Administrative Update for Adult Care Centers for FY15

Administrative Update for Adult Care Centers for FY15

Alaska Child and Adult Care Food Program

September, 2014

Required for FY 2015

USDA – Child and Adult Care Food Program

Legislation Regulations Instructions Policy Memos


Legislation – latest is the Healthy Hunger Free Kids Act of 2010

Regulations Code of Federal Regulations Title 7

Agriculture, Chapter II – Food and Nutrition Service, Department of Agriculture Part 226

7 CFR 226.2, 226.15, 226.16, 226.17, 226.17a, 226.19a, 226.20

Parts of 226 that you may be interested in: .2 Definitions .15 Institutional provisions .16 Sponsoring Organization provisions .17 Child care center provisions .17a At-Risk afterschool care center prov. .19a Adult day care center provisions .20 CACFP Meal Requirements

From Regulations: Basic Requirements

Program Eligibility Provide community-based group program designed to

meet the needs of functionally impaired adults through individual plan of care Structured, comprehensive – variety of health, social &

related support services to enrolled adult participants Provide care services directly or under arrangements with

agency managing services Have Federal, State or local licensing or approval to

provide day care services to functionally impaired adults (226.2) or individuals 60 years or older in group setting outside their home or group living on less than 24 hour basis.

From Regulations:Basic Requirements

Tax exempt or meet for-profit require. New applications and renewals req. Accept final administrative and financial

responsibility Provide adequate supervisory &

operational personnel Pre-approval visits for all facilities Recordkeeping – outlined on next slides

Recordkeeping Application & supporting docs Enrollment - NEW – need annually

Recordkeeping cont.

CACFP information required on enrollment forms

Could include on your own center enrollment but need: Name Date of birth Normal days and hours of care Meals normally eaten Participant signature

Recordkeeping cont. Eligibility – Confidential Income

Statement (CIS)

Recordkeeping, cont.Confidential Income Statement

Recordkeeping, cont.Confidential Income Statement

PFDs Must use the PFD the family received last fall (Sept/Oct

2013) through December 2014 ($900.00) Starting in January you must use this year’s PFD

(unknown amount at this point) that are received in October 2014

Sequence of income All income will have to be annualized (multiplied by

factor to equal yearly income) if they receive a PFD

If the total family income is $3,700 for a family of 3 which category would they fall into?

Recordkeeping, cont. Daily attendance & meal counts Daily meal counts for adult program staff

Recordkeeping,cont. Invoices/receipts/records of costs and

of income Claims submitted within timeframe

Recordkeeping, cont.Claim for Reimbursement

Due no later than 60 days past the end of claim month Needs to be in PENDING APPROVAL by due date

(see claim calendar) Error in the USDA Independent Center Handbook

pg. 44 – cannot do upward adjustment within 90 days!

On-line claim must be submitted by authorized representative

Requires Total Attendance


Total Attendance for Month Add all children throughout the month Duplicated number

Type this number on line 6 The database will compute Average Daily

Attendance (ADA) on line 7


Costs entered on sponsor claim sheet

All costs must be approved prior via Budget on file with the state (this year or prior year for independent centers who are not submitting new budget) Actual costs for food, non-food, labor (no guesses) Only CACFP on receipts – do not include non-CACFP on same receipt Note food or non-food amount on each receipt System for compiling to accurately submit expenses on monthly claim

Claims by site If site not claiming for a month:

Go into site information sheet & revise to un-check the month, then submit for approval

If you haven’t started the claim the site will not show up – if you have touched the site claim we will have to delete at

the state agency


Recordkeeping, cont.

Receipts of program payments from EED

Documentation of meals served (Menus, recipes, recipe analysis, production records)

Monitoring records Training sessions (& attendance at

training of monitors) Non-profit food service

Basic Requirements, cont.

Perform edit checks prior to claim submission Have daily records available Meal type approved 2nd person double-check counts, if menus

are creditable (children/infants/allergies), attendance is being completed

Basic Requirements, cont.

Permanent Agreement with the state Proper commodity utilization

Handout on option of commodity vs. cash-in-lieu of commodity (CIL)

Record retention 3+ current year Comply with regulations, instructions,

& guidance


FNS Instructions Posted on CNP website Provide guidance

Ie. FNS Instruction 796-2 Rev. 4– Financial Management in CACFP

Updated this year! Good resource

http://education.alaska.gov/tls/cnp/CACFP6.html

USDA – Child and Adult Care Food Program Policy Memos Distributed through Alaska Bulletins and

USDA website Guidance on specific topics

CACFP 13-2013 Health & Safety In CACFP

Policy Memos can be found on USDA website:

http://www.fns.usda.gov/cnd/care/Regs-Policy/PolicyMemoranda.htm

Update & Renewal for FY2015

Update annually & renew every 3 years Database Updates & Renewals due

October 1st Forms due October 1st

Except the NPFS Financial Report One Month Attendance Report(if you also

have a child care)

Child Nutrition Program (CNP)Database

FY2015– Renewals/Updates Handout on CNP yearly update


Type in URL address – https://www.eed.state.ak.us/tls/cnp/

All Programs Update Yearly

Submit to the state agency by October 1st

Management Plan (if updated) Attachment A & B (Budget sheets for

sponsoring orgs – more than one site)


Submit to the state agency by October 1st

Attachment C (Training for sponsor orgs) Attachment D (Monitoring for sponsor orgs) Cycle Menus Vended Meal Agreement (if applicable)

Central Contract Registry (CCR)

All recipients of federal funds must register on CCR CCR – expiration date

Update or renew annually Need a Data Universal Number

System (DUNS) number to register Included in CNP database now


Submit to the state agency by November 10th

Non-Profit Food Service (NPFS)Financial Report

One Month Attendance Report – NEW!!

Non-profit Food Service Financial Report

Best Practice:

Food costs = or > than 50% of reimbursement

If you don’t meet this submit an explanation with form as to why you are not spending at

least 50% of reimbursement on food

Non-profit Food Service Financial Report continued

Print out all back-up when you complete this report and keep in your files

Report from your accounting system What system do you use? What report dates are you using?

Non-profit Food Service Financial Report (due no later than Nov 10th)

One Month Enrollment Report (OMER)

CHANGES THIS YEAR! Replaces the 30-day study (Rate %

Certification) New dates: October 1-31st

List of Enrolled Participants vs. in Attendance

Report on the OMER which is an Excel document

OMER Process

Four Steps:

1) Distribute sample Letter to Participants with the Confidential Income Statement

Distribution may begin October 1st Eligibility must be based on information

reported on the Confidential Income Statement Take off “sample letter” & replace with your

letterhead

OMER Process

2) Categorizing & Approving the Confidential Income Statements (CIS): Must be signed & dated by the participant during

the study period (October 1- 31st) Determination by the center should be done

within the study period (October 1- 31st) A participant will be counted as over income if the

form is not complete Document number on CIS (will be same number

you put on Enrollment and OMER

OMER Process

3) Document Enrollment and Eligibility Status on Enrollment Roster in the OMER

All participants who are enrolled at the center during the month must be counted & recorded on the enrollment roster. (see handout)

CACFP Child Enrollment Roster – for OMER

OMER Process

4) Submit the OMER Report to State (Excel can be e-mailed)

Documentation for your files: A yearly file folder containing the following back-up should be kept at the center:

Copy of OMER Categorized CIS for each participant Copy of attendance records for the study period Enrollment (could be in individual participant

files)

OMER Process

o Centers are required to collect & submit this information only once a year.

One month October 1 –October 31st Need OMER to process October claim You can choose to do it more if there is a

significant change at your center

Reimbursement Rates

Alaska Reimbursement RatesJuly 1, 2014 through June 30, 2015

Certification Process

Certified Count Category Percentage

35 Free 54%

20 Reduced Price 31%

10 Above Scale 15%

65 Total 100.00%30 children enrolled during month period


Rate %

Category % times Meals

Meals by Category

Federal Rate

Reimbursement by Rate

54% Free .54 x 500 lunches

4.84

31% Reduced Price

.31 x 500 lunches

4.44

15% Paid .15 x 500 lunches

.46

Total

Based on 500 Lunches


Rate %


Meals by Category

Federal Rate



270 4.84

31% Reduced Price

.31 x 500 lunches

155 4.44


75 .46

Total



Rate %


Meals by Category

Federal Rate



270 x 4.84 = $1,306.80

31% Reduced Price

.31 x 500 lunches

155 x 4.44 = $688.20


75 x .46 = $34.50

Total $2,029.50


Additional Documents for Renewal (every 3 years)Submit to the state agency by October 1st: Recipes & recipe analysis Organizational Chart

And if the following have changed: Outside Employment Policy Mission Statement Non-discrimination Statement

CACFP Training by state

Annual attendance is required Need Civil Rights training yearly May be found Seriously Deficient for

non-attendance at annual state training

Annual Civil Rights Training

Two options: PowerPoint on the CNP website: http://education.alaska.gov/tls/cnp/CRR.html

Or distance training through eLearning site:http://education.alaska.gov/ELearning/

http://education.alaska.gov/tls/cnp/CRR.html

http://education.alaska.gov/ELearning/

CNP Administrative Reviews

At least every 3 years More often if :

follow-up is needed State CNP needs to meet 33.3%

requirement

Core Review ElementsEnrollment & Attendance

Enrollment for all in attendance & claimed

Income eligibility Attendance Records

Where do you take attendance? Most issues come with lack of good

attendance

Core Review ElementsMeal Counts Point of Service meal counts

Count by participant’s name (most reliable and you can verify w/attendance)

Consistent counting methods Consistent compilation of counts Double-check system in place prior to

submission to state

Core Review ElementsMeal Counts

Attendance should not be used for meal counts

Meal count at point of service on separate sheet

Meals not reimbursed if meal count is not current

Avoid counting at end of meal – when children have left the table it’s too late!

Core Review ElementsMeal Counts

Procedure to ensure non-reimbursable meals not claimed

Program adult meals counted (not claimed) Non-program meals counted (not claimed)

Who is paying for these meals since they are not USDA meals? Center reimburse CACFP account? Food costs not included in CACFP food costs?

Core Review ElementsMeal Observation

Meal Service Portion sizes Creditable components Type of meal service implemented

correctly Family Style Pre-plating

Eating environment POS Meal Counts Health & Safety

Core Review ElementsMenu Records & Meal Pattern

Cycle menus HM & CN listed & actual doc on file Variety of cycle menus for the year Variety of foods served

Working menus must be on file Recipes with analysis for serving sizes

Need recipes even if you have production records Production records (if using) Medical statements

Core Review ElementsVended Meals

Intent to contract to EED prior to setting up contract

Approved (by EED) contract on file Menus/recipes/CN labels – provided

by vendor and available on review Who creates the menus? What do you do if not meeting CACFP

standards?

Core Review ElementsVended Meals continued

Daily vendor receipts Time/temperatures documented on

receipt daily Items delivered & quantities

Vendor receipts = end of month invoice – who checks this??

Back-up system

Core Review ElementsNon-Profit Food Service

Costs are accountable (food/non food are different ledger accounts)

Costs match or exceed reimbursement Food Costs = or > than ½ the

reimbursement or reason why not 50% Food receipts match menu Reimbursement is used for CACFP

Food costs & Operating costs Not used for other center programming

Core Review ElementsNon-Profit Food Service cont.

Must be on approved budget Sponsors= this year budget Independent centers= this year or last year

Food receipts or food donations match menu

Reimbursement is used for CACFP Food & Non-food Operational Costs Operational Labor (actual time spent) Administrative & Administrative Labor

Actual time spent Cannot exceed 15% of total reimbursement

Procurement

We will check your procurement records

Procurement in CACFP/SFSP PowerPoint

Core Review Elements CACFP Staff Training

Annual CACFP training must be conducted

Annual Training File must include: Agenda with all topics listed:

Attendee names & signatures Date of training Location of training Any materials used in training (keep together)

You can make make changes to this CACFP training agenda


New Employee CACFP training must be conducted New Employee Orientation sheet

Agenda with all topics listed: Attendee names & signatures Date of training Location of training Any materials used in training (keep together)

Training issues

What are your training issues? Who do you train? Where is your training documentation

kept? (staff file, CACFP training file) What has worked well for training

staff?


All CNP CACFP training presentations will be available on CNP website


CACFP Training Agenda Template available on CNP website


Core Review ElementsSite Review (site-monitoring)

Required for sponsors of more than 1 site At least 3 times a year No more than 6 months between Timely corrective action (document) If new site – must do:

Pre-approval visit 1st site visit within 4 weeks of open

Core Review ElementsSite Review (site-monitoring) Form available on web

Monitor one meal type Visit each classroom Summary at the end must be completed 2 signatures Complete 5-day reconciliation-Updates

Check attendance & enrollment with meal counts

Each classroom (use addendum if needed)

Core Review Elements 5 Day Reconciliation - UPDATED

14. Do daily attendance records support the meal counts for the day of review & prior 4 days? (Complete a 5-day reconciliation below)

Meal Verified: __Breakfast XXLunch/Supper __Snack (AM/PM/Eve)Day 1 Date: 7/29/14 Attendance: 25 Enrollment: 35 Meal Count: 24Day 2 Date: 7/30/14 Attendance: 20 Enrollment: 35 Meal Count: 24Day 3 Date: 8/3/14 Attendance: 23 Enrollment: 35 Meal Count: 23Day 4 Date: 8/4/14 Attendance: 25 Enrollment: 35 Meal Count: 24Day 5 Date: 8/5/14 Attendance: 22 Enrollment: 35 Meal Count: 22

Document last 5 days

•Attendance (from actual sign in/sign out)

•Enrollment (are all children enrolled?)

•Meal Count Sheets

Core Review ElementsCivil Rights Requirements Justice for All poster(s) displayed Racial/ethnic count noted by reviewer Your procedure on collecting

racial/ethnic data you submit yearly on CNP web

No discrimination taking place Complaint procedures understood

Write down your complaint procedure

Core Review ElementsCivil Rights Requirements

Non-discrimination statement Long Version Website Newsletters Menus (short version okay) Parent Policies

This is what some programs forget

UpdatedNon-discrimination Statement

The U.S. Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)

f you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected].

Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800)845-6136 (Spanish).

USDA is an equal opportunity provider and employer.

Non-discrimination Statement short version

This institution is an equal opportunity provider and employer

Core Review ElementsHealth Safety & Sanitation

State of Alaska Dept. of Environmental Conservation (DEC) & Municipality of Anchorage (MUNI) Food Worker Cards -3 years Certified Food Protection Manager

(CFPM) – 5 years

Core Review ElementsHealth Safety & Sanitation

Documentation Copies of FW cards (who needs it?) Copies of FW test completion Certified Food Protection Manager

certificate Documentation of correspondence or

enrollment for next CFPM training

Core Review ElementsSanitation

Food Storage Refrigerator/Freezer (age of food/ temps/cleanliness) FIFO

Food Handling Practices Preparing Serving

Dishwashing/garbage Safe Food Handling

Time/Temperature Proper use of Gloves

Core Review ElementsProgram Administration Paperwork is organized and accessible Records & accounts available Confidentiality of participant information Correspondence/guidance with EED Permanent Agreement with EED Management Plan on file & updated

Now this is required yearly

Follow-up Reviews

May be unannounced Target corrective action issued, but may

be more comprehensive Checking for Permanent Corrective

Action Needs to be permanent – or move through

Serious Deficiency Process

Corrective Action

If findings on Administrative Review May be found Seriously Deficient (letter will

be sent to you) Corrective Action form given 2 weeks to submit documentation If you need another week, contact CNP

ahead Can be found SD if late on corrective action

submission

Serious Deficiency in CACFP

226.6(c)(2) and 226.6(c)(3) Submission of false information Permitting an individual on NDL list to

serve in a principal capacity Failure to operate Program in

conformance with the performance standards 226.6(b)(1)xviii) & (b)(2)(vii)

Serious Deficiency cont.

Failure to comply with bid procedures & contract requirements

Failure to maintain adequate records Failure to adjust meal orders Claiming reimb. for meals not served Claiming meals that do not meet

requirements

Serious Deficiency cont. Use of a food service vendor that is in violation

w/ health codes Failure to properly train or monitor facilities Failure to perform any of the other financial

& admin. Responsibilities ie. Late submission of update/renewal

Any other action affecting the institution’s ability to administer the Program

Potential Termination from CACFP

If Corrective Action is not Permanent Institution may be found out of

compliance Serious Deficient (if not found SD in the

past) Notice of Termination (if already SD on

this issue) with Appeal Rights

CACFP Fiscal year (FY) 2015

August/September 2014

October 1, 2014

November 10, 2014

October 1, 2014 – September 30, 2015

CACFP ResourcesCACFP Resources

State of Alaska Child Nutrition Programs

http://education.alaska.gov/tls/cnp

USDA CACFP

http://www.fns.usda.gov/cacfp/child-and-adult-care-food-program

USDA State Sharing Center

http://healthymeals.nal.usda.gov/state-sharing-center-0

http://teamnutrition.usda.gov/childcare.html

http://teamnutrition.usda.gov/Resources/childcare_recipes.html

http://teamnutrition.usda.gov/Resources/feeding_infants.html

National Food Service Management Institute

http://www.nfsmi.org/

http://www.nfsmi.org/ResourceOverview.aspx?ID=488

Health Safety & Sanitation Resources

DEC or Muni

DEC CFPM Training Available:http://www.dec.state.ak.us/eh/fss/training/cfpm.html

Muni Information Available:http://www.ci.anchorage.ak.us/healthesd/sanity.cfm

For More Information

Ann-Marie MartinCACFP Coordinator

(907)[email protected]

Alexis Hall

Education Program Assistant

(907) 465-4969

[email protected]

Administrative Update for Adult Care Centers

Alaska Child and Adult Care

Food Program

Administrative Update for Adult Care Centers for FY15

Documents

Transcript of Administrative Update for Adult Care Centers for FY15