Reports

Department of Homeland Security OIG

Violations of ICE Detention Standards at Otay Mesa Detention Center

During our unannounced inspection of Otay Mesa in San Diego, California, we identified violations of ICE detention standards that compromised the health, safety, and rights of detainees. Otay Mesa complied with standards for classification and generally provided sufficient medical care to detainees. In addressing COVID-19, Otay Mesa did not consistently enforce precautions including use of facial coverings and social distancing. Overall, we found that Otay Mesa did not meet standards for grievances, segregation, or staff-detainee communications. Specifically, Otay Mesa did not respond timely...

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 9/16/2021

Department of Homeland Security OIG

ICE’s Management of COVID-19 in Its Detention Facilities Provides Lessons Learned for Future Pandemic Responses

ICE has taken various actions to prevent the pandemic’s spread among detainees and staff at their detention facilities. At the nine facilities we remotely inspected, these measures included maintaining adequate supplies of PPE such as face masks, enhanced cleaning, and proper screening for new detainees and staff. However, we found other areas in which detention facilities struggled to properly manage the health and safety of detainees. For example, we observed instances where staff and detainees did not consistently wear face masks or socially distance. In addition, we noted that some...

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 9/09/2021

Department of Health & Human Services OIG

CMS's COVID-19 Data Included Required Information From the Vast Majority of Nursing Homes, but CMS Could Take Actions To Improve Completeness and Accuracy of the Data

The United States currently faces a nationwide public health emergency because of the COVID-19 pandemic. Federal regulations, effective May 8, 2020, required nursing homes to report COVID-19 information, such as the number of confirmed COVID-19 cases among residents, at least weekly to the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network. Each week, CDC aggregates the reported information and sends the data to the Centers for Medicare & Medicaid Services (CMS) for posting to the CMS website. These data are used to assist with national surveillance of...

Full Details: Oversight.gov Report Page

Audit | 9/01/2021

271069 - Closed

We recommend that the Centers for Medicare & Medicaid Services assess the costs and benefits of implementing the following recommendations and if CMS determines that the benefits outweigh the costs, take action to develop a process to identify nursing homes that do not report required data for all of the data elements related to COVID-19 cases and deaths among residents and staff and PPE and supplies and request that they submit the required data.

271070 - Closed

We recommend that the Centers for Medicare & Medicaid Services assess the costs and benefits of implementing the following recommendations and if CMS determines that the benefits outweigh the costs, take action to revise its quality assurance checks for ratios 1, 3, 5, and 6, which use the number of all beds in the denominator, to ensure that it does not exclude from its COVID-19 data nursing homes' data that should be included.

271071 - Closed

We recommend that the Centers for Medicare & Medicaid Services assess the costs and benefits of implementing the following recommendations and if CMS determines that the benefits outweigh the costs, take action to revise its quality assurance checks for ratios 2 and 4, which use the numbers of confirmed cases and admissions among residents and confirmed cases among staff in the denominator, by adding the number of suspected COVID-19 cases to the denominator in both ratios and adjust the ratios' thresholds to reflect the change.

271072 - Closed

We recommend that the Centers for Medicare & Medicaid Services assess the costs and benefits of implementing the following recommendations and if CMS determines that the benefits outweigh the costs, take action to identify the nursing homes that reported more total COVID-19 deaths than total deaths from any cause and request that they verify or correct the reported data.

271073 - Closed

We recommend that the Centers for Medicare & Medicaid Services assess the costs and benefits of implementing the following recommendations and if CMS determines that the benefits outweigh the costs, take action to contact nursing homes that failed quality assurance checks to verify the accuracy of reported data or to correct inaccurate data.

271074 - Closed

We recommend that the Centers for Medicare & Medicaid Services assess the costs and benefits of implementing the following recommendations and if CMS determines that the benefits outweigh the costs, take action to work with CDC and with State health departments to determine the feasibility of using comparable data elements to collect COVID-19 data and the feasibility of monitoring substantial differences in the data and, if determined feasible, take actions to provide the public with more complete and accurate COVID-19 data for nursing homes.

Department of Homeland Security OIG

CBP Needs to Strengthen Its Oversight and Policy to Better Care for Migrants Needing Medical Attention

U.S. Customs and Border Protection (CBP) needs better oversight and policy to adequately safeguard migrants experiencing medical emergencies or illnesses along the southwest border. CBP concurred with all three of our recommendations, which when implemented, should improve medical attention and procedures for migrants at the southwest border

Full Details: Oversight.gov Report Page

Audit | 7/22/2021

Department of Homeland Security OIG

Violations of Detention Standards at Adams County Correctional Center

During our unannounced inspection of Adams in Natchez, Mississippi, we identified violations of ICE detention standards that threatened the health, safety, and rights of detainees. We made seven recommendations to ICE’s Executive Associate Director of Enforcement and Removal Operations (ERO) to ensure the New Orleans ERO Field Office overseeing Adams addresses identified issues and ensures facility compliance with relevant detention standards. ICE concurred with all seven recommendations.

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 7/19/2021

1 - Closed

We recommend the Executive Associate Director of Enforcement and Removal Operations direct the New Orleans Enforcement and Removal Field Office responsible for Adams to ensure the Adams Medical Unit develops emergency care guidelines, documents patient treatment during sick call encounters, and
documents interpretation and medical care provided based on laboratory testing results.

2 - Closed

3 - Closed

We recommend the Executive Associate Director of Enforcement and Removal Operations direct the New Orleans Enforcement and Removal Field Office responsible for Adams to ensure Adams reviews classification determinations, documents detainee special vulnerabilities, and documents language used to conduct detainee interviews.

4 - Closed

5 - Closed

We recommend the Executive Associate Director of Enforcement and Removal Operations direct the New Orleans Enforcement and Removal Field Office responsible for Adams to ensure Adams provides detainees in segregation access to laundry, legal materials, mail, required recreation time outside their cells,the commissary (for those in administrative segregation), ICE request forms, and secure drop-boxes.

6 - Closed

We recommend the Executive Associate Director of Enforcement and Removal Operations direct the New Orleans Enforcement and Removal Field Office responsible for Adams to establish a system to ensure timely ICE responses to requests.

7 - Closed

We recommend the Executive Associate Director of Enforcement and Removal Operations direct the New Orleans Enforcement and Removal Field Office responsible for Adams to update ICE’s contract with Adams to better identify requirements for detainee housing.

Department of Health & Human Services OIG

CMS’s Controls Related to Hospital Preparedness for an Emerging Infectious Disease Were Well-Designed and Implemented but Its Authority Is Not Sufficient for It To Ensure Preparedness at Accredited Hospitals

Hospitals that cannot control the spread of emerging infectious diseases within their facilities risk spreading a disease such as COVID-19 to patients and staff. OIG therefore developed a plan to assess the Centers for Medicare & Medicaid Services’ (CMS’s) controls related to hospital preparedness for emerging infectious diseases.The objective of this audit was to determine whether CMS designed and implemented effective internal controls related to hospital preparedness for emerging infectious diseases such as COVID-19.

Full Details: Oversight.gov Report Page

Audit | 6/24/2021

Department of the Treasury OIG

American Rescue Plan- Application of Lessons Learned From the Coronavirus Relief Fund

Full Details: Oversight.gov Report Page

Other | 5/17/2021

1-1 - Closed

Treasury management should finalize guidance concurrent with funds distribution in order to facilitate efficient administration of programs and minimize recipient confusion and misuse of funds.

2-1 - Closed

Treasury management should document its analysis of the applicability of grant requirements under 2 Code of Federal Regulations (2 CFR) for each American Rescue Plan Act (ARP) program in its implementation plan as required by Office of Management and Budget Memorandum M-21-20 (OMB M-21-20).

2-2 - Closed

Treasury management should apply the requirements of 2 Code of Federal Regulations (CFR) to Federal financial assistance funded through the American Rescue Plan Act (ARP) to the maximum extent authorized by law.

2-3 - Closed

Treasury management should require signed agreements documenting standard terms and conditions before disbursing American Rescue Plan Act (ARP) funds to recipients.

3-1 - Closed

Treasury management should conduct and document an information technology (IT) investment analysis as required by the Office of Management and Budget's (OMB) Memorandum M-21-20, and Circulars A-130 and A-11 before making the decision to implement the grants Quality Service Management Offices (QSMO) system, GrantSolutions, Salesforce, or another solution for the execution of American Rescue Plan Act (ARP) programs.

4-1 - Closed

Treasury management should develop performance metrics to measure the effectiveness of American Rescue Plan Act (ARP) program funding in assisting with pandemic relief goals.

4-2 - Closed

Treasury management should include recipient reporting requirements in written agreements to facilitate this process and ensure that needed information is collected quarterly.

Department of Homeland Security OIG

Violations of Detention Standards at Pulaski County Jail

During our unannounced inspection of Pulaski County Jail, we identified violations of U.S. Immigration and Customs Enforcement (ICE) detention standards that threatened the health, safety, and rights of detainees. In addressing COVID-19, Pulaski did not consistently enforce precautions including use of facial coverings and social distancing, which may have contributed to repeated COVID-19 transmissions at the facility. Pulaski did not meet standards for classification, medical care, segregation, or detainee communication. We found that the facility was not providing a color-coded visual...

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 5/03/2021

Department of the Treasury OIG

Interim Audit Update – Air Carrier and Contractor Certifications for Payroll Support Program

Full Details: Oversight.gov Report Page

Audit | 3/31/2021

Department of Homeland Security OIG

Violations of Detention Standards Amidst COVID-19 Outbreak at La Palma Correctional Center in Eloy, AZ

We identified violations of U.S. Immigration and Customs Enforcement (ICE) detention standards that threatened the health, safety, and rights of detainees. La Palma Correctional Center (LPCC) complied with the ICE detention standard regarding classification. However, detainee reports and grievances allege an environment of mistreatment and verbal abuse, including in response to peaceful detainee protests of the facility’s handling of the pandemic. In addressing the coronavirus disease 2019 (COVID-19), LPCC did not enforce ICE’s precautions including facial coverings and social distancing...

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 3/30/2021

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Reports

Violations of ICE Detention Standards at Otay Mesa Detention Center

ICE’s Management of COVID-19 in Its Detention Facilities Provides Lessons Learned for Future Pandemic Responses

CMS's COVID-19 Data Included Required Information From the Vast Majority of Nursing Homes, but CMS Could Take Actions To Improve Completeness and Accuracy of the Data

CBP Needs to Strengthen Its Oversight and Policy to Better Care for Migrants Needing Medical Attention

Violations of Detention Standards at Adams County Correctional Center

CMS’s Controls Related to Hospital Preparedness for an Emerging Infectious Disease Were Well-Designed and Implemented but Its Authority Is Not Sufficient for It To Ensure Preparedness at Accredited Hospitals

American Rescue Plan- Application of Lessons Learned From the Coronavirus Relief Fund

Violations of Detention Standards at Pulaski County Jail

Interim Audit Update – Air Carrier and Contractor Certifications for Payroll Support Program

Violations of Detention Standards Amidst COVID-19 Outbreak at La Palma Correctional Center in Eloy, AZ

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