direct the FHWA WA Division to review WSDOT's established process of reviewing subrecipients' supporting documentation for internal staffing charges (e.g., billing records, invoices, timecards) to ensure compliance with 2 CFR 200.403.

The Under Secretary for Health ensures the Office of Mental Health and Suicide Prevention develops, implements, and monitors action plans to meet Intensive Community Mental Health Recovery visit frequency requirements, to include program resource needs and the ongoing role for virtual care.

The Under Secretary for Health requires the Office of Mental Health and Suicide Prevention to develop a process for Intensive Community Mental Health Recovery programs to ensure veterans receiving low-intensity services do not represent greater than 20 percent of caseloads and to distinguish between veterans receiving high- and low-intensity services for accurate and effective program oversight.

The Under Secretary for Health identifies barriers and ensures healthcare systems develop, implement, and maintain contingency plans specific to Intensive Community Mental Health Recovery programs regarding veteran access to medications during emergencies, including long-acting injectable antipsychotic medications.

The Under Secretary for Health ensures the Office of Mental Health and Suicide Prevention develops, implements, and monitors action plans to meet Intensive Community Mental Health Recovery visit frequency requirements, to include program resource needs and the ongoing role for virtual care.

The Under Secretary for Health requires the Office of Mental Health and Suicide Prevention to develop a process for Intensive Community Mental Health Recovery programs to ensure veterans receiving low-intensity services do not represent greater than 20 percent of caseloads and to distinguish between veterans receiving high- and low-intensity services for accurate and effective program oversight.

CDC should work with awardees to enhance current and future capabilities for provider training and oversight.

CDC should clarify roles and responsibilities within HHS for vaccine public health messaging during a pandemic.

CDC should strengthen reporting of vaccine allocation data and administration data.

CDC should update its plans for mass vaccination programs with strategies that address awardee-reported logistical challenges.