Recommendation: The OHS Director should require Head Start grantees to document that water provided to children has been tested for lead. OHS could determine various ways that are feasible and efficient for grantees to satisfy this requirement; for example, verification could be done through OHS' current grantee data collection or monitoring processes. (Recommendation 1)

Agency: Department of Health and Human Services
Status: Open

Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Recommendation: The Assistant Secretary for the Administration for Children and Families should direct OCC and OHS to develop an agreement with EPA on their roles and responsibilities in implementing the Memorandum of Understanding on Reducing Lead Levels in Drinking Water in Schools and Child Care Facilities. For example, these agreements may include the ways in which guidance and information will be shared with states and Head Start grantees, such as through webinars or email, and how frequently. (Recommendation 2)

Agency: Department of Health and Human Services
Status: Open

Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Recommendation: The Assistant Administrator of the Office of Water should develop an agreement with HHS's Offices of Child Care and Head Start on their roles and responsibilities in implementing the Memorandum of Understanding on Reducing Lead Levels in Drinking Water in Schools and Child Care Facilities. For example, these agreements may include the ways in which guidance and information will be shared with states and Head Start grantees, such as through webinars or email, and how frequently. (Recommendation 3)

Agency: Environmental Protection Agency
Status: Open

Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Recommendation: The Assistant Administrator of the Office of Water should direct the Office of Water to specify how it will track progress toward the outcomes of the Memorandum of Understanding on Reducing Lead Levels in Drinking Water in Schools and Child Care Facilities and determine how it will regularly monitor and update the MOU. For example, the Office of Water could develop performance measures for each of the MOU's outcomes. In addition, the Office of Water could submit annual reports on progress toward achieving the MOU's outcomes or it could plan to update the agreement at specific intervals. (Recommendation 4)

Agency: Environmental Protection Agency
Status: Open

Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Recommendation: The Director of OHS should perform a fraud risk assessment for the Head Start program, to include assessing the likelihood and impact of fraud risks it faces. (Recommendation 1)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of Head Start
Status: Open
Priority recommendation

Comments: In February 2020, HHS told us that the Administration for Children and Families (ACF) is developing a Fraud Risk Assessment template for all of its programs (including the Office of Head Start) and is on track to complete the initial Fraud Risk Assessment for its pilot program by June 30, 2020. Upon completion of the Fraud Risk Assessment for the ACF pilot program, ACF anticipates completing its initial Fraud Risk Assessment for OHS, by March 31, 2021. We will assess these actions once completed.

Recommendation: The Director of OHS should establish procedures to monitor and evaluate OHS's new internal workflows for monitoring reviews, to include establishing a baseline to measure the effect of these workflows and identify and address any problems impeding the effective implementation of new workflows to ensure timeliness goals for monitoring reviews are met. (Recommendation 3)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of Head Start
Status: Open

Comments: HHS did not concur with this recommendation. In February 2020, HHS stated that OHS regularly evaluates its effectiveness of its workflows to determine how to best adjust the system to support effective follow-up. HHS also stated that, for Fiscal Year 2020, OHS has updated its internal workflow timelines to increase responsiveness to identified findings and ensure grantee support. We will continue to monitor HHS's efforts in this area.

Recommendation: The Director of OHS should provide program-wide guidance on when a student's slot should be considered vacant due to absenteeism. (Recommendation 5)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of Head Start
Status: Open

Comments: In February 2020, OHS told us that it is finalizing program guidance that will address when a child's slot should be considered vacant due to absenteeism and what a program should do fill it. OHS stated that it anticipates having a final paper published by summer, 2020. We will continue to monitor OHS's efforts in this area.

Recommendation: The Director of OHS should develop and implement a method for grantees to document attendance and services under EHS pregnancy programs. (Recommendation 6)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of Head Start
Status: Open

Comments: In February 2020, OHS told us that it is developing a toolkit of resources specifically designed to offer best practice tips for Early Head Start programs on how to track attendance and services to pregnant women. OHS is surveying the Head Start community to better determine what resources are already available and how programs in different regions and cities track services to pregnant women. OHS anticipates a rollout for the toolkit by summer, 2020.

Recommendation: The Assistant Secretary for Postsecondary Education should correctly calculate its CCAMPIS program persistence rate and cost per persisting student measures. (Recommendation 1)

Agency: Department of Education
Status: Open

Comments: Education disagreed with this recommendation as it believes the currently reported persistence data are sufficiently accurate to support effective program management and oversight. In February 2020, Education noted that it was reviewing the concerns raised by GAO and taking action to address confirmed errors in its persistence calculations. Specifically, Education said it would correct a formula error in its spreadsheet and include students who transferred to another school as persisting and planned to publish corrected data. Further, it said that it was exploring the feasibility of developing a cohort model for its persistence rate measure. We appreciate the steps Education is taking to ensure that it is correctly calculating its program persistence measures. To close this recommendation, Education should provide its corrected calculations, as well as any publication with corrected persistence measures, to GAO to review and confirm that Education has corrected all of the errors we identified.

Recommendation: The Assistant Secretary for Postsecondary Education should either collect the CCAMPIS participant enrollment data needed to calculate a standard 3-year graduation rate or accurately define and calculate a different college completion measure. (Recommendation 2)

Agency: Department of Education
Status: Open

Comments: As of February 2020, Education stated that it continues to disagree with this recommendation, noting that more analysis is needed to determine whether it is appropriate to develop a more rigorous graduation rate measure for the CCAMPIS program. As we stated in our report, we recognize that collecting the enrollment data needed to calculate the standard graduation rate could place a burden on grantee schools. Our recommendation included the option to define a different college completion measure and calculate it correctly. Education reported that it will redefine its current graduation rate to be a different college completion measure and the agency will clarify the description of this metric in its information on CCAMPIS graduation rates. While the new graduation rate definition proposed by Education responds to this recommendation, Education's formula does not accurately calculate this redefined graduation rate measure. To close this recommendation, Education should correct the formula for its revised graduation rate measure and provide the updated formula and data to confirm that its calculations are accurate.

Recommendation: The Chief Operating Officer of Federal Student Aid should encourage schools—through appropriate means, such as the Federal Student Aid Handbook—to inform students via school websites about the availability of the dependent care allowance and how to request the allowance. (Recommendation 3)

Agency: Department of Education
Status: Open

Comments: While Education agreed with the spirit of this recommendation, it disagreed with the recommendation itself due to concerns that an increased emphasis on the availability of the dependent care allowance could lead to additional borrowing that might not be appropriate for all students based on their financial circumstances. To respond to the recommendation, Education told us in February 2020 that it has added a note to the 2019-2020 FSA Handbook that, when counseling students, schools should make clear the availability of the allowance and how to request it. Adding this language to the handbook is certainly helpful, but does not fully implement GAO's recommendation. Encouraging schools to provide this information to students who proactively contact a school's financial aid office to discuss their finances will likely make this information available to a relatively small number of students; however, it does nothing to make this information more broadly available to all students who may benefit from it. We are not recommending that schools should encourage all student parents to borrow more to pay for child care. Instead, we recommend that Education encourage schools to make students aware of this potential option-which federal law makes available to students-via school websites to allow them to make informed financial decisions based on their personal circumstances. We will close this recommendation when Education takes additional actions to encourage schools to make this information more broadly available to students on their websites.