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Serious Deficiency: It’s Not a Joke

Serious Deficiency: It’s Not a Joke. What is Seriously Deficient?. “The status of an institution or day care home that has been determined to be non-compliant in one or more aspects of its operation of the Program.”. What is a Serious Deficiency?.

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Serious Deficiency: It’s Not a Joke

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  1. Serious Deficiency: It’s Not a Joke

  2. What is Seriously Deficient? “The status of an institution or day care home that has been determined to be non-compliant in one or more aspects of its operation of the Program.”

  3. What is a Serious Deficiency? • Submission of false information on application • Permitting someone on the National Disqualified List (NDL) to serve in a principal capacity • Failure to show Viability, Capability and Accountability (VCA) • Failure to comply with bid/contract procedures • ***Failure to maintain adequate records (this includes menus, meal counts, attendance, soy milk notification forms, etc.)

  4. What is a Serious Deficiency? • Failure to adjust meal orders to conform to variations in the number of participants • Claiming reimbursement for meals not served to participants • Claiming reimbursement for a significant number of meals that do not meet Program requirements • Use of FSMC in violation of health codes

  5. What is a Serious Deficiency? • For-profit centers: claiming meals during months when less than 25% of children are eligible for f/r-p meals or title XX beneficiaries • For-profit adult day care center: claiming meals during months when less than 25% of enrolled adults are title XIX or title XX beneficiaries

  6. What is a Serious Deficiency? • Any other action affecting the institution’s ability to administer the Program in accordance with requirements

  7. What Happens if I’m “SD”? The State Agency will require… • A corrective action plan outlining how you plan to fully and permanently correct deficiencies Example:

  8. What Happens if I’m “SD”? The State Agency will also require… • Payment for over-claims • Follow-up to ensure changes are permanent

  9. What Happens if I’m “SD”?

  10. Questions

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