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Sample Profile Chart

Management Bulletin 06-209 attachment: Food for brilliant infants sample profile chart.

Food for Brilliant Infants (FBI)
Fiscal Year 2005-06

Facility ID # Start Date < 12Months < 24Months SD/Date Other comments
1
2/1/02
 - -
3/18/04
 N/A
2
6/1/00
 - - - N/A
3
11/1/04
X
 - - N/A
4
7/15/99
 - - - N/A
5
7/15/99
 - - - Minor problems in 2001
6
2/1/04
 -
X
 - Many problems in 2004
7
9/1/04
 -
X (note 7)
- 7 years w/ competitor
8
1/1/01
 - -
8/13/01
 N/A
9
3/1/04
 -
X
 - N/A
10
8/1/00
 - - - N/A
  1. In Program since 2002, seriously deficient in 2004, corrected in 2004
  2. In Program since 2000, no problems
  3. New, started 11/1/04
  4. In since 1999, no problems
  5. In since 1999, minor problems in 2001
  6. New, started 2/1/04, persistent problems on reviews, though not rising to level of serious deficiency
  7. New to FBI, but in Program with another sponsor since 1997, sponsor terminated in 2004.
  8. In Program since 2001, SD in 2001, corrected, no problems since
  9. Entered 3/1/04, no problems
  10. Entered in 2000, no problems

Provider Review Priorities

Extra Reviews 3 Reviews 2 Reviews
Facility 1
Facility 7
Facility 2
Facility 3
Facility 8
Facility 4
Facility 6
Facility 9
Facility 5
-
-
Facility 10
Questions:   Nutrition Services Division | 800-952-5609
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