Reports

Department of Health & Human Services OIG

FDA’s Work with the Tri-Agency Task Force for Emergency Diagnostics Helped Labs Implement COVID-19 Tests

Department of Homeland Security OIG

Violations of ICE Detention Standards at Folkston ICE Processing Center and Folkston Annex

The objective was to conduct an unannounced inspection of Folkston Processing Center and Folkston Annex to monitor compliance with select ICE detention standards.

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 7/05/2022

1 - Closed

Ensure the Folkston facility conditions we identified as deficient are corrected and in compliance with 2011 PBNDS requirements.

10 - Closed

Provide ICE visitation schedules, including the time, duration, and location for housing unit visits, to ensure Folkston detainees are aware of their regular access to assigned ICE ERO deportation officers.

11 - Closed

Ensure ICE provides copies of ICE request forms and secure drop boxes in all Folkston housing units.

12 - Open

Ensure Folkston maintains staffing levels outlined in the ICE contract.

13 - Closed

Ensure Folkston properly secures and stores detainee personal property.

2 - Closed

Establish coordination of medical care for detainees moved between Folkston IPC and Folkston Annex and ensure timely access to specialty care.

3 - Closed

Address medical staffing issues at Folkston IPC to ensure adequate mental health care for detainees.

4 - Closed

Require Folkston staff to complete daily medical monitoring of detainees in administrative segregation.

5 - Closed

Provide detainees in segregation at Folkston IPC access to recreation, legal calls, laundry services for bedding and clothing, mail, legal materials, law library, and commissary.

6 - Closed

Ensure Folkston segregation practices related to handcuffing comply with 2011 PBNDS requirements.

7 - Closed

Establish a grievance and facility request tracking system to ensure timely and complete responses to all detainee requests filed at Folkston.

8 - Closed

Ensure Folkston meets ICE’s COVID-19 requirements for wearing masks and social distancing.

9 - Closed

Establish a requests tracking system to ensure timely and complete responses to all detainee requests filed at Folkston.

Small Business Administration OIG

SBA’s Handling of Potentially Fraudulent Paycheck Protection Program Loans

The Office of Inspector General (OIG) found that the Small Business Administration (SBA) did not have an organizational structure with clearly defined roles, responsibilities, and processes to manage and handle potentially fraudulent Paycheck Protection Program (PPP) loans across the program.

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 5/26/2022

Department of Defense OIG

Evaluation of Department of Defense Military Medical Treatment Facility Challenges During the Coronavirus Disease-2019 (COVID-19) Pandemic in Fiscal Year 2021

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 4/05/2022

D-2022-2081-DEV0PB-0001-0001.A1a - Open

Rec. A.1.a: The DoD OIG recommended that the Director of the Defense Health Agency, in conjunction with the Secretaries of the Military Departments, establish a working group to address the staffing challenges identified by Military Medical Treatment Facilities during this evaluation. The working group should establish milestones to streamline the hiring process to allow Military Medical Treatment Facilities to more quickly fill civilian staffing positions.

D-2022-2081-DEV0PB-0001-0001.A1b - Open

Rec. A.1.b: The DoD OIG recommended that the Director of the Defense Health Agency, in conjunction with the Secretaries of the Military Departments, establish a working group to address the staffing challenges identified by Military Medical Treatment Facilities during this evaluation. The working group should establish milestones to determine if salaries for Military Medical Treatment Facility civilian nurses are commensurate with each facility's local market and if military treatment facilities are able to hire nurses at those salaries. For locations where military treatment facility salaries are not commensurate with the local market, take appropriate actions that will reduce the disparity in those markets.

D-2022-2081-DEV0PB-0001-0001.A1c - Open

Rec. A.1.c: The DoD OIG recommended that the Director of the Defense Health Agency, in conjunction with the Secretaries of the Military Departments, establish a working group to address the staffing challenges identified by Military Medical Treatment Facilities during this evaluation. The working group should establish milestones to establish a central authority with the knowledge of the Services' requests for individual and large group deployments of medical staff coming out of Military Medical Treatment Facilities and the associated risks to health care delivery.

D-2022-2081-DEV0PB-0001-0001.A1d - Open

Rec. A.1.d: The DoD OIG recommended that the Director of the Defense Health Agency, in conjunction with the Secretaries of the Military Departments, establish a working group to address the staffing challenges identified by Military Medical Treatment Facilities during this evaluation. The working group should establish milestones to assess the ability of Military Medical Treatment Facilities to rapidly receive augmentation of medical staff from the Reserve Components.

D-2022-2081-DEV0PB-0001-0002.A2a - Open

Rec. A.2.a: The DoD OIG recommended that the Director of the Defense Health Agency, in coordination with the Secretaries of the Military Departments establish the manpower requirements for the coronavirus disease-2019 mission within the Military Medical Treatment Facilities for the staff required to support testing, vaccinations, contact tracing, and acute respiratory clinics.

D-2022-2081-DEV0PB-0001-0002.A2b - Open

Rec. A.2.b: The DoD OIG recommended that the Director of the Defense Health Agency, in coordination with the Secretaries of the Military Departments identify the medical personnel requirements within the Military Medical Treatment Facilities, including clinicians, nurses, and support staff, needed for future long-term pandemic response and biological incidents.

D-2022-2081-DEV0PB-0002-0001.B - Open

Rec. B: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) develop DoD policy for the maximum consecutive hours to be worked, maximum shifts per week, and coverage of duties when absent, for Military Health System staff (at minimum, active duty military and civilian physicians, nurses, respiratory therapists, and lab technicians) working in Military Medical Treatment Facilities to reduce the physical impacts leading to fatigue and burnout, and develop the appropriate waivers of this policy for Military Health System staff.

D-2022-2081-DEV0PB-0003-0001.C - Open

Rec. C: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) direct a new or existing working group to develop a plan to implement the recommendations in the Military Health System COVID-19 After Action Report and to develop and monitor milestones for each recommendation.

Department of Veterans Affairs OIG

Care in the Community Consult Management During the COVID-19 Pandemic at the Martinsburg VA Medical Center in West Virginia

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Martinsburg VA Medical Center (facility) in West Virginia to assess allegations of failure to schedule a Care in the Community (CITC) COVID Priority 1 cardiology consult within Veterans Health Administration requirements, and delays in CITC consult scheduling caused by inadequate CITC staffing. The OIG substantiated that a COVID Priority 1 CITC cardiology consult was not scheduled within 30 days of the clinically indicated date. The OIG determined that the consult was amongst a backlog of approximately 5,000...

Full Details: Oversight.gov Report Page

Department of the Interior OIG

Fulfillment of Purchase Card Orders

Our inspection identified $155,575 in CARES Act and pandemic-related purchase card transactions with insufficient documentation.

Full Details: Oversight.gov Report Page

Small Business Administration OIG

SBA’s Oversight of the Grant Recipient’s Implementation of the CARES Act Resource Partners Training Portal

We evaluated the SBA’s handling of the grant to train small businesses on federal resources available in the wake of the Coronavirus Disease 2019 (COVID-19) pandemic. The Coronavirus Aid Relief and Economic Security (CARES) Act authorized funds up to $25 million for SBA to administer a grant to an association or associations representing resource partner centers to establish a single centralized hub for COVID-19 information. We found SBA did not ensure the grant recipient developed and implemented an effective marketing and outreach strategy to ensure the hub successfully achieved the...

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 1/18/2022

Department of Veterans Affairs OIG

Deficiencies in Select Community Care Consult (Stat) Processes During the COVID-19 Pandemic

The VA Office of Inspector General (OIG) conducted a national review of stat community care consults generated during the outset of the COVID-19 pandemic to evaluate consult processes. Patient involvement in care urgency disagreements and reporting of adverse events in community care were also reviewed. When the OIG identified deficiencies in processes, electronic health records (EHRs) of the patients at issue were further examined for potential negative outcomes. The OIG did not identify any negative care outcomes. For the 2,236 stat community care consults generated from March 20, 2020...

Full Details: Oversight.gov Report Page

Department of the Interior OIG

Pandemic Purchase Card Use

Our inspection identified several issues with CARES Act and pandemic-related purchase card transactions made through September 30, 2020.

Full Details: Oversight.gov Report Page

Pandemic Response Accountability Committee

Increasing Transparency into COVID-19 Spending

The objective of this review was to identify specific gaps in transparency in award data for federal assistance spending in response to COVID-19. We looked at 51,000 awards worth $347 billion that supported the pandemic response (as of June 15, 2021). The report includes three findings, including we found more than 15,400 awards worth $33 billion with meaningless descriptions that make it difficult to know how COVID-19 relief money was used. The report includes five recommendations to help improve the transparency into COVID-19 relief spending.

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 10/19/2021

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Reports

FDA’s Work with the Tri-Agency Task Force for Emergency Diagnostics Helped Labs Implement COVID-19 Tests

Violations of ICE Detention Standards at Folkston ICE Processing Center and Folkston Annex

SBA’s Handling of Potentially Fraudulent Paycheck Protection Program Loans

Evaluation of Department of Defense Military Medical Treatment Facility Challenges During the Coronavirus Disease-2019 (COVID-19) Pandemic in Fiscal Year 2021

Care in the Community Consult Management During the COVID-19 Pandemic at the Martinsburg VA Medical Center in West Virginia

Fulfillment of Purchase Card Orders

SBA’s Oversight of the Grant Recipient’s Implementation of the CARES Act Resource Partners Training Portal

Deficiencies in Select Community Care Consult (Stat) Processes During the COVID-19 Pandemic

Pandemic Purchase Card Use

Increasing Transparency into COVID-19 Spending

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