Open Recommendations

The OIG recommends that the Executive Director for Operations establish a schedule to periodically review the Web-Based Licensing System User Guide and determine if it incorporates significant enhancements made on how to use the system.

The OIG recommends that the Executive Director for Operations update the Web-Based Licensing System Change Control Procedure and related information resources to accurately reflect the current process and issue a memo to WBL users informing them of the updated process.

The OIG recommends that the Executive Director for Operations clarify the role of a Web-Based Licensing System module point of contact and update the points of contact list for the Web-Based Licensing System Change Control Procedure.

The OIG recommends that the Executive Director for Operations prioritize and fix any current features within the Web-Based Licensing System that are not operating correctly.

The OIG recommends that the Executive Director for Operations identify and automate the appropriate data entry areas within the Decommissioning, Uranium Recovery, and Waste Programs module to promote accurate, complete, and standardized data entry.

The OIG recommends that the Executive Director for Operations update existing inspection data entry guidance to include how to document assist inspections and general license inspections.

The OIG recommends that the Executive Director for Operations review the existing guidance for each Web-Based Licensing System module and update it to reflect current data entry practices, as appropriate.

The OIG recommends that the Executive Director for Operations identify and implement strategies that improve the search functionality of the Web-Based Licensing System.

The OIG recommends that the Executive Director for Operations update the Web-Based Licensing System to make the search functionality consistent across all the modules.

Note: We did not make a formal recommendation for this report. However, we are claiming cost savings. The following is the language we used in the Tracking Sheet we submitted to the Agency. "In our 2022 review, we recommended SSA, “Improve Agency systems to automate benefit computations and reduce the need for manual processing.” Therefore, no recommendation in the current report.

Implement procedures and controls for targeting non-FHA-insured RAD PBV projects to monitor the physical conditions and reserve for replacement accounts.

Implement procedures for monitoring property owners' reserve for replacement accounts for compliance with HUD's requirements, using reserve for replacement account data collected on projects from PHAs.

Provide inspection reports for the units identified in this report that failed to meet HQS showing that the units and associated buildings meet HUD's current physical condition standards.

Implement a policy to ensure that monitoring of RAD PBV projects includes, at a minimum, a review of the accuracy of the reserve for replacement account balances and compliance with HUD's physical condition and inspection requirements.

Review the reserve for replacement accounts for the 12 underfunded projects to ensure that the account balances are maintained in accordance with the applicable HUD requirements and executed HUD business documents and require owners to fully fund any underfunded reserves, as applicable.

Review the reserve for replacement accounts for the 14 project owners that did not make annual adjustments for inflation, as identified in the capital needs assessment, to determine whether the account balances are sufficient to meet anticipated capital needs. If the account balances are not sufficient, HUD should require the owners to appropriately fund the accounts.

Implement a plan to review the reserve for replacement accounts for all RAD PBV projects to ensure that reserve for replacement accounts are appropriately funded.

Obtain documentation from the PHAs to support that more than $1 million in withdrawals from the eight reserve accounts complied with HUD's requirements or require the project owners to reimburse the reserve accounts for the unsupported withdrawals.

Implement a process, in conjunction with the Office of Recapitalization, to ensure that the reserve for replacement requirements in HUD's business documents, such as the RAD conversion commitment, HAP contract, and operating agreement, are consistent for converted projects.

Collect data on projects' reserve for replacement accounts to support the Office of Field Operations' monitoring activities.

The Facility Director ensures the mental health executive council operates in accordance with VHA requirements.

The Chief of Mental Health identifies barriers and implements processes to provide a minimum of four hours of recovery-oriented, interdisciplinary programming on weekends on the inpatient mental health unit and monitors for compliance.

The Facility Director develops and implements processes to monitor and track compliance with involuntary commitment requirements.

The Chief of Staff ensures timely documentation of informed consent discussions between the prescriber and veteran on the risks and benefits of newly prescribed medications and monitors for compliance.

The Chief of Staff ensures discharge instructions for veterans are written in easy-to-understand language and include the purpose for each medication.