Ensure Finex House enhances its existing written policies and procedures to clarify the requirements for prior authorization of overtime.

The BOP should revise its policies, procedures or training to define the term "four-point restraints" and provide clearer guidance regarding 15-minute restraint checks, 2-hour lieutenant checks, medical checks, and psychological checks for inmates in restraints that are not considered four-point restraints.

The BOP should reassess its policies, procedures, and training to identify ways to prevent prolonged placement in restraints, especially four-point restraints, that may result in serious injury. As part of this reassessment, the BOP should consider, among other things, incorporating the following into its policies, procedures, or training: Additional training for BOP staff on conducting restraint checks; Guidelines and training on the types of behaviors that evidence self-control or warrant the continued use of restraints; Guidelines and training on the length of time an inmate must exhibit self-control to warrant removal from restraints; Guidelines and training on how to handle inmate's pulling on or manipulating restraints; Guidelines on how correctional officers are to assess whether restraints are hampering circulation; Enhanced guidelines and training for creating effective behavior management plans for inmates in restraints; More frequent checks by Psychology Services staff and alternatives to long-term restraints for certain inmates who were placed in restraints due to attempting, threatening, or engaging in self-harm or experiencing other mental health challenges; Greater involvement by BOP regional staff in determining whether inmates should be placed in or remain in restraints.

The BOP should require BOP staff to video and audio record all 2-hour lieutenant checks; ensure adequate fixed camera coverage outside of cells to capture whether staff are conducting 15-minute checks of restrained inmates as required; and assess the feasibility of video and audio recording 15 minute restraint checks.

The BOP should revise its policies, procedures, or training to provide greater clarity on the information that should be included in restraint check documentation.

The BOP should revise its restraint check forms to provide adequate space for BOP staff to record detailed information about the inmate's condition and behavior during restraint checks, and consider including check boxes to ensure that BOP staff make a record of key information.

The BOP should reassess its policies, procedures, and training to provide better guidelines for medical staff conducting medical checks of inmates in restraints. As part of this reassessment, the BOP should consider, among other things, incorporating the following into its policies, procedures, or training: A requirement to video record medical checks; A requirement to photograph injuries observed during medical checks; Requiring greater detail regarding inmate injuries, toilet usage, and food and liquid consumption in the Health Services Restraint Review Form, and revising the Health Services Restraint Review Form to include larger spaces to allow for such detail to be included; A requirement to provide a detailed explanation when concurring with the continued use of restraints despite evidence of injury; Enhanced guidelines and training to medical staff on recognizing the existence of injuries that can lead to nerve and muscle damage and on when injuries resulting from restraints warrant action, such as removing restraints or seeking a higher level of medical care; and Enhanced guidelines or training to correctional staff to recognize signs of potential nerve or muscle damage that warrant seeking assistance from medical staff.

Thoroughly document and incorporate all identified UTS vulnerabilities into its final UTS mitigation plan, including those identified in the Anatomy of a Case.

Finalize its UTS Strategic Plan to include strategies for coordinating disparate UTS efforts found across the enterprise and leveraging existing resources that are already in place to address the evolving risks posed by UTS. In addition, the new Strategic Plan should ensure that FBI officials who have the authority to execute the strategy are identified and are empowered to ensure that the FBI has clear and unambiguous UTS-related policies throughout the enterprise.

Establish a clear line of authority for responding to enterprise-wide, UTS-related incidents to ensure a coordinated response.

Assess its ability to further expand the availability of its advanced UTS-related training modules and take any necessary additional steps to ensure all personnel are and remain adequately trained on both the basic and advanced skills they need to address the evolving UTS threat.

Ensure that DCH's victim assistance subawards comply with federal award requirements, including that subrecipients provide VOCA-funded direct services to victims at no charge unless otherwise approved.

Ensure that DCH develops and implements appropriate written policies and procedures related to billing patients for services related to federal grants.

Ensure that DCH establishes and implements internal controls, including written policies and procedures related to accurately capturing, reporting, and prorating performance statistics.

Ensure that DCH develops and implements a formal process for allocating and verifying personnel costs, including maintaining documentation to support any allocation percentages.

Remedy the $1,239 in unsupported personnel costs charged by the DCH Division of Child Advocacy to the FY 2024 subaward.

Require the Ohio AG to establish written guidance to help subrecipients accurately report performance data, including establishing and applying a prorating strategy, when necessary.

Ensure the WBSD submits its FY 2023 single audit and develops and implements policies and procedures to ensure timely completion and submission of all single audit reporting packages to the Federal Audit Clearinghouse within the required timeframe.

Coordinate with the WBSD to develop policies and procedures to properly categorize and track grant expenditures in the appropriate budget categories in accordance with the DOJ Grants Financial Guide and initiate a GAM if a budget modification reallocates funds to unapproved cost categories or if a proposed change exceeds 10 percent of the total award.

Ensure the WBSD develops and implements written policies and procedures for maintaining complete property records and conducting required physical inventory on equipment.

Ensure the WBSD adds existing federally funded equipment into the improved property management system.

Ensure the WBSD develops and implements written policies and procedures to ensure grant match requirements are met and properly tracked.

Require the WBSD to develop and implement written policies and procedures to ensure accurate and timely FFR submissions.

Ensure outstanding federal financial reporting is submitted.

Ensure that Building Futures establishes policies and procedures to ensure the accuracy and appropriateness of its reported performance data.

Ensure that Building Futures establishes controls to allocate costs to VOCA based on a consistent and documented methodology.

Ensure that the Building Futures implements controls to ensure salaries and wages expenses charged to the subaward are based on records that accurately reflect the work performed to comply with federal award requirements.

Remedy $32,478 in salaries and fringe benefits costs that were not adequately supported.

Remedy $8,897 in unsupported operating costs.

Remedy $2,156 in unallowable operating costs charged to VOCA in error.