Finding 497376 (2023-001)

Significant Deficiency
Requirement
L
Questioned Costs
$1
Year
2023
Accepted
2024-09-19

AI Summary

  • Core Issue: Daily meal count records were not accurately completed at the point of service, leading to a significant deficiency in compliance.
  • Impacted Requirements: Compliance with SFSP guidelines and federal regulations regarding meal count recording was not met, resulting in the disallowance of 41 meals.
  • Recommended Follow-Up: With Helping Hands should explain the noncompliance, implement a new process for accurate meal recording, and update policies to ensure adherence to requirements.

Finding Text

Finding No. 2023-001: Significant Deficiency - Compliance with $203 daily meal count records not being accurately completed Grantor: U.S. Department of Agriculture Pass-through: Texas Department of Agriculture Grant: Summer Food Service Program CFDA Number: 10.559 Compliance Requirement: Reporting Condition: During the Texas Department of Agriculture (TDA) audit in January 2024, TDA noted that staff at one site they tested did not properly record meals at the point of service. Criteria: In compliance with SFSP Monitor's Guide, SFSP Administrative Guidance for Sponsors, TDA SFSP Supplemental Handbook,and 7 CFR 225.15(c), meal counts should be recorded at the point of service. Cause: The center did not record first meals served at the point of service but meals were still served to participants Effect: Failure of the center to properly record meals at point of service caused a disallowance of 41 meals. Recommendation: TDA recommends With Helping Hands to provide a detailed explanation of the circumstances that caused the noncompliance; develop and implement a process and procedure to ensure proper recording of meals at point of service and update policies and procedures to ensure meal count records are properly recorded at point of service. Views of Responsible Officials and Planned Corrective Actions: With Helping Hands has implemented policies to ensure all information is captured at point of service. These policies have been provided to all centers. On February 14, 2024, TDA reviewed the Corrective Action Plan provided by With Helping Hands and has concluded its review.

Corrective Action Plan

RE: Finding 2023-001 – Significant Deficiency – Compliance with Daily Meal Count Records not Being Accurately Completed Response The meal count on 7/14/23 and 7/21/23 for King Parkway Mobile Home was incorrect as the server just wrote down the number of meals served and did not circle the numbers as instructed. This was just a careless error on the server’s part and further training on point of service was needed. The other error on the meal count records was the server indicated 20 meals were served but forgot to circle the very first number on the sheet, therefore there were only 19 numbers circled for the claim. The staff member that was adding the meal count consolidation form perhaps looked at the delivery ticket and not the meal count form to record the number of meals. This too is something that has been addressed and more training was needed. To ensure the Meal Count does not have any errors the Policy & Procedures have been updated as follows: POLICY: Daily Meal Count and Attendance Record (Updated Feb 24) As per TDA Guidelines, a CE must record meal counts and attendance on a daily basis. A CE must record meal counts at the point of service where their staff observe that an eligible child receives a creditable meal. A meal is creditable when a child receives all required components in the correct quantities at the approved mealtime. Daily Meal Count and Attendance Records must be completed at the point of service. POLICY: Meal Service Consolidation (Updated Feb 2024) As per TDA Guidelines each meal must be reported individually. SFSP sites may claim breakfast and supper served to children on week days, weekends, and holidays during a school's summer session. PROCEDURE: “With Helping Hands” (WHH) staff will report each meal separately on the daily meal count form and on a monthly meal consolidation form. The following conditions also apply to the meal service schedule: • The duration of a meal service must not exceed 1 ½ hours for breakfast and 2 hours for supper; • Any meals served outside of the approved meal times will not be claimed or they will be disallowed. • All meals will be recorded at the point of service by the Site Supervisor. • Each site will have their weekly totals and monthly totals reported on the monthly meal consolidation form. • Meal Count Forms will be turned in weekly from the Site Supervisor to the office for processing the claim submission. The office staff and Executive Director will review all documentation prior to claim submission. • Meal Count Consolidation Form will be completed and checked by two staff members’, including the Executive Director. • If the meal count sheet does not match the delivery ticket or any item is missing from the meal count sheet form the meal will be disallowed and further training will be done immediately with the site supervisor and/or staff at that location. • A claim will only be submitted for the meals that are supported by all complete and required documentation.

Categories

Questioned Costs Reporting Significant Deficiency

Other Findings in this Audit

  • 497377 2023-002
    Significant Deficiency
  • 497378 2023-003
    Significant Deficiency
  • 497379 2023-004
    Significant Deficiency
  • 1073818 2023-001
    Significant Deficiency
  • 1073819 2023-002
    Significant Deficiency
  • 1073820 2023-003
    Significant Deficiency
  • 1073821 2023-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.558 Child and Adult Care Food Program $578,493
10.559 Summer Food Service Program for Children $177,957