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Corrective Action


Nutrition Services Division Management Bulletin
Purpose: Policy, Action Required, Beneficial Information

To: Child and Adult Care Food Program Day Care Home Sponsors

Number: USDA-CACFP-06-2012

Attention: Food Program Director

Date: March 2012

Subject: Corrective Action

Reference: U.S. Department of Agriculture, Child and Adult Care Food Program, Title 7, Code of Federal Regulations, Section 226.16(d)(4)(i)

This Management Bulletin (MB) provides Child and Adult Care Food Program (CACFP) Day Care Home (DCH) sponsors with guidance on the implementation of policies and procedures to address all areas of non-compliance with program requirements.

Background

The U.S. Department of Agriculture (USDA) requires sponsors to implement policies and procedures to address all areas of non-compliance with program requirements and require corrective action. 

Sponsor reviews must include an assessment of the facility’s compliance with program requirements pertaining to:

  1. Reconciliation of the facility’s meal counts with enrollment and attendance records for a five-day period
  2. The meal pattern
  3. Licensing
  4. Attendance at training
  5. Meal counts
  6. Menu and meal records
  7. The annual updating and content of enrollment forms
Non-compliance Rising to the Level of Serious Deficiency

Currently, if a site monitor identifies non-compliance that rises to the level of a Serious Deficiency (SD), the site monitor must document the non-compliance and complete a Corrective Action Plan. The CACFP MB USDA-CACFP-06-2010 provides guidance and instruction on the implementation of the SD process for DCH providers. This guidance is located on the California Department of Education Management Bulletin Web page at http://www.cde.ca.gov/ls/nu/cc/mbusdacacfp062010.asp.

Non-compliance Not Rising to the Level of SD

If a site monitor identifies areas of non-compliance that do not rise to the level of an SD, the site monitor must, at a minimum, document the finding(s) and required corrective action in the monitoring report. The provider must sign the monitoring report to acknowledge the finding(s) and agree to the corrective action(s). A sponsor may choose to go beyond the minimum requirements and notify the provider of the finding(s), corrective actions, and issue a warning, if warranted, in a separate letter.

On subsequent reviews, the site monitor must document in the site monitoring report whether corrective action was implemented and maintained. If the provider does not complete the corrective action, the sponsor may declare the finding(s) as an SD depending on the nature of the finding(s). 

Questions
If you have any questions regarding the corrective action policy, please contact the CACFP specialist assigned to your agency. You will find a list of contact information for specialists in the Download Forms section of the CNIPS.
Questions:   Nutrition Services Division | 800-952-5609
Last Reviewed: Wednesday, September 2, 2020
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