The VA Office of Inspector General Office of Healthcare Inspections conducted an evaluation to determine the validity of allegations related to Behavioral Medicine Service (BMS) staffing, workload management, patient evaluations, and supervision at the VA Loma Linda Healthcare System (the facility) in Loma Linda, CA. We substantiated that the facility needed more psychiatrists, psychologists, and social workers to meet the increased mental health (MH) workload demands. We did not substantiate that patient evaluations were inadequate or that the social workers’ schedules were not kept full. We could not confirm or refute that workload rules were not applied fairly. We determined that supervision for the social work staff was adequate and that unlicensed social work staff had appropriate supervision. We found that MH patients did not consistently receive timely evaluations. We concluded that the Chief, BMS, provided adequate supervision and oversight. However, we determined that the facility needs to establish a MH Executive Council (MHEC). We recommended that MH patients receive timely care and that a MHEC be established as required by VHA.