Open Recommendations

The facility director ensures leaders provide a safe and clean environment of care for veterans, including having adequate staff to clean floors, protecting patient information, and ensuring food is dated and has not expired.

Review outreach staffing assignments and ensure appropriate coverage during future disaster response efforts when minimal resources are available.

Immediately conduct outreach efforts in those counties in North Carolina and South Carolina where the deadline to submit loan applications has not elapsed.

Perform a root cause analysis to determine the basis of insufficient outreach efforts in North Carolina and South Carolina and implement appropriate changes to ensure maximum awareness of available assistance to disaster survivors that accounts for rural
areas.

We recommend that the PBS Region 2 Regional Commissioner take immediate actions to address any fire protection and worker safety deficiencies at the Javits Building by: ensuring that all fire extinguishers are mounted and unobstructed, all elevator machine rooms comply with applicable requirements for fire barriers, and all fire evacuation route diagrams are up to date to comply with fire codes; confirming that the O&M contractor promptly repairs water leaks or displays proper signage in affected areas to prevent slipping accidents in accordance with Occupational Safety and Health Administration requirements. This is especially important for prolonged leaks for which PBS…

We recommend that the PBS Region 2 Regional Commissioner take immediate actions to reassess compliance with Architectural Barriers Act Accessibility Standards requirements at the Javits Building by: ensuring that proper signage is installed that directs individuals to disability- accessible entrances, exits, restrooms, and other applicable building locations; and cataloging all accessibility violations, resources permitting, throughout the building and developing a plan to remediate them.

We recommend that the PBS Region 2 Regional Commissioner implement controls to ensure that appropriate PBS Region 2 officials notify building occupants of identified EHSF risks in a timely manner in accordance with PBS policies.

The OIG recommends that the Executive Director for Operations update Management Directive 11.6 to ensure roles and responsibilities are clearly defined.

The OIG recommends that the Executive Director for Operations develop procedures to ensure all current NRC staff performing grant-related functions have appropriate authority or delegation letters that fully cover their grant roles and responsibilities.

The OIG recommends that the Executive Director for Operations develop relevant training and a plan to ensure grant staff know their roles and responsibilities.

The OIG recommends that the Executive Director for Operations develop a process to ensure the timely deobligation of funds for grants past their period of performance.

The OIG recommends that the Executive Director for Operations validate the completeness of grant files past their period of performance and deobligate the more than $321,000 in funds specified in this report, or provide documentation to the OIG to justify not deobligating the funds.

The OIG recommends that the Executive Director for Operations validate the completeness of grant files past their period of performance and deobligate the more than $920,000 specified in this report, or provide documentation to the OIG to justify not deobligating the funds.

The OIG recommends that the Executive Director for Operations implement a policy that requires periodic reviews to ensure compliance with 2 C.F.R. Part 200 requirements related to the allowability of costs.

The OIG recommends that the Executive Director for Operations develop a method within existing agency resources to optimize public access, in compliance with all relevant laws and policies, to the results of research funded by NRC grants.

The OIG recommends that the Executive Director for Operations train SBCR staff to ensure they are aware of the communication and documentation requirements related to grant periodic reviews.

Establish internal control procedures to ensure recruitment, relocation, and retention incentive documentation is appropriately maintained in accordance with VA policy and guidance.

Enforce procedures to ensure Veterans Integrated Service Network human resources offices properly review recruitment, relocation, and retention incentive documentation for compliance with VA policy.

Enforce quality control checks to ensure Veterans Integrated Service Networks fulfill requirements for maintaining recruitment, relocation, and retention incentives documentation.

Establish accountability measures to ensure Veterans Integrated Service Networks quality control and oversight responsibilities are risk-based and fulfilled in a timely manner.

Evaluate resource requirements and establish accountability measures to ensure quality control and oversight responsibilities are risk-based and fulfilled in a timely manner.

Evaluate the retention incentive awards for the 28 employees identified in this report who received payments after the incentive period ended, terminate the incentive if it was not recertified, determine whether recoupment of funds is warranted, and take action if appropriate.

Assess retention incentive payment data to identify awards that have been paid for over one year and determine whether each has been appropriately recertified or should be terminated.

Establish oversight procedures to ensure retention incentives are reviewed annually, recertified if appropriate, or otherwise terminated to ensure payments are not continued after the expiration date.

The OIG recommends facility leaders develop and implement a plan to resolve infrastructure issues that affect patient care.