PrepARING FOR A CRE
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Transcript PrepARING FOR A CRE
CHILD AND ADULT CARE FOOD PROGRAM
SERIOUSLY DEFICIENT (SD)
TO THE
NATIONAL DISQUALIFIED LIST (NDL)
Presenters: Barbara Smith and Belva Brennan
April 12, 2012
USDA, Food and Nutrition Service, Child Nutrition Division
Program Analysis and Monitoring Branch
Seriously Deficient
Learning Objectives
Serious Deficient Defined and Reg. Citations
SD process
Targeted Management Evaluation “SD”
Findings
Seriously Deficient (SD) Defined
7 CFR 226.2
“…the status of an institution or a day care
home that has been determined to be noncompliant in one or more aspects of its
operation of the Program…”
SD Process Reg Citations
For New Institutions…
226.6(c)(1)
For Renewing Institutions…
226.6(c)(2)
For Participating Institutions…
226.6(c)(3)
For Day Care Homes…
226.16(l)
Serious Deficiency Process
What exactly is the “serious deficiency
process”?
EVERYTHING after a SD declared…
begins with the SD determination and
ends with the resolution of the SD
Serious Deficiency Process
SD notice is sent by certified mail (or
equivalent private delivery)
Include name(s) of RPI(s), SDs and
request for CAP
SA must maintain a State agency list
including SD information
Serious Deficiency Process
In response to the SD notice, the
institution or provider must submit a CAP
Acceptable CAP includes:
Name(s) of institution/provider and
RPIs; Location; RPI birth dates;
assurance that SDs are fully and
permanently corrected.
Serious Deficiency Process
An Acceptable CAP also answers these
questions:
What are the serious deficiency(ies) and
the procedures that will be implemented
to address the serious deficiency(ies)?
Who will address the serious deficiency?
Serious Deficiency Process
An Acceptable CAP also answers these
questions:
When will the procedure for addressing
the serious deficiency be implemented?
Where will the CAP documentation be
retained?
Serious Deficiency Process
An Acceptable CAP also answers these
questions:
How will the new procedure(s) be
transmitted to staff and facilities?
Additional supporting documentation
Serious Deficiency Process
States must submit the SD notice and
documentation to their FNSRO
DCH SO must provide SD notice and
documentation to the State agency
If the CAP is deemed acceptable, SD
determination is temporarily deferred.
Serious Deficiency Process
If a timely CAP is not submitted or no
CAP is submitted:
A NPTD, with appeal rights is sent
If SA action is upheld, a NTD is sent to
institution or provider and RPIs
Serious Deficiency Process
If SA action is not upheld…
SD determination is temporarily
deferred
Institution is not terminated but still
must implement CA
Serious Deficiency Process
SD fully and permanently corrected…
SD temporarily deferred
SD not fully and permanently
corrected ...SA issues NTPD
FY2010 and FY2011
TME Findings
Serious Deficiency Process
Use of “SD” warnings
Inadequate description of SDs and/or
corrective action
NSDs or other documents lacked required
information
Failure to name RPIs
TME Findings: SA Level
Failure to issue SD-related
correspondence to institution officers
Exceeding Corrective Action time periods
Failure to use “abbreviated” appeals
TME Findings: SA Level
Self-terminate or Terminate for
Convenience
Failure to issue NSD on a timely basis
No State agency list or list not
complete/current
TME Findings: SA Level
Non-compliant appeals process/
procedures
Failure to resolve appeals within
regulatory timeframes
Failure to issue Notice of Proposed
Termination/Disqualification (NPTD)
TME Findings: SO Implementation
and SA Oversight
Inadequate description of SDs and/or
corrective action in NSD
NSDs or other documents lack required
information
Failure to issue SD-related
correspondence to institution officers, if
applicable
TME Findings: SO Implementation
and SA Oversight
“Promise” not to do it again
Rescission of NSD w/o evaluation/receipt
of corrective action
Failure to use SD process when license
is revoked
FNS CND Findings
Multiple Terminations
Institutions Terminated w/o RPIs
“Trial Periods” as NDL removal
prerequisite
Removing DCH providers w/o adequate
Corrective Action
Failure to collect interest on debt
National Disqualified List (NDL)
Learning Objectives
NDL Authority
Provide guidance on what is required for
submissions to the NDL
Removal from NDL process to include:
FNS expectations of acceptable CAP
Collection of Debt and interest
New Web-Based NDL System
The National Disqualified List
42 U.S.C. 1766 (d)(5)(E)(i) and (ii), the
Richard B. Russell National School Lunch
Act
§ 226.6(c)(7) of the Program regulations
Submissions to the NDL
Institution:
Name and Address
Termination date;
Amount of debt owed, if any, noting the RPI;
Reason/s for the disqualification
Submissions to the NDL
RPI:
Name
Address
Date of birth; and
Position in the institution
Submissions to the NDL
Provider:
Name(s) of the provider;
Address;
Date of Birth;
Termination date;
Amount of debt owed, if any;
Name of the individual’s sponsor; and
Reason(s) for the disqualification
Submissions to the NDL
Accurate and complete information
Incomplete submissions returned
Review by FNS Regional Office
Removal from the NDL
No removal if there is a debt owed
After 7 years from termination
“Reinstated” records retained 3 years
Early removal requests
End of 7 Years
If debt remains upon completing 7 years,
no removal.
Institution/RPIs/Providers remain on the
State agency list.
Upon reapplication, SA must ensure
serious deficiencies are fully resolved
prior to approving the application
Early Removal Requests
Institutions and RPIs:
SA submits supportive documentation
FNS RO reviews documentation
FNS National Office concurrence
Early Removal Requests
Day Care Home Providers:
§ 226.6(c)(7)(vi) gives SAs authority to
remove providers from NDL
FNS’ responsibility
Early Removal Requests
Corrective Action Plans:
For institutions, § 226.6(c), requires the
submission of corrective actions taken to
the State agency.
For providers, § 226.16(k)(3)(F)(ii)
requires the submission of corrective
actions to the sponsoring organization.
Debt Collection
7 CFR §226.14
Repayment plan
Effect on NDL
Uncollectible Debt
Debt Collection
Assessment of Interest
Interest accrual on debts
Responsibility of the State Agency
Debt Collection Example
See Handout
Debt Interest Rate
One uniform rate (Current Value of Funds
Rate)
CVFR is published annually at
http://www.fns.treas.gov
The NDL System
MOVING FORWARD
Web-Based NDL System
A robust, scalable and expandable webbased application for NDL
Replaces the MS Access NDL application
Integration with the USDA e-Authentication
system
Web-Based NDL System
Access
Sponsoring Organization: e-Auth Level 1
State Agency: e-Auth Level 2
FNS Regional Office: e- Auth Level 2
FNS National Office: e-Auth Level 2
Web-Based NDL System
Projected Timeline
Client Verification Testing Period – April to May
2012 (CND and FNS RO staff)
Training Webinars for State agency staff - June
2012 and prior to implementation date
System Forms: OMB Approval Clearance Process
begins mid-June 2012
Launching Live – Beginning of FY2013
(Estimation)
THANK YOU!
QUESTIONS ?????