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 Corrective Actions For all participating organizations  Corrective Actions For all participating organizations

Corrective Actions For all participating organizations - PowerPoint Presentation

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Corrective Actions For all participating organizations - PPT Presentation

Not a punishment but an opportunity to improve operation of the CACFP 15 minutes Steps in the Right Direction Activity 2 https zippygfycatcomOilySleepyCassowarywebm May 14 2019 Raise your hand if ID: 776300

processes procedures action corrective processes procedures action corrective implemented 226 documentation root drink finding state program recurrence noncompliance meal

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Presentation Transcript

Slide1

Corrective Actions

For all participating organizations

Not a punishment – but an opportunity to improve operation of the CACFP!

Slide2

15 minutes

Step(s) in the Right Direction Activity

2

Slide3

https://

zippy.gfycat.com/OilySleepyCassowary.webm. May 14 2019.

Raise your hand if….

3

Slide4

Learning Outcomes

4

3

CAPs

1

Purpose

2

Root Causes

4

Components

5

Evaluate

6

CHAAMPS

Slide5

5

Corrective Action

State Agency Review of Sponsor

Single Program Audit

Sponsor Review of Facilities

Purpose

Slide6

6

Program Noncompliance

Finding

Corrective Action

Corrective Action

The

action

the facility will take within a specific timeframe to address the finding(s) of non-compliance and to prevent it from recurring.

2 CFR 200.26

New or improved processes or procedures.

Implemented within a specific time frame.

Expected to resolve the condition that resulted in noncompliance

Expected to prevent recurrence.

Identifies who is responsible for implementation.

Where the corrective action documentation is retained.

How the individuals impacted by the updated processes and procedures are informed.

Purpose

Slide7

7

Root – Cause Analysis

Why ask WHY?

The 5 Whys

Root Cause

Slide8

SCENARIO

8

Finding: Failure to maintain compliance with meal-pattern requirements

[§226.20(c)]

You are the sponsor of a childcare center under review by the State agency. During the on-site meal observation, the reviewer notices that orange drink is served for the milk component at breakfast. The reviewer questions the cook, who indicated that whole, skim, or fat-free milk (depending on age-level) is listed on the posted menu for the day. However, there is no milk available. All the center has is orange drink, 100% apple juice, and water. In order to provide something to drink for the children in care, the cook decided to serve orange drink because it has vitamin C and the kids like it. The cook said she did not know that orange drink does not meet meal-pattern requirements. Therefore, the State agency cites the center for failure to meet the meal-pattern requirements noted in 7 CFR 226.20(c).

5 minutes

Root Cause

Slide9

9

Root-cause

C

orrective

Action

PLAN

A written response that details the specific action the facility will take within a specified time frame to permanently correct the noncompliance. [2 CFR 200.511(c)]

Corrective Action Plans

Slide10

10

What

processes and procedures will be implemented to correct the finding?

Who

is ultimately responsible for implementing the processes and internal controls?

How

will the facility ensure the processes and procedures are followed consistently to prevent recurrence?

When

will the processes and procedures be implemented and at what frequency?

Where

will the documentation be retained?

W

W

H

W

W

Developing the CAP

Components

Slide11

Supporting

Documentation

11

Staff training documentation Site monitoring reportsMenusChild Nutrition (CN) labels/manufacturers’ product analysis sheetsRecipesUpdated forms

Components

Slide12

Evalutating a CAP

12

Required elements

Addresses noncompliance

Prevents recurrence

Fully implemented

Slide13

CAP Analysis

15 minutes

2

Slide14

14

14

What

processes and procedures will be implemented to correct the finding?

Who

is ultimately responsible for implementing the processes and internal controls?

How

will the facility ensure the processes and procedures are followed consistently to prevent recurrence?

When

will the processes and procedures be implemented and at what frequency?

Where

will the documentation be retained?

W

W

H

W

W

Developing the CAP

Slide15

15

CHAAMPS Compliance

Slide16

ReCAP

16

Slide17

References

ResourcesHandoutsCorrective Actions Participant’s GuideCAP Evaluation ChecklistCAP Development Template

RequirementsCode of Federal Regulations (7 CFR 226)§226.6(c) – participating organizations§226.16(l) – FDCH providersUSDA Policy MemosCACFP 14-2012, Child and Adult Care Food Program Guidance on Serious Deficiency Process and Acceptable Corrective Action Plans, National Disqualified List Procedures and Debt Collections, May 1, 2012. USDA HandbooksSerious Deficiency, Suspension, & Appeals for State Agencies & Sponsoring Organizations, USDA (February 2015).

Training and Resources from VDH

http://www.vdh.virginia.gov/child-and-adult-care-food-program/

This

training and participant guide were adapted from the March 2019 CACFP Operational Resources and Education “Corrective Action” training by MH Miles Company.

Presentation

template by

SlidesCarnival

//

Photographs

by

Unsplash

Slide18

18

Questions? Contact Us!

This institution is an

equal opportunity provider.

CACFP@VDH.Virginia.Gov(877) 618- 7282Virginia Department of HealthDivision of Community NutritionSpecial Nutrition Programs109 Governors Street, 8th FloorRichmond, Virginia 23219

Slide19