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Recommendations Tracker
HHS-OIG provides independent and objective oversight that promotes economy, efficiency, and effectiveness in HHS programs and operations. To drive this positive change, we produce reports and identify recommendations for improvement. We have developed this public-facing page for tracking all of our open recommendations.
Use the “Top Unimplemented” View below to read OIG’s Top Unimplemented Recommendations—a subset that we think, if implemented, would have the most impact (learn more). Notable differences from our previous Top Unimplemented Recommendations report include:
- The list is comprised of individual recommendations from OIG reports, not rolled up by topic.
- No arbitrary cap is imposed on the number of recommendations included.
- Status updates as recommendations are implemented.
Summary of All Recommendations
Updated Monthly · Last updated on November 15, 2024
1,306
Unimplemented
recommendations
2,698
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
-
Southwest Key Programs Did Not Always Comply With Health and Safety Requirements For The Unaccompanied Alien Children Program
19-A-06-125.01We recommend that Southwest Key review facilities' video monitoring and identify potential areas for improvement and work with ORR, if needed, to obtain the necessary video monitoring equipment.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.02We recommend that Southwest Key educate staff on identifying potentially unsafe or harmful conditions, and reassess the Monthly Facility Safety Check to ensure that the check provides adequate coverage for identifying unsafe or harmful conditions.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.03We recommend Southwest Key inspect facilities to ensure that all hazardous materials are maintained in a secure location, and educate staff on the importance of keeping hazardous materials secured.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.04We recommend that Southwest Key develop and implement a quality assurance procedure to ensure that expired medications are removed from inventory each month.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.05We recommend that Southwest Key comply with ORR staffing ratios to ensure that children receive the necessary case manager and clinician services.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/17/2024
- Legislative Related
- No
19-A-06-125.06We recommend that Southwest Key strengthen procedures to ensure that all fire extinguishers at the facility are inspected during the annual inspection.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.07We recommend that Southwest Key ensure that all facilities with gas appliances have carbon monoxide detectors installed.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.08We recommend Southwest Key strengthen procedures to ensure staff are aware of the requirements for the contents of first aid kits and periodically check the kits to ensure compliance with Texas Minimum Standards.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.09We recommend that Southwest Key strengthen procedures to ensure severe weather drills are conducted in Texas, develop and enact a plan to for conducting disaster drills at facilities in California and Arizona, and monitor these requirements on a regular basis to ensure compliance with State laws.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.10We recommend that Southwest Key review bedrooms in Texas and Arizona facilities to ensure they meet the minimum space requirements and realign any bedrooms that do not meet the requirements.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/29/2020
- Legislative Related
- No
19-A-06-125.11We recommend Southwest Key develop policies and procedures to ensure consistency in the data used to compile the Annual Performance Report, and strengthen quality control procedures to ensure that the data in the UAC Portal and the effort-to-outcomes system is accurate and matches.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.12We recommend Southwest Key strengthen existing procedures to ensure all required background checks are completed when screening sponsors, adult household members, and adult caregivers, and ensure proper documentation is maintained in the case file.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 11/08/2023
- Legislative Related
- No
19-A-06-125.13We recommend Southwest Key ensure that all required SORC are conducted nationally through the DOJ NSOPW when screening sponsors, adult household members, and adult caregivers.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 11/08/2023
- Legislative Related
- No
19-A-06-125.14We recommend Southwest Key strengthen existing procedures to ensure all Initial Intakes Assessments, initial medical exams, and UAC assessments are completed in a timely manner.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.15We recommend Southwest Key maintain documentation to support that discharge notifications were emailed to DHS and other stakeholders.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.16We recommend Southwest Key maintain documentation to support that safety and well-being follow-up calls are completed timely.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2020
- Legislative Related
- No
19-A-06-125.17We recommend Southwest Key ensure that out-of-State CPS checks are completed for employees in Arizona who resided in State(s) outside of Arizona in the past 5 years, because these checks are not conducted by the State of Arizona and should not be covered under the waiver.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 11/08/2023
- Legislative Related
- No
19-A-06-125.18We recommend Southwest Key complete all required background checks on employees and volunteers, with results received and reviewed prior to hire, and complete all follow-up background checks timely.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 05/16/2024
- Next Update Expected
- 11/17/2024
- Legislative Related
- No
19-A-06-125.19We recommend Southwest Key review current staff and complete CPS checks for those staff that lived outside of their current State of residence in the past 5 years, and develop policies and procedures to ensure CPS checks are conducted for potential employees in State(s) of residence for the past 5 years.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 11/08/2023
- Legislative Related
- No