Open Recommendations

We recommend the Senior Vice President, Generation Projects and Fleet Services, take steps to validate that annual inspections include a review of weekly inspection reports.

We recommend the Senior Vice President, Generation Projects and Fleet Services, facilitate the completion of required training for all personnel performing inspections.

We recommend the Senior Vice President, Generation Projects and Fleet Services, document the training of contractors performing inspections of coal combustion residuals storage facilities.

Veteran Readiness and Employment should coordinate with VAs Office of General Counsel to assess the eligibility decision process and ensure all legal and regulatory requirements are accounted for and confirmed by the appropriate staff. If necessary, Veteran Readiness and Employment should update the process to conform with the general counsels interpretation of legal requirements.

Veteran Readiness and Employment should develop a standard documentation method for verifying eligibility periods, deferrals, extensions, and final eligibility decisions and train appropriate staff, including vocational rehabilitation counselors, on how to properly document eligibility decisions.

Veteran Readiness and Employment should develop a quality assurance review process to monitor the accuracy of eligibility decisions.

Veteran Readiness and Employment should coordinate with VAs Office of General Counsel to assess the entitlement requirements and whether those used to confirm and document entitlement decisions are compliant with laws and regulatory requirements. If changes are needed, Veteran Readiness and Employment should update the manual and train appropriate staff accordingly.

Veteran Readiness and Employment should develop additional controls to ensure official entitlement decisions in the narrative report are documented in a manner that is clear and would allow for effective oversight from both internal and external entities, such as containing clear documentation of the assessment of employability factors and additional evidence used to substantiate the claim.

OIG recommended the under secretary for benefits review all processing errors on cases the Office of Inspector General team identified, correct those errors, and report back on the results of those actions.

OIG recommended the under secretary for benefits collaborate with key stakeholders"such as the VA Secretary and representatives from the Office of Field Operations, the Office of General Counsel, and as needed the Board of Veterans Appeals"to prioritize consolidating the guidance for PACT Act claims processing into the Adjudication Procedures Manual.

OIG recommended the under secretary for benefits evaluate the effectiveness of control activities specifically for denials of nonpresumptive conditions under toxic exposure risk activity procedures and determine where new or stronger controls are needed.

The VA New York Harbor Healthcare System Director reviews facility processes to ensure medical and psychosocial health care for residents who report abuse, and staff are educated on the requirements.

The VA New York Harbor Healthcare System Director ensures that community living center nursing leaders and factfinding investigators complete factfindings in accordance with Veterans Health Administration policy.

The VA New York Harbor Healthcare System Director reviews responses to other incidents of suspected abuse and ensures actions are completed for resolution, including notifications.

The VA New York Harbor Healthcare System Director ensures community living center staff are compliant with Veterans Health Administration Prevention and Management of Disruptive Behavior Program education and training requirements.

The VA New York Harbor Healthcare System Director ensures community living center nursing and clinical staffs electronic health records documentation meets requirements for timeliness, accuracy, and completion, and takes action as needed.

The Under Secretary for Health ensures that VHA abuse policy addresses compliance with federal statutes and regulations, including 42 C.F.R. 483.12, and outlines suspected elder abuse processes to notify leaders, interdisciplinary care team members, VA Police, patients families or designees, and state regulatory agencies; and identifies roles and responsibilities of reviewing officials for investigative reviews.

The VA New York Harbor Healthcare System Director ensures system abuse policies include required elements to comply with Veterans Health Administration, state, and federal regulations, including 42 C.F.R. 483.12; and clearly outlines processes for leaders and staff when responding to suspected abuse related to reporting (for example, to interdisciplinary care team members, VA Police, family or designee, and state regulatory agencies); and conducting factfinding investigations.

Create and implement a plan to automate the oversight and review process of missing 091 transactions and completion of Postal Service Form 1017-B before the pay week closes.

Provide training to ISSPOs, ISOs, and Information Owners on their roles and responsibilities to follow the PBGC RMF and POA&M processes.

Confirm the requirement that deficiencies identified by SPA&A reviews that are not remediated within 30 days after identification are tracked via POA&Ms with accountable personnel.

Periodically monitor the satisfaction of the system risk assessment and POA&M creation requirements to help ensure ongoing compliance associated with the timely completion of and updates to system risk assessments and documentation and tracking of POA&Ms.

We recommend PBGC management to coordinate with its CSP to update its service agreement and shared responsibility matrix to address ambiguities regarding accountable parties for key controls and develop and implement a contingency plan for the system.

Continue to monitor First Solar’s impact, including through the June 30, 2026 annual Development Outcomes Survey and midpoint performance assessments, to have relevant information for assessing the project’s core impacts and metrics.

Adjust the ESOC Award Fee Plan to include clear, objective criteria for the Management and Technical Performance, Business Management, Compliance with Safety and Health Requirements evaluation category