[Code of Federal Regulations] [Title 7, Volume 4] [Revised as of January 1, 2006] From the U.S. Government Printing Office via GPO Access [CITE: 7CFR250.19] [Page 467-468] TITLE 7--AGRICULTURE CHAPTER II--FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE PART 250_DONATION OF FOODS FOR USE IN THE UNITED STATES, ITS TERRITORIES AND POSSESSIONS AND AREAS UNDER ITS JURISDICTION--Table of Contents Subpart B_General Operating Provisions Sec. 250.19 Reviews. (a) General. Each distributing agency shall establish a review system in order to assess the effectiveness of its food distribution program in meeting the requirements of these regulations. (b) Responsibilities of distributing agencies. (1) Each distributing agency shall establish review procedures encompassing eligibility, food ordering procedures, storage practices, inventory controls, reporting and recordkeeping requirements and compliance with nondiscrimination provisions. The procedures shall include: (i) An on-site review of all nutrition programs for the elderly under agreement in accordance with Sec. 250.12(b), at least once every four years, with not fewer than 25 percent of these programs being reviewed each year. These reviews shall also include on-site reviews of the storage facilities of sites receiving donated foods to ensure compliance with Sec. 250.14(b); (ii) An on-site review of all charitable institutions and nonprofit summer camps for children under agreement in accordance with Sec. 250.12(b), and the food service management companies under contract with these recipient agencies in accordance with Sec. 250.12(d), at a minimum, whenever the distributing agency identifies actual or probable deficiencies in program administration, including compliance with civil rights provisions, through audits, investigations of complaints, reports submitted by recipient agencies, or any other information available to the State agency which, at the discretion of the State agency, warrants an on-site review, or at the request of FNS; (iii) An on-site review at least once every 2 years of all processors except those that are multi-State processors as defined in Sec. 250.3, with no fewer than 50 percent being reviewed each year; (iv) An annual on-site review of each storage facility utilized by the distributing agency. On-site reviews conducted by FNS may be considered as contributing to the fulfillment of the minimum coverage required by this paragraph; and (v) A biennial review of all food service management companies under contract with recipient agencies in accordance with Sec. 250.12(d), except that: (A) Food service management companies under contract with charitable institutions and nonprofit summer camps for children shall be reviewed in accordance with paragraph (b)(1)(ii) of this section; and, (B) Food service management companies under contract with schools participating in the National School Lunch Program or commodity schools under part 210 of this chapter, or with schools participating in the School Breakfast Program under part 220 of this chapter, shall be reviewed in accordance with the provisions set forth in parts 210 and 220. (2) Each distributing agency shall design and implement a system to verify sales of end products to all recipient agencies under that distributing agency's authority in instances when a processor transfers end products to a distributor and the distributor sells the end product to the recipient agencies at a discount and the distributor receives a refund from the processor. At a minimum, such a system must: (i) At a minimum, provide for a semi-annual review of a statistically valid sample of sales for the previous six-month period for all processors which contract with the distributing agency or contracting agencies under the authority of the distributing agency, including multi-State processors. The sample size must ensure a 95 percent confidence level; (ii) Support the projection of a claim against the processor when, in the review of the sample, it is determined that the value of donated foods has not been passed on to recipient agencies or when end products have been improperly distributed; and (iii) Provide for the assessment of claims against the processor in accordance with FNS Instruction 410-1, Non- [[Page 468]] Audit Claims, Food Distribution Program, in instances when deficiences have been identified. (iv) Provide for the adjustment of performance reports and processing inventory reports to refect any invalid sales; (v) Provide for the development and submission by processors to the distributing agency of a corrective action plan designed to correct problems identified during the sales verification; and (vi) In instances in which the distributing agency has delegated the responsibility of sales verification to processors, the distributing agency must: (A) Establish guidelines which ensure that the criteria contained in paragraphs (b)(2)(i)-(v) are met; (B) Ensure that processors report their findings to the distributing agency on a semi-annaul basis in accordance with Sec. 250.30(m); (C) Review the processor's findings and select a random sub-sample of at least 10 percent of all sales verified by the processor and reverify the sale by contacting the recipient agency by telephone or through written correspondence; and (D) Submit a copy of the processor's review report and findings and the results of the reverification efforts to the appropriate FNSRO. In instances of poor processor performance, the distributing agency shall require the processor to discontinue the abused value pass-through- system, initiate an audit or review to determine the extent to which sales are to be disallowed, establish a claim, and/or terminate the contract. (3) The distributing agency shall submit a report of review findings to each entity reviewed. The report shall include: (i) Each deficiency found; (ii) The factors contributing to each deficiency; (iii) Recommendations for needed corrective action, including timetables for completion and/or claims action to be pursued, if any; and (iv) Provisions for evaluating effectiveness of corrective actions. A copy of each processor review report shall be provided to the appropriate FNSRO. (4) Distributing agencies shall monitor progress toward completion and the effectiveness of corrective actions taken in eliminating program deficiences. (5) In addition to the review requirements of paragraph (b)(1) of this section, each distributing agency shall make a continuing evaluation of all recipient agencies, and processors by monitoring performance reports, food requests, participation data, and data regarding refunds and discounts to recipient agencies and distributors for the receipt of end products. (6) Distributing agencies shall, where applicable, require that subdistributing agencies monitor and review their operations in accordance with this paragraph. (c) Corrective action plans. Corrective action plans shall be submitted whenever a distributing agency is found by the FNSRO to be substantially out of compliance with a performance standard or any other provision of this part. The corrective action plan shall identify the corrective actions and the timeframes needed to correct the deficiencies found by the FNSRO. The plan shall be written, signed by the proper official in the State, and submitted to the FNSRO within 60 days after the distributing agency receives notification from the FNSRO of a deficiency. Extensions beyond 60 days may be made, for cause, with written justification to and approved by the FNSRO. (d) Responsibilities of State Agencies on Aging. State Agencies on Aging which receive cash payments in lieu of donated foods in accordance with the provisions of Sec. 250.42(c) shall monitor use of such cash after disbursement to nutrition programs for the elderly to ensure that the amounts so received are expended solely for the purchase of U.S. agricultural commodities and other foods of U.S. origin for such programs. [53 FR 20426, June 3, 1988, as amended at 54 FR 7525, Feb. 22, 1989, 54 FR 25564, June 16, 1989; 54 FR 42477, Oct. 17, 1989; 62 FR 53731, Oct. 16, 1997]