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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Veterans Affairs
Inspection of Select Vet Centers in North Atlantic District 1 Zone 2
The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. This inspection report evaluated three randomly selected vet centers throughout North Atlantic district 1 zone 2: Buffalo, Nassau, and Syracuse, New York.
This OIG inspection focused on four review areas: suicide prevention; consultation, supervision, and training; outreach; and environment of care. The suicide prevention review evaluated vet center staff participation on supporting VA medical facility mental health executive councils and documentation of contacts and outcomes in the high risk suicide flag SharePoint site, which resulted in one recommendation for the Buffalo Vet Center. The consultation, supervision, and training review evaluated external clinical consultation, monthly client record reviews, and completion of select trainings. This resulted in two recommendations related to external clinical consultation and training across all three vet centers inspected. The outreach review evaluated outreach plan completion, inclusion of strategic components, and tailoring of outreach activities to eligible individuals, which resulted in one recommendation for the Buffalo and Nassau Vet Centers. The environment of care review evaluated vet centers’ physical environment and general safety, resulting in five recommendations for the Syracuse Vet Center and one recommendation for the Nassau Vet Center. In addition, the OIG made one recommendation to the Buffalo Vet Center specific to discrepancies in the vet center address on VA and public-facing websites.
The Chief Readjustment Counseling Officer and District Director concurred with the OIG’s 10 recommendations. District leaders reviewed requirements and developed plans for participation in VA mental health executive council, external clinical consultation, outreach plans, and emergency and crisis plans with vet center directors. Further, district leaders developed processes to ensure staff complete training, fire extinguishers and automated external defibrillators are serviced as required, and to update public-facing websites.
The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. This inspection report evaluated three randomly selected vet centers throughout North Atlantic district 1 zone 3: Dubois, Lancaster, and White Oak, Pennsylvania.
This OIG inspection focused on four review areas: suicide prevention; consultation, supervision, and training; outreach; and environment of care. The suicide prevention review evaluated vet center staff participation on supporting VA medical facility mental health executive councils and documentation of contacts and outcomes in the high risk suicide flag SharePoint site, which resulted in no recommendations for the three vet centers inspected. The consultation, supervision, and training review evaluated external clinical consultation, monthly client record reviews, and completion of select trainings. This resulted in two recommendations related to external clinical consultation and training for the Lancaster and White Oak Vet Centers. The outreach review evaluated outreach plan completion, inclusion of strategic components, and tailoring of outreach activities to eligible individuals, which resulted in one recommendation across all three vet centers inspected. The environment of care review evaluated vet centers’ physical environment and general safety, resulting in no recommendations for the three vet centers inspected.
The Chief Readjustment Counseling Officer and District Director concurred with the OIG’s three recommendations. District leaders reviewed requirements and developed processes to ensure compliance with external clinical consultation and outreach plans with vet center directors. Further, district leaders ensured staff are compliant with required trainings.
The independent public accounting firm of Allmond & Company, LLC, under contract with the Office of Inspector General, audited Help America Vote Act (HAVA) grants administered by the Florida Department of State, totaling $71.37 million. This included federal funds, state matching funds, and interest income earned on the Reissued Section 251 and Election Security grants.
The OIG conducted a program evaluation of Peace Corps/North Macedonia from December 2024 through June 2025. Our objectives were to determine the post's effectiveness and compliance in the areas of Volunteer health and safety, project activities, training and support, and leadership. We found that the post met its project objectives and effectively supported Volunteers, with programming aligned to host country needs and substantial compliance with site management standards. However, we found issues with underdeveloped Volunteer assignments at some sites, lack of a sustainable backup coverage for safety and security staff, inefficient healthcare support processes, and gaps in cross-unit communication. The report contains 10 recommendations focused on strengthening partner engagement, improving safety and security coverage, enhancing medication procurement, assessing and supporting health unit capacity, and improving staff morale.