Preparing for Your Reviews Debbie Calhoun, MS, RD, SNS School - - PDF document

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Preparing for Your Reviews Debbie Calhoun, MS, RD, SNS School - - PDF document

Preparing for Your Reviews Debbie Calhoun, MS, RD, SNS School Meals Program Specialist OSPI Child Nutrition Services Hello! Welcome to OSPI's Annual Training, for SY 2020-21 This presentation is titled "Preparing for Your Reviews"


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Debbie Calhoun, MS, RD, SNS School Meals Program Specialist OSPI Child Nutrition Services

Preparing for Your Reviews

Hello! Welcome to OSPI's Annual Training, for SY 2020-21 This presentation is titled "Preparing for Your Reviews" Introduce self... This is a recorded presentation, and therefore "live" questions will not be taken 1

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 

What We’ll Discuss

Preparation for the Administrative Review The Procurement Review Process

During this presentation, we'll discuss: How best to prepare for your AR The PR process 2

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Administrative Review

How do I prepare? What are you looking for? What documents will be looked at?

What happens if you find something wrong?

What happens during a review? How long will you be here? What staff will you talk to? What schools will you visit?

We know you have lots of questions/concerns when you have an upcoming Administrative Review. READ SLIDE The purpose of this presentation is to share with you what to expect during an AR, and how best to prepare. Remember that we are all on the same team and have the same goal: Providing students the nutrition they need to learn and grow. We WANT you to be prepared and to know what to expect. 3

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Administrative Review

How do I prepare?

ORGANIZATION

Now, to answer the big question: “How do I prepare for the Administrative Review?” The answer is: ORGANIZATION. Proper organization of the requested documents is the key to a smooth review and a more confident/prepared YOU. 4

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Why Organize?

Large amount of information Information constantly changing Ability to recognize where improvements can be made Ability to make corrections Quicker review

It’s not just about being organized for the purpose of the Administrative

  • Review. Having all of your work organized for you all the time ensures a more

efficient and manageable program in the long run. It will make every review that follows feel like just another day. As you probably all know by now,: a great deal of information must be processed to complete an Administrative Review. And without proper

  • rganization it can feel like you are suffocating under piles of paperwork. It

doesn’t have to be this way – organization will really help! Whether it be changes in meal preferences for students or updated meal applications, the data you maintain in the school meal program is ever-

  • changing. It's critical that you have strategies/systems in place to handle the

constant change. Proper organization also allows you to identify areas where improvements can be made, to identify errors and to make corrections. Lastly, to the benefit of us all, organized paperwork makes for a quicker review 5

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– allowing us to spend more time with you addressing your concerns, rather than with our heads down in a pile of papers! 5

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School Meals Administrative Review

Critical Areas General Areas

Administrative Review

School Meals Administrative Review

Critical Areas General Areas

Let's begin by reviewing exactly what the AR contains. The AR is divided into two major categories: the Critical Areas and the General Areas. Let’s take a closer look at each of these areas. 6

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Administrative Review

Critical Areas

Meal Access and Reimbursement

Certification and Benefit Issuance Verification Meal Counting and Claiming

Nutritional Quality and Meal Pattern

Meal Components Dietary Specifications and Nutrient Analysis Offer vs Serve Performance Standard 1 Performance Standard 2

The Critical Areas are further divided into Performance Standard 1 and Performance Standard 2. (CLICK) PERFORMANCE STANDARD I - MEAL ACCESS AND REIMBURSEMENT: WE

MUST ENSURE THAT All free, reduced-price, and paid lunches claimed for

reimbursement are served only to children eligible for free, reduced-price, and paid lunches, respectively. We must also ensure that meals are counted, recorded, consolidated, and reported through a system that consistently yields correct claims. (CLICK) PERFORMANCE STANDARD 2 – MEAL PATTERN AND NUTRITION QUALITY: WE

MUST ENSURE THAT ALL Reimbursable meals meet meal pattern requirements

as applicable to the age group reviewed. 7

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 

Meal Access and Reimbursement– What’s looked at?

 Benefit Issuance Documents (BID)  Free and reduced-price meal eligibility  Verification  Meal counting  Reliable System?

Let’s discuss each area in detail: Describe all items that will be requested during the review Talk about best practices for organizing/preparing your documentation READ BULLET POINTS 8

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Need: Certification documentation for all names

  • n sample BID list

On-Site Review BID List & Certification Documents

  • Applications
  • DC Lists
  • DC-Medicaid Lists
  • Extended Eligibility Data
  • TANF/FDPIR
  • Foster Documentation
  • Migrant
  • Homeless

The first area in Performance Area 1 is Certification and Benefit Issuance: The BID (Benefit Issuance Document) is a list of students receiving Free or Reduced price benefits in the district. We’re required to review a sample of these student’s certification documents, to verify that students are receiving the correct benefits. This list will be created prior to the review. We’ll validate ALL names on the sample BID list. Certification documents include: READ SLIDE. Let’s talk about each of these documents in greater detail. 9

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Place in same order as BID Check, do they include:

  • Names of all household members?
  • All household income/frequency?
  • Signature of adult?
  • Last 4 digits of SSN (or indication that there is none)?
  • District approval signature and date?

On-Site Review: Meal Applications

Let’s discuss the Free & Reduced-Price Meal Applications: READ SLIDE Now let’s take a closer look at each of these items… 10

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 

Free & Reduced Price Meal Applications Reportable Income

Must indicate FREQUENCY of each income listed!

Section 3: The names of all other household members – excludes students (whether the members of the household are related to each other or not) Income (in whole dollars) and how often the income is received. 11

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Free and Reduced‐Price Applications

Total Household Members and SSN

IF applying based on income, an adult must provide the last four digits of their social security number OR mark the box that they do not have one 12

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Extended Eligibility

NEED

  • Certification data for the qualifying student.
  • Certification data for the student on the BID list.
  • Documentation to support shared household/

address.

Tips?

What is Extended Eligibility? When one student is found on the Direct Certification list, and a sibling (or other shared household member) of that directly certified student does not also appear on the DC list, free meal eligibility (benefits) is extended to the sibling. These free meal benefits are extended for the remainder of the school year. …So, what do you need to do? You will need to show that the student who was not on the DC list lives at the same household as the directly certified student. You’ll need:

  • 1. Certification data: Print/retain a screenshot of the DC list, containing the

qualified student

  • 2. Print an address report or enrollment form (containing address information)

linking ALL household members together at the same address. Attach this documentation to the DC screenshot

  • 3. You may also attach the DC list (containing the qualified student) to a “paper

application” already received, containing ALL household members 13

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What ideas come to mind for keeping this information well organized? 13

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Household application including:

  • Name of foster child.
  • Foster box checked.
  • Signature of adult.

Copy of current documentation from DHS Indication as foster on DC list

Foster OR OR

To certify a foster child as eligible, you either need either: READ SLIDE 14

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List of homeless or migrant student names SIGNED by homeless liaison or migrant coordinator Migrant students can now be identified on the DC list

Homeless & Migrant

To certify a Homeless student as eligible: READ SLIDE To certify a Migrant student as eligible: READ SLIDE 15

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Other Documents to Pull

Have handy:

 Copies of your Approval and Denial Letters  All Denied Applications

Photo by Damian Gadal | CC BY 2.0

Lastly, copies of your notification letters will be requested and ALL denied applications must be available for review. 16

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 

 Electronic Systems: Waiver of 2nd party confirmation review  All Verification Documents

  • Notification letters for each household selected
  • Supporting documentation
  • Notice of eligibility (approved/denied/changed)

Verification – What You Need

The next area in Performance Standard 1 is: Verification. Verification will be reviewed for the current school year unless the review takes place before November 15. Your program specialist will review all or select a sample of the verified applications to review depending on the number of applications verified. If you use an electronic system: Print/retain a copy of the Waiver of 2nd Party Confirmation Review with your verification documents. The waiver can be found on our OSPI‐CNS website: OSPI Instructions & Tools for Completing Verification ‐ Tool 7 If using an electronic system to select the sample size, double check the math! Round fractions up to the nearest whole number of applications. Verify only the required amount – no extra. READ Second Bullet 17

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  

Double Check:

Math! Sample Size Selection method

Verification

READ SLIDE Math!! Sample Size: Round fractions up to the nearest whole number of applications. Verify only the required amount – no extra. And double check the sample type (focused, random). The OSPI‐CNS website contains a list of districts that had a nonresponse rate greater than 20% in the previous year. Districts on that list MUST conduct focused sampling. Please find our verification resources on our OSPI‐CNS website: Tool 1 can be especially helpful because it walks through each of the steps. 18

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What if you find an application or verification error?

 Contact family to collect information.  Parent may need to come in and provide signature.  Correct meal status if necessary.  Just let us know when we arrive

READ TITLE: Don’t Panic!! If you find an error, that’s actually a good thing – you can correct the issue before we arrive! Some examples include:

  • Inaccurate income calculation – incorrect benefits issued. Correction: Notify

family of change in meal status

  • Application did not include all necessary information. Correction: Contact

adult from application to collect necessary information. Approving official may annotate necessary information, sign and date the application when modifications are made.

  • Application missing signature. Correction: Contact adult from application,

they must come in person to sign the application. 19

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 

Meal Counting and Claiming

Must compile meal counts for month of review

  • Should support WINS claim

for month of review

  • Should include meal count

by category, for each day, at each site

The final area in Performance Standard 1 is Meal Counting & Claiming: The claim will be validated for the month of review (the month prior to the

  • nsite review), district-wide.

Reviewed documentation includes: meal counts by category for each day and each site. This data is reviewed to support the claim. 20

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Meal Counting and Claiming

Self-Check

Look for:

 Mathematical errors  Figures are not transposed/copied incorrectly  Ineligible meals (adult meals/second meals) are not counted  Accurate number of days are reported  Counts compared with Attendance Factor / Attendance Adjusted- eligible  Counts compared with enrollment / number eligible in each category To be confident in your meal counting and claiming documents, conduct a self- check. Ensure claim information is checked for: READ SLIDE 21

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Revise claims if necessary. Let us know when we arrive.

What if you find an error in meal counts?

READ TITLE: Don’t panic! If you find an error, that’s a good thing – you can correct the issue before we

  • arrive. Some examples include:
  • Meals were not counted correctly, overclaimed
  • A point-of-service meal count was not taken (strike through, etc..)
  • Numbers were transposed

Revise the claim if necessary to reflect the number of meals that should have been claimed. Document the entire process and explain what happened when we arrive. Remember, we’re only human! 22

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Nutritional Quality and Meal Pattern

Meal Components Quantities

The next major area of review is Performance Standard 2: Meal Components and Quantities. Once again, organization is the key here to being confident in your administrative review preparations! 23

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Performance Standard 2

  • Site Selection process
  • Month of Review (MOR)
  • Product Documentation
  • Production Records
  • Day of Review (DOR)
  • Production Record for actual meal service observed

Prior to the review, OSPI will select sites to focus the review on, and the sponsor will be informed of the site(s) selected. This is based on a USDA site selection process: the more sites a sponsor operates, the more sites OSPI will review. Some terms to remember when we talk about Performance Standard 2 include; Month of Review: the month prior to the onsite visit. Menus, production records, standardized recipes, and product statements from the month of review will be reviewed. Day of Review: the day that actual meal service is observed. What meals will be observed? Lunch: at all sites selected for review Breakfast: at 50% of sites selected for review Snack, Supper and/or Fresh Fruit and Vegetable Program would also be observed, if applicable 24

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  • Everything should be in order by

day

  • Production Records

Month of Review (MOR)

An entire month of documentation can be overwhelming... (CLICK) Please organize all menu documentation by day. To minimize our on-site review time, we want to be able to find things easily & quickly. All documentation should match the daily menu and be self-explanatory. Each day’s folder/binder of supporting documentation should contain: Production record 25

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 

  • Product Documentation

 CN label/Manufacturer Specification for processed products.  Product Formulation Statement/Label for whole grain products.  Associated recipes or product documentation necessary to validate meal pattern.

  • Fruits & vegetable salad bar production record if maintained

separately

Month of Review (MOR)

Each day’s folder/binder of supporting documentation should contain (cont.): Product documentation including: CN labels; product manufacturers’ formulation statements; and corresponding standardized recipes Alternate production records: ie. for a salad bar if maintained separately. Let’s review an example… 26

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   Monday Menu: Chicken Nuggets with Whole Grain Roll, Steamed Broccoli, Carrots, Apple Slices & Milk Folder or Binder should contain:  Monday production record  Associated product documentation including:

  • CN label/Manufacturer Specification for Chicken Nuggets.
  • Product Formulation Statement/Label for Roll.
  • Associated recipes or product documentation necessary to validate meal

pattern for fruits & veggies.

Month of Review (MOR)

READ MENU The organization of your corresponding documents should match this menu. READ Each page after this one should follow suit: Tuesday Menu, Production Record, Product Documentation; etc. Get creative to prevent duplication of efforts - for example: If a Whole Grain Roll is served multiple times during the month, create a page that states “Refer to Monday, May 1st for Whole Grain Roll documentation”. This method may also be used for Milk and Juice. It’s OK to include the milk label or other repeat items just once in the packet. We only need to validate the product and serving size one time. 27

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Prior to meal service ask yourself:

Will Meal Pattern be met? Menu - Production Record - Product Documentation Check ‘General Areas’

During meal service:

Observe POS procedures Ensure all meals claimed for reimbursement are counted correctly

After meal service:

Collect a DOR Meal Count

Day of Review (DOR) Self-Check

You will feel more confident approaching an Administrative Review if you’ve conducted many self-checks: Go to the site(s) selected for review and conduct an on-site review:

  • Look at your production record and product documentation for the day,

PRIOR to service, to assess if meal pattern will be met.

  • Verify that all meal components are being offered PRIOR to the point-of-

service

  • Check the general areas prior to service, determine whether:
  • Potable water is available
  • The AJFA poster is posted
  • Whether or not signage is present indicating what a

reimbursable meal will look like that day

  • Verify that the person conducting the point of service meal count is ensuring

all meals are reimbursable

  • Review meal counts
  • AFTER meal service: review meal counts for anything unusual

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General Areas

Following Performance Standards 1 and 2, the remainder of the review consists of “General Areas” 29

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General Areas

On-site Reviews

READ SLIDE 30

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 

  • Pertains to all foods/beverages sold to students, on campus

during school hours.

  • Includes cafeteria ala carte items
  • Think about vending machines, fundraisers, student stores,

pop-up sales.

  • It is everyone’s responsibility to ensure compliance.

General Areas – Smart Snacks

Smart Snacks READ SLIDE Best practice: Create a binder of ALL foods sold throughout each selected school. A common misconception is that if these foods aren’t purchased by the foodservice department then they are not subject to Smart Snacks

  • requirements. But it is everyone’s responsibility to ensure compliance

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  

Develop a plan at the beginning of the year Numerous resources available – consider:

  • Online courses
  • In-service training
  • State agency-sponsored training

General Areas – Professional Standards

Professional Standards refers to the training requirements of School Nutrition Program staff. Best practice: develop a plan at the beginning of the year, to meet the annual requirements for each staff person. During a review, we will need to see that all foodservice staff have either completed training, or have planned to complete training by the end of the school

  • year. So, even if the review occurs before all training has been completed, you will

have already met expectations if you’ve developed a plan for all employees to complete training by the end of the year. There are many resources available to assist you in providing meaningful training to your staff. READ SLIDE. Remember, training should apply to an employee’s work duties. 32

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Other Federal Program Reviews

  • Afterschool Snack Program
  • At-Risk Afterschool Meals
  • Fresh Fruit and Vegetable Program
  • Seamless Summer Option

Lastly, during an Administrative Review, all other federal programs offered at the sites selected for review will be reviewed. These include: READ SLIDE 33

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Afterschool Snack Program & Supper

 Meal counts for entire month of review  Menu for each day (may be included on meal count form)  Product documentation to support menu items  Day of Review observation

When a site of review operates the Afterschool Snack Program, review activities will

  • ccur and include:

‐ Validating meal counts supporting the claim for the month of review ‐ Remember to check for point of service meal counting when gathering documents ‐ Menu for each day will be evaluated. Check: Were two different components

  • ffered daily and was meal pattern met?

‐ Do you have product documentation for all items offered in the program ‐ Day of review observation will occur, meal service watched, point of service meal count taken 34

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Fresh Fruit & Vegetable Program

 Most recent claim documentation  Invoices supporting claim  Product documentation to support any non-produce items  Advertising materials  Day of Review observation

READ SLIDE 35

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Procurement Review

Next, we’ll discuss the Procurement Review 36

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What is a PR?

A review conducted offsite by an OSPI CNS Program Specialist that looks at the procurement and purchasing activities of an LEA.

  • Follows a three year cycle and may or may not be in the

same year as the AR.

  • Covers the prior program year.

Because your program receives federal reimbursement for the meals you serve, you are “playing with” federal money and therefore, there are regulations attached. Ultimately it’s about getting the best prices and being good stewards of public funds – it is your tax dollars we are spending! 37

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Purpose

  • Ensures that procurement practices comply with all

federal Child Nutrition Program regulations and government-wide procurement standards.

  • Per USDA - State Agencies must provide LEA oversight to

ensure Program integrity.

There are lots of sources of information that tell us what we need to do: CFRs (the federal Code of Regulations); RCWs (the Revised Code of Washington); FNS Policy Memos: and CNS Updates. The Procurement Reviews are designed to assist you in implementing all requirements that come your way. READ SLIDE

  • Ensures that procurement practices comply with all federal Child

Nutrition Program regulations and government-wide procurement standards.

  • To fulfill the USDA requirement that State Agencies provide oversight

to LEAs to ensure Program integrity. 38

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Steps in the Process

  • 1. Announcement Letter
  • 2. Return Materials
  • 3. Notification Letter
  • 4. Return Additional Materials
  • 5. Technical Assistance
  • 6. Final Letter and Closure

Image by Pixabay | CC0

The process takes a lot of “back and forth”. You can expect the review to last about two months (or possibly longer) from start to finish. READ SLIDE Details will be provided in the following slides. 39

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Announcement Letter

  • Announced the Summer before the school year starts. Due

back in September.

  • Notification Letter

Sent to the Superintendent - explains what the review is and materials are needed:  Procurement Plan  Code of Conduct  Vendor Paid List  Completed Procurement Tool  Off Site Cover Page

1st Step: Announcement Letter: READ SLIDE 40

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Return Materials - Procurement Plan

  • Written documents that describe how your organization

conducts procurement transactions.

  • Typically found in Board Policies and Procedures.
  • Ask your Purchasing Department, Business Services or others

for all the Board Policies and Procedures pertaining to purchasing.

2nd Step: Return Materials – Procurement Plan: READ SLIDE 41

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Return Materials - Code of Conduct

  • Governs employees who engage in procurement activities

using federal funds.

  • Typically found in Board Policies and Procedures.
  • Ask your Purchasing Department, Business Services or others

for all the Board Policies and Procedures pertaining to a “Code

  • f Conduct” or “Conflict of Interest.

Return Materials – Code of Conduct: READ SLIDE 42

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Return Materials - Vendor Paid List

  • A report that shows all the

expenditures for the year of review in Program 98.

  • Typically available from the

Business Services Department. Data is available in the accounting system.

Return Materials – Vendor Paid List: READ SLIDE 43

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Return Materials - Procurement Tool

  • Excel Template (sent with the Announcement Letter).
  • Complete Tool, save and send it back as an Excel file.
  • Three Tabs:
  • Overview of Review Process
  • SFA Instructions
  • SFA Procurement Table

Return Materials – Procurement Tool: READ SLIDE 44

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Return Materials – Off Site Cover Page

  • Word Document
  • Information about your operation

 Contacts  Local Purchasing Thresholds (if different from State or Federal Thresholds  Information about group purchasing

Return Materials – Off-Site Cover Page: READ SLIDE 45

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Notification Letter

  • Addresses what additional information needs to be returned

for the AR and PR

  • Arrives about six weeks before the start of the onsite AR

 Invoices for Micro, Small/Informal, Formal purchases  Quotes and contracts associated with the procurement for those purchases

3rd Step: Notification Letter READ SLIDE 46

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Technical Assistance/Review Closed

  • Technical Assistance

 Addresses anything that was

  • ut of compliance

 Return signature page

  • Final summary letter issued to the

Superintendent.

Final Steps: Technical Assistance/Review Closed READ SLIDE 47

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Self-Reflection

Think back to a previous Administrative Review, what are some things from this training you would like to focus on for your next review? What about for a Procurement Review? What would you like to bring forward to help prepare for your PR?

READ SLIDE 48

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We Discussed

Preparation for the Administrative Review The Procurement Review Process

So, to summarize: READ SLIDE 49

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Please email your Program Specialist. We are always willing to help and answer questions!

https://www.k12.wa.us/policy-funding/child- nutrition/child-nutrition-contacts

READ SLIDE https://www.k12.wa.us/policy‐funding/child‐nutrition/child‐nutrition‐contacts THANK YOU for your time & attention during this presentation! We sincerely appreciate your “flexibility in learning” during this pandemic. 50

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READ SLIDE Professional Standards Credit Form - Please keep a copy or add it to your record to track them. 51

Keep For Your Records

Preparing For Your Reviews Date: ________________ Key Areas: 3000 – Administration

3200 – Program Management – 1 hour

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Creative Commons

Except where otherwise noted, this work by the Office of Superintendent of Public Instruction is licensed under a Creative Commons Attribution License. All logos and trademarks are property of their respective owners. This presentation may contain or reference links to websites operated by third parties. These links are provided for your convenience only and do not constitute or imply any affiliation, endorsement, sponsorship, approval, verification, or monitoring by OSPI of any product, service, or content offered on the third party websites. In no event will OSPI be responsible for the information or content in linked third party websites or for your use of or inability to use such websites. Please confirm the license status

  • f any third-party resources and understand their terms of use before reusing them.

Photos not marked are used with permission and not included in the open license.

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