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
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