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
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Corrective Actions
For all participating organizations
Not a punishment – but an opportunity to improve operation of the CACFP!
Slide215 minutes
Step(s) in the Right Direction Activity
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Slide3https://
zippy.gfycat.com/OilySleepyCassowary.webm. May 14 2019.
Raise your hand if….
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Slide4Learning Outcomes
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3
CAPs
1
Purpose
2
Root Causes
4
Components
5
Evaluate
6
CHAAMPS
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Corrective Action
State Agency Review of Sponsor
Single Program Audit
Sponsor Review of Facilities
Purpose
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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
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Root – Cause Analysis
Why ask WHY?
The 5 Whys
Root Cause
Slide8SCENARIO
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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
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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
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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
Slide11Supporting
Documentation
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Staff training documentation Site monitoring reportsMenusChild Nutrition (CN) labels/manufacturers’ product analysis sheetsRecipesUpdated forms
Components
Slide12Evalutating a CAP
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Required elements
Addresses noncompliance
Prevents recurrence
Fully implemented
Slide13CAP Analysis
15 minutes
2
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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
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CHAAMPS Compliance
Slide16ReCAP
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Slide17References
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
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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
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