Open Recommendations

USDA OIG has determined that this recommendation contains sensitive information and will not be publicly released due to privacy concerns.

Rec. 1: The DoD OIG recommended that the Commander, Naval Supply Systems Command, review the four national stock numbers identified in this audit for which Navy personnel could not provide evidence of full restitution. If the review determines that the contractor did not provide restitution and the Navy can pursue restitution under the contract terms, then the Commander should require the applicable Navy contracting officer to pursue restitution from the contractor that provided defective parts. Also, the Commander should comment on the $2.6 million in questioned costs related to defective parts for which the Navy was unable to provide evidence…

Rec. 2.a: The DoD OIG recommended that the Deputy Assistant Secretary of Defense for Logistics update Defense Logistics Management Standards DLM 4000.25, Volume 2, Chapter 24 Product Quality Deficiency Reporting, to require Military Departments to develop a process for obtaining restitution from contractors that provide defective parts. The guidance should clearly define key roles and responsibilities of responsible contracting officers and require their involvement in the process and require the Military Departments to:preserve an audit trail to support the receipt of restitution and specify the type of documentation needed, andestablish a program to provide recurring training to deficiency reporting personnel…

Rec. 2.b: The DoD OIG recommended that the Deputy Assistant Secretary of Defense for Logistics require Military Departments to develop and implement controls and oversight to ensure tracking of contractor restitution from the completion of the investigation of the report on deficiencies in product quality through the receipt of restitution.

(U) Rec. 1.a: The DoD OIG recommended that the Director of the Defense Health Agency conduct an assessment of the physical security of all National Capital Region military treatment facilities, with a focus on identifying deficiencies with Unified Facilities Criteria 4-510-01 requirements.

(U) Rec. 1.b: The DoD OIG recommended that the Director of the Defense Health Agency develop a plan with milestones based on this assessment to:(U) provide the necessary resources for the military treatment facilities to comply with Unified Facilities Criteria 4-510-01.(U) ensure that the Andrews Medical Group - Malcolm Grow Medical Clinics and Surgery Centers video surveillance system meets minimum Unified Facilities Criteria 4-510-01 standards.

(U) Rec. 1.c: The DoD OIG recommended that the Director of the Defense Health Agency provide Program Objective Memorandum guidance to address the Walter Reed National Military Medical Centers video surveillance system deficiencies.

(U) Rec. 1.d: The DoD OIG recommended that the Director of the Defense Health Agency develop and implement a policy to standardize emergency response procedures across all military treatment facilities to ensure military treatment facilities have standardized emergency response procedures that bridge the existing gap in emergency response capabilities between military treatment facilities and their host installations. At a minimum, this policy should:(U) provide comprehensive training requirements for military installation police, on-site security guards, and staff, as well as a requirement to have regular drills and training exercises(U) establish an emergency response window for on-site guards and military police that…

(U) Rec. 2.a: The DoD OIG recommended that the Commander of the Navy Installations Command conduct a thorough evaluation of how the Naval Support Activity Bethesda police are used at Walter Reed National Military Medical Center, including how the Walter Reed National Military Medical Centers security needs are addressed.

(U) Rec. 2.b: The DoD OIG recommended that the Commander of the Navy Installations Command develop and implement a plan of actions with milestones to address any gaps identified in the evaluation.

We recommend that the Assistant Secretary for Elementary and Secondary Education require Puerto Rico DOE to return the $3.9 million charged to the ARP ESSER grant for the student academic proficiency interim assessments or take other remedial actions as appropriate, such as making accounting adjustments to other valid and allowable obligations incurred during the ARP ESSER grant period of availability.

We recommend that the Assistant Secretary for Elementary and Secondary Education require Puerto Rico DOE to develop and incorporate into its existing contract monitoring and oversight policies and procedures, control activities, or protocols designed to ensure that only qualified personnel are assigned to manage and oversee contracts and those charged with that responsibility verify that the contractually required services are rendered (for example, by reviewing documentation supporting the completion of contract-related work) before paying the contractor.

We recommend that the Assistant Secretary for Elementary and Secondary Education require Puerto Rico DOE to implement its contract amendment procedures, as designed, to ensure that all future changes to the scope of contracted work are documented and approved in writing.

We recommend that the Assistant Secretary for Elementary and Secondary Education require Puerto Rico DOE to provide sufficient training to its employees, including teachers, who are responsible for implementing initiatives and activities under contracts funded with Federal education funds to help ensure that all contractual obligations and objectives are met and Federal education funds are used as intended.

We recommend that Division of Facilities Management and Construction update the facility management system with new school building information identified in this report.

We recommend that BIE develop policies and procedures that clearly communicate which fire system-related deficiencies require fire watches, to include roles and responsibilities.

We recommend that BIE ensure facilities managers are held accountable for timeliness and accuracy of information in the facility management system.

We recommend that the PBS Commissioner strengthen oversight to ensure full compliance with fire protection requirements by:
a. Establishing and implementing procedures and controls to verify compliance with National Fire Protection Association (NFPA) standards and PBS policies, including consistent use of the National Computerized Maintenance Management System for planning, tracking, and documentation.
b. Ensuring all fire doors are promptly inspected, repaired, or replaced to maintain proper functionality and compliance with applicable safety standards and fire codes.
c. Conducting and documenting fire drills at sufficient frequency to meet NFPA Standard 101, Life Safety Code; Federal Management Regulation Part 102-74, Facility Management…

We recommend that the PBS Commissioner provide training to PBS building management at the U.S. Tax Court Building and the contracting officer’s representatives to ensure the building’s operations and maintenance contractor adheres to contract provisions related to the building’s fire protection requirements.

(U) Rec. A.1.a: Report is Classified.

(U) Rec. A.1.b: Report is Classified.

(U) Rec. A.2.a: Report is Classified.

(U) Rec. A.2.b: Report is Classified.

(U) Rec. B.1.a: Report is Classified.

(U) Rec. B.1.b: Report is Classified.

(U) Rec. B.1.c: Report is Classified.

(U) Rec. B.1.d: Report is Classified.

(U) Rec. 1.a: The DoD OIG recommended that the Army Deputy Chief of Staff, G-4, determine whether shortages and capabilities of maintenance and logistics personnel are systemic issues among deployed units turning in equipment to Army Prepositioned Stock locations and whether the Armys maintenance standard in Army Regulation 750-1, Army Materiel Policy, February 2, 2023, is achievable by deployed units. If the standard is not achievable, the Army Deputy Chief of Staff, G-4, should take appropriate action to address the problem.

(U) Rec. 1.b: The DoD OIG recommended that the Army Deputy Chief of Staff, G-4, revise applicable Army regulations to consistently define operational readiness statuses.

(U) Rec. 2: The DoD OIG recommended that the Executive Director, Army Contracting Command"Rock Island, require contracting officers to increase the frequency of contracting officers representative surveillance and reporting on future task orders with time-sensitive, mission-critical requirements to facilitate earlier identification of issues with contractor performance and progress.

(U) Rec. 2: The DoD OIG recommended that the Commander, U.S. Army Europe and Africa, conduct a study to determine what in-theater Bradley Fighting Vehicle repair capabilities are needed to meet mission requirements, develop and implement a plan to address any capability gaps identified in the study to build and sustain capabilities for in-theater Bradley Fighting Vehicle repairs to meet mission requirements and support operational readiness.

We recommend that the Director of the Census Bureau strengthen the independent review process for future site selections to ensure that independent reviews are rigorous, transparent, and well documented, with clear evidence to verify that site selection criteria are data driven, methodology is consistently applied, review findings are thoroughly recorded and justified, and final decisions receive explicit approval.

We recommend that the Director of the Census Bureau document all aspects of the site selection process, including independent
reviews, plans, methodology, assumptions, data analyses, meetings, substantive deliberations and feedback, and interim and final decisions before making future site selections.

For the questioned PCNs and any future firm-fixed-price construction contracts, require the Project team to obtain documentation supporting overhead and profit markups on work for which SI is entitled to a credit and ensure that the contractors and/or subcontractors credit SI the appropriate markup amount.

Determine and document the allowability of the $14,112 in questioned costs (or less if the proposed price used a markup that was less than 21 percent) for the overhead and profit markup that should have been accounted for when calculating the total credits due from PCNs 4 and 17, and recover any amount determined to be unallowable.

Review Air Wisconsin’s requested amount for unallowable expenses under PSP2 and PSP3, and seek reimbursement for overpayment, if applicable.

Seek reimbursement of $(REDACTED) overpayment of PSP1 financial assistance

We recommend that Treasury's Office of Capital Access disallow the questioned cost amount of $20,850 and instruct Moreno Valley to repay that amount to the Federal Government.

The Medical Center Director ensures each service develops a workflow for the communication of test results.

The Medical Center Director ensures quality management staff report deficiencies identified from the External Peer Review Program to executive leaders, and staff take corrective actions as needed.

The Medical Center Director ensures the facility has a written policy for communication of test results.

The Chief of Staff and Associate Director of Patient Care Services ensure leaders in each service develop written service-level workflows that outline the process for staff to communicate test results to providers and patients.

The Veterans Integrated Service Network Director ensures executive leaders implement a process to monitor actions related to Veterans Health Administration policy changes.

The Medical Center Director ensures the Chief of Staff and Associate Director of Patient Care Services review performance metrics for test result communications and take action for identified deficiencies.

The Medical Center Director ensures executive leaders attend Quality and Patient Safety Council meetings.

Facility leaders ensure the community living centers dementia unit shower room is clean and free from hazards, and that leaders conduct a risk assessment to determine the need for other safety measures.

The Medical Center Director ensures facility staff conduct a privacy assessment and take actions to protect patient information in the Emergency Department.

Facility leaders ensure all eyewash stations are clean and function properly.

The Medical Center Director ensures the facility has a written policy for communication of test results.

The Chief of Staff and Associate Director of Patient Care Services ensure leaders in each service develop written service-level workflows that outline the process for staff to communicate test results to providers and patients.