Corrective Actions For all participating organizations

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Not a punishment – but an opportunity to improve operation of the CACFP!. 15 minutes. Step(s) in the Right Direction Activity. 2. https://. zippy.gfycat.com/OilySleepyCassowary.webm. May 14 2019.. Raise your hand if….. ID: 776300 Download Presentation

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Corrective Actions For all participating organizations




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Presentations text content in Corrective Actions For all participating organizations

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

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https://

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

Raise your hand if….

3

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Learning Outcomes

4

3

CAPs

1

Purpose

2

Root Causes

4

Components

5

Evaluate

6

CHAAMPS

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5

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

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SCENARIO

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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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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

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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

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Supporting

Documentation

11

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

Components

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Evalutating a CAP

12

Required elements

Addresses noncompliance

Prevents recurrence

Fully implemented

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CAP Analysis

15 minutes

2

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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

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CHAAMPS Compliance

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ReCAP

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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

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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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