Seriously DeficientWhat Does It Mean?

Prepared and Presented By:Suzanne LeggasRene’ Poitra

SD What is the Meaning?

What Are Our Goals?...........o Definition of Seriously Deficient

o To Know that the Seriously Deficient Process is a Tool for Improvement

o To Inform the Sponsors of the Consequences From Non-Compliance of Program Expectations

What Are Our Objectives?Define the Regulation

Talk About the Seriously Deficient Process

What Do I Do if I’m SD?

Seriously Deficient (SD) Defined

7 CFR 226.2“the status of an institution or a day care home that has been determined to be non-

compliant in one or more aspects of its operation of

the Program….”

You Could Be Seriously Deficient For……………..

Failure to Maintain Adequate Records

No Monitor Review No Procurement No Enrollment Forms No Documented In-Service Training

You Could Be Seriously Deficient For……….continued

Submission of False Information Claiming Reimbursement for Significant Number

of Meals that DO NOT meet Meal Pattern Failure to Comply with Contract Requirements Using a Food Service Management Company

that is in Violation of Health Codes Submitting a Renewal Application with out

Fulfilling Financial and Administrative Responsibilities

Not Spending All Your Reimbursement on CACFP

State Agency’s Serious Deficiency Process

The letter and SD notice is sent by certified mail

Includes the name(s) of Responsible Principals and/or Individuals, the SD’s and Request for Corrective Action Plan

Serious Deficiency Process

Center Must:oRespond to the SD Notice and Must Submit a Corrective Action Plan

Acceptable Corrective Action Plans Includes:Policies and Procedures or other Official

Documentation which Ensures the Serious Deficiencies have been Fully and Permanently Corrected.

Corrective Action Plan

WHAT…..Procedures Will Be Implemented?

WHO….Will Address the Serious Deficiency?WHEN….Will the Procedures be Implemented

Timeline, Daily, Weekly, Monthly, Annually?(Date Correction Will Begin)

WHERE….Will the Documentation be Retained?HOW….Will Staff be Informed?

New Procedures, Memos, Handbook, Training

Corrective Action Plan

If the Corrective Action Plan is Acceptable

the SD Determination is…………………..

Corrective Action Plan

• Insufficient/No Corrective Action• Repeat Offense

What is the State Agency’s Message to You?

It is No Longer Necessarily Associated with a Monetary Dollar Value $$$$$

Centers Used to Be SD Only When There Were Excessive Findings

It’s All About Being in Compliance The Centers’ Corrective Action and Follow-

Up Review Will Determine a Temporary Deferral or Termination