Administrative Review Summary Report
Date: 05-06-23
Name of Agency: Integris Mental Health
Date of off-site review: 02-01-24
Reviewer: Matthew Smith Date of on-site review: 03-14-24
Fiscal Action: Oklahoma Human Services (OKHS) is exercising its discretion to not assess fiscal action for the performance standard two violation as permitted by federal regulation [7 CFR Part 210.18 (g) (2)].
Persons interviewed: Samuel Brannaman Date of exit conference: 05-02-24
Programs Operated by the School Food Authority (SFA): This SFA operates the National School Lunch Program, the School Breakfast Program, and the After School Snack Program.
The following areas were corrected prior to the On-Site Portion of this Administrative Review (AR):
- Meal Patterns: During the menu week assessed 01/14/24 – 01/20/24 there were two non-systemic insufficient daily serving sizes at lunch. Prior to the AR’s completion, Integris Mental Health (IMH) brought both serving sizes into compliance with the meal pattern for grades 9 -12 [as required by federal regulation 7 CFR Part 210.10 (c)]. The State Agency (SA) is exercising its discretion to not apply fiscal action for the above insufficient quantities as allowed for under 7 CFR Part 210.18 (g) (2).
No further action is required for the above.
Findings and Recommendations Identified During the Off-Site Portion of the Review Conducted February 1, 2024:
Local Wellness Policy: The local wellness policy provided during the AR Off-Site portion did not contain the following required areas:
- Description of the how the public is provided with the opportunity to participate in the local wellness policy process [as required by federal regulation 7 CFR Part 210.31 (c) (5)].
- The local wellness policy committee membership [as required by federal regulations 7 CFR Part 210.31 (c) (5) and 7 CFR Part 210.31 (d) (1)].
The local wellness policy is required to be updated to include all required areas.
To demonstrate compliance with local wellness policy requirements:
- Provide a copy of the updated local wellness policy compliant with federal requirements.
- Post the updated local wellness policy publicly.
- Provide a copy of the updated local wellness policy along with IMH’s plan for corrective action to demonstrate understanding and compliance.
Findings and Recommendations Identified During the On-Site Portion of the Review Conducted March 14, 2024:
Edit Checks: During the review of the counting and claiming system for the January 2024 review period it was discovered the edit check process was not being conducted properly [as required by federal regulations 7 CFR Part 210.8 (a) (3) (i) and 7 CRF Part 220.11 (d)]. IMH was using the unit census (the number of residents assigned to the unit) at the time of each meal service on the meal rosters to compare the daily meal counts against. The census for each housing unit is supposed to be printed on all meal rosters (breakfast, lunch, and snack). One of the housing units (adolescent II) did not have the census for each meal service entered on the meal rosters for the month. Also, the meal rosters do not document the daily edit check having been completed on each day’s meal roster.
To demonstrate compliance with edit check requirements:
- Begin to properly conduct the daily edit checks for each meal service by documenting the followg:
- The number of residents assigned to the housing unit at the time of each meal service.
- Come up with a way to document the meal counts being checked against the number of residents assigned to housing unit at the time of the meal service to ensure the meal count does not exceed the number of residents assigned.
- Provide IMH’s plan for corrective action to demonstrate understanding and compliance.
Reviewer’s Comments: The findings in this report in way reflect of all the good work being done with the school food services program at IMH in Spencer. Don’t let the findings be discouraging, all Administrative Reviews have findings. I would like to take the opportunity to commend Mr. Samuel Brannaman on his management of the school food services and further recognize him and his staff on the good work they do daily to provide meals to the residents at IMH in Spencer.
Procurement Review Summary Report
Date: 05-06-24
Name of Agency: Integris Mental Health
Date of AR off-site review: 02-01-24
Reviewer: Matthew Smith Date of AR on-site review: 03-14-24
Persons interviewed: Samuel Brannaman Date of exit conference: 05-02-24
Programs Operated by the School Food Authority (SFA): This SFA operates the National School Lunch Program, the School Breakfast Program, and the After School Snack Program.
There were no findings for the procurement review for Integris Mental Health.
