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Serious Deficiency: It’s Not a Joke Avoiding Serious Deficiency as a Sponsor of Centers

Serious Deficiency: It’s Not a Joke Avoiding Serious Deficiency as a Sponsor of Centers. 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.”.

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Serious Deficiency: It’s Not a Joke Avoiding Serious Deficiency as a Sponsor of Centers

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  1. Serious Deficiency: It’s Not a Joke Avoiding Serious Deficiency as a Sponsor of Centers

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

  4. What is a Serious Deficiency? • Failing 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 • Serving meals from a 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/RP 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 Ttitle XX beneficiaries

  6. What is a Serious Deficiency? • Failing to properly train or monitor sponsored facilities • Failing to perform any financial and administrative responsibilities • 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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