1. Seriously Deficient What Does It Mean? Prepared and Presented By: Suzanne Leggas Rene’ Poitra

2. SD What is the Meaning?

3. 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

4. What Are Our Objectives?  Define the Regulation  Talk About the Seriously Deficient Process  What Do I Do if I’m SD?

5. 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….”

6. You Could Be Seriously Deficient For……………..  Failure to Maintain Adequate Records  No Monitor Review  No Procurement  No Enrollment Forms  No Documented In-Service Training

7. 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

8. 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

9. Serious Deficiency Process Center Must: o Respond 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.

11. 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

13. Corrective Action Plan If the Corrective Action Plan is Acceptable the SD Determination is…………………..

14. Corrective Action Plan Insufficient/No Corrective Action Repeat Offense

15. 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