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Home My WebLink AboutResolutions - 2022.01.20 - 35205COAKIANDFt- CO U N T Y M I C H I GAN BOARD OF COMMISSIONERS January 20, 2022 MISCELLANEOUS RESOLUTION 422-012 Sponsored By: Penny Luebs IN RE: Public Services - Children's Village - Grant Acceptance with the Office of Health and Nutrition Services, Michigan Department of Education for the 2021-2022 National School Lunch Program Chairperson and Members of the Board: WHEREAS Oakland County Children's Village has applied for and been awarded the National School Lunch Program Grant from the Office of Health and Nutrition Services, Michigan Department of Education for reimbursement of meals and snacks provided to the residents at Children's Village for the period July 1, 2021, through June 30, 2022; and WHEREAS the Office of Health and Nutrition Services, Michigan Department of Education administers the United States Department of Agriculture National School Lunch/Commodity Distribution, Afterschool Snack and Breakfast Programs, along with the Seamless Summer Option; and WHEREAS the purpose of the programs is to make nutritionally balanced, low-cost meals, snacks, and milk available statewide to children through the completion of high school; and WHEREAS the Oakland County Children's Village is licensed as a residential childcare institution; and WHEREAS the campus residents except, Mandy's Place residents, qualify for free severe need breakfasts, free lunches, and free afterschool snacks seven days a week and are reimbursed based on rates provided in Administrative Memo No.I dated August 17, 2021; and WHEREAS in addition, the Michigan Department of Education, in response to the COVID-19 pandemic, has extended the SSO, Seamless Summer Option of the National School Lunch Program into the school year and expanded the qualifications for participation to include residential childcare institutions; and WHEREAS Children's Village under the Seamless Summer Option qualifies for an extra .1125 cents per breakfast and .5675 cents per lunch served to residents; and WHEREAS the grant amount is unknown at the time of acceptance; however, it is based on the attached per meal reimbursement rates; and WHEREAS for the previous grant period of July 1, 2020, through June 30, 2021, the total cost of meals and snacks was approximately $602,820, of which Children's Village was reimbursed $144,230 from the Michigan Department of Education for the school meal programs; and WHEREAS meal provision expenditures are not recorded by program due to cost-efficient bulk purchases that cover food services for the entire campus; and WHEREAS there is no grant match requirement; and WHEREAS the grant agreement has completed the Grant Review Process in accordance with the Board of Commissioners Grant Acceptance Procedures approved by the Board at their January 21, 2021 meeting. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners authorizes and accepts the 2021-2022 National School Lunch/USDA Food Distribution Agreement and Certification Statement for grant meal reimbursements for the period July 1, 2021, through June 30, 2022. BE IT FURTHER RESOLVED that the Chairperson of the Board of Commissioners is authorized to execute the grant agreement and to approve any grant extensions or changes, within fifteen percent (15%) of the original award, which are consistent with the original agreement as approved. BE IT FURTHER RESOLVED that acceptance of this grant does not obligate the County to any future commitment and continuation of this program is contingent upon continued future levels of grant funding. BE IT FURTHER RESOLVED abudget amendment is not required at this time. Chairperson, the following Commissioners are sponsoring the foregoing Resolution: Penny Luebs. 4 du Date: January 20, 2022 David Woodward, Commissioner Date: January 26, 2022 Hilarie Chambers, Deputy County Executive II Date: February 02, 2022 Lisa Brown, County Clerk / Register of Deeds x k 10W;9Y[L[NC41N[if 2021-01-11 Public Health & Safety - recommend to Board 2021-01-20 Full Board 1i171YD11Y7I�1�[� Motioned by Commissioner Michael Gingell seconded by Commissioner Penny Luebs to adopt the attached Grant Acceptance: with the Office of Health and Nutrition Services, Michigan Department of Education for the 2021-2022 National School Lunch Program. Yes: David Woodward, Michael Gingell, Karen Joliat, Kristen Nelson, Eileen Kowall, Philip Weipert, Gwen Markham, Angela Powell, Thomas Kuhn, Chuck Moss, Marcia Gershenson, William Miller III, Yolanda Smith Charles, Charles Cavell, Penny Luebs, Janet Jackson, Gary McGillivray, Robert Hoffman, Adam Kochenderfer (19) No: None (0) Abstain: None (0) Absent: (0) The Motion Passed. ATTACHMENTS 1. Grant Review Sign -Off 2021-2022 2. NSLP 2021-2022 Grant Application STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on January 20, 2022, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the Circuit Court at Pontiac, Michigan on Thursday, January 20, 2022. ��- Lisa Brown, Oakland County Clerk /Register of Deeds GRANT REVIEW SIGN -OFF — Children's Village GRANT NAME: 2021-2022 National School Lunch Program FUNDING AGENCY: Michigan Department of Education DEPARTMENT CONTACT PERSON: Heather Calcaterra 248-858-1160/Lori Strong 248-858-1317 STATUS: Grant Acceptance (Greater than $10,000) DATE: 12/07/2021 Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments. The Board of Commissioners' liaison committee resolution and grant acceptance package (which should include this sign - off email and the grant agreement/contract with related documentation) may be requested to be placed on the agenda(s) of the appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution. DEPARTMENT REVIEW Management and Budget: Approved by M & B-12/07/2021 Lynn Sonkiss. Human Resources: Approved by Human Resources. No position implications, so HR action is not needed. — Heather Mason 12/03/2021 Risk Management: Approved by Risk Management, R.E. 12/06/2021 Corporation Counsel: APPROVED BY CORPORATION COUNSEL. There are no legal issues that need to be addressed, —Mary Ann Jerge 12/06/2021 Strong, Lori From: megs@michigan.gov Sent: Tuesday, October 26, 2021 11:43 AM To: Alessi, Gregory L; Strong, Lori Subject: MEGSPlus - Congratulations! Your 2022 SNP application has been approved. Congratulations! Your 2022 SNP application has been approved. Questions regarding the application may be directed to the School Nutrition Programs unit at MDE-schoolnutrition@michigan.gov or 517-241-5374. GRETCHEN WHITMER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF EDUCATION LANSING FOOD SERVICE ADMINISTRATIVE MEMO NO. 1 SCHOOL YEAR 2021-2022 MICHAEL F. RICE, Ph.D. STATE SUPERINTENDENT SUBJECT: School Meals Program Meal, Snack, and Milk Reimbursement Rates to School Food Authorities Effective July 1, 2021 - June 30, 2022 DATE: August 17, 2021 The following reimbursement rates are in effect as of July 1, 2021 -- SCHOOL BREAKFAST -- - - - NATIONAL SCHOOL LUNCH AFTER PROGRAM j PROGRAM j SCHOOL SNACKS* NOW SEVERE NOW SEVERE SEVERE NEED SEVERE NEED NEED NEED PAID �I $0.33 $0.33 $0.42 $0.44 $0.09 j REDUCED $1.67 $2.05 $3.33 $3.35 $0.50 PRICE FREE $1,97 $2.35 $3.73 $3.75 $1.00 *Afterschool snacks served in afterschool care programs. SPECIAL MILK PROGRAM Average cost per 1/2 pint of milk **For the school year beginning July 1, 2021 and ending June 30, 2022, school food authorities operating the National School Lunch Program (NSLP) Seamless Summer Option (SSO) under Food and Nutrition Service issued nationwide waivers #85 and #86 may receive the reimbursement rates prescribed for the Summer Food Service Program (SFSP) in lieu of the reimbursement rates established in this notice. The SFSP rates are $2.4625 for Breakfast, and $4,317S for Lunch, through December 31, 2021. Commodity Entitlement: $.2600 for each lunch served in prior school year (2020-2021) Eligibility for the severe need rate for breakfast and the additional payment ($0.02) for lunch is determined each year. It is based on the percentages listed below of free and reduced -price lunches served relative to the total number of lunches served during the 2019-2020 school year. STATE BOARD OF EDUCATION CASANDRA E. ULBRICH - PRESIDENT - PAMELA PUGH - VICE PRESIDENT TIFFANY D. TILLEY - SECRETARY - TOM MCMILLIN - TREASURER JUDITH PRITCHETT - NASBE DELEGATE - ELLEN COGEN LIPTON NIKKI SNYDER - JASON STRAYHORN 608 WEST ALLEGAN STREET - P.O. BOX 30008 - LANSING, MICHIGAN 48909 www.michigan gov/mde - 833.633-5788 9M An official website of the United States government Here's how you know USDA Food and Nutrition Service U.S. DEPARTMENT OF AGRICULTURE HOME CHILD NUTRITION PROGRAMS EO Guidance Document # FNS-GD-2021-0038 FNS Document # Child Nutrition Response #85 Resource Type Policy Memos Guidance Documents Resource Materials Policy Memo DATE: April 20, 2021 POLICY MEMO: COVID-19: Child Nutrition Response #85 SUBJECT: Nationwide Waiver to Allow the Seamless Summer Option through School Year 2021-2022 TO: Regional Directors State Directors Special Nutrition Programs Child Nutrition Programs All Regions All States Pursuant to the authority in Section 2202(a) of the Families First Coronavirus Response Act (the FFCRA) (PI_ 11-127), as extended by the Continuing Appropriations Act 2021 and Other Extensions Act (PL 116-159), and based on the exceptional circumstances of this public health emergency, the Food and Nutrition Service (FNS) is establishing a waiver to allow the National School Lunch Program Seamless Summer Option (SSO) to operate when school is open during the regular school year, through June 30, 2022. This waiver is expected to support access to nutritious meals while minimizing potential exposure to the novel coronavirus (COVID-19). Section 2202(a) of the FFCRA permits the Secretary of Agriculture to establish a waiverfor all states for the purposes of providing meals under the child nutrition programs, with appropriate safety measures, as determined by the Secretary. Under the National School Lunch Act, 42 USC 1761(a).(8)., school food authorities may provide "summer or school vacation food service" through the SSO; the statute does not allow school food authorities to provide SSO meals when schools are open during the regular school year. However, FNS recognizes that state agencies and school food authorities need additional support and flexibility to continue serving meals to children while maintaining appropriate safety measures and managing the impacts of COVID-19. This will be especially important during school year 2021-2022 when communities are reopening but school children are not yet vaccinated; social distancing will be particularly important while communities balance reopening schools and safety for students. Allowing school food authorities to participate under SSO during COVID-19 operations during the regular school year facilitates the safe provision of meals by eliminating the need to collect meal payments, including cash payments, at meal sites. This speeds up service of meals, thereby reducing contact and potential exposure to COVID-19. It also facilitates implementation of Centers for Disease Control and Prevention recommendations for safe school meal service, which include serving meals outdoors or in classrooms. Schools may not have access to ;electronic systems typically used to determine eligibility and collect payment when meals are served outside the cafeteria. Instead of spending time confirming each student's enrollment and eligibility status at a central point -of -service, this waiver gives school food service professionals greater flexibility to distribute meals at a variety of safe meal sites that serve a smaller number of children. Therefore, pursuant to the waiver authority cited above, FNS waives, for all states, the requirement at 42 USC 1761fai,(8), that limits SSO operations to "summer orschool vacation" periods. FNS is allowing SSO operations to continue when school is open during the regular school year, effective July 1, 2021, through June 30, 2022. This flexibility is available to all school food authorities in states that opt to participate under this waiver, and may be used at any school, regardless of its location or the type of SSO site it is operating. This waiver is intended to benefit all school food authorities that elect ;to use it, so that every school has the ability to provide a safe and efficient meal service in the school year 2021-2022. Consistent with Section 2202(a)(2) of the FFCRA, this waiver applies automatically to all states that elect to use it, without further application. If the state agency elects to implement this waiver, it must notify its respective FNS regional office, which will acknowledge receipt. State agencies should inform school food authorities of the flexibilities provided by this waiver as quickly as possible,' and work in partnership with school food authorities to provide meals to all participants in a safe and accessible manner. Under this waiver, school food authorities may choose to serve meals through the SSO, or may opt to participate under the school meal programs. This waiver does not require school food authorities to participate under SSO in school year 2021-2022. Since this is a new approval, rather than an extension of last school year's waiver, state agencies must elect to be subject to the school year 2021-202.2 SSO operations waiver in order to use it. As required by Section 2202(d) of the FFCRA, each state that elects to be subject to this waiver must submit a report to the Secretary not later than 1 year after the date such state elected to receive the waiver.' The report must include: • A summary of the use of this waiver by the state agency and school food authorities, and • A description of whether and how this waiver resulted in improved services to program participants. FNS appreciates the exceptional effort of State agencies and local program operators working to meet the nutritional needs of participants during a challenging time. State agencies should direct questions to the appropriate FNS regional office. Angela M. Kline Director Policy and Program Development Division 04/20/2021 The contents of this guidance document do not have the force and effect of law and are not meant to bind the public in any way. This document is intended only to provide clarity to the public regard ingexisting requirements under the law or agency policies. Return to tor} Home Data & Research Grants Newsroom Resources Our Agency Programs USDA USA.gov WhiteHouse.gov FNS PartnerWeb.gov No Fear Act Privacy Policy Non -Discrimination Statement Civil Rights FOIA Information Quality Peer Review Accessibility Sign up for Updates Your Email Address: USDA Food and Nutrition Service U.S. DEPARTMENT OF AGRICULTURE An official website of the United States government Here's how you know USDA Food and Nutrition Service U.S. DEPARTMENT OF AGRICULTURE HOME CHILD NUTRITION PROGRAMS EO Guidance Document # FNS-GD-2021-0039 FNS Document # COVID-19: Child Nutrition Response #86 Resource Type Policy Memos Waivers Guidance Documents Resource Materials Policy Memo DATE: April 20, 2021 POLICY MEMO: COVID-19: Child Nutrition Response #86 SUBJECT: Nationwide Waiver to Allow Summer Food Service Program Reimbursement Rates in School Year2021-2022 TO: Regional Directors State Directors Special Nutrition Programs Child Nutrition Programs All Regions All States Pursuant to Section 2202(a) of the Families First Coronavirus Response Act (the FFCRA) (PL 116-127), as extended by the Continuing Appropriations Act, 2021 and Other Extensions Act (111-61 9), and in light of the exceptional circumstances of this public health emergency, the Food and Nutrition Service (FNS) is establishing a nationwide waiver to allow school food authorities to claim National School Lunch Program Seamless Summer Option (SSO) meals and snacks at the applicable Summer Food Service Program (SFSP) reimbursement rates in school year 2021-2022. This waiver recognizes the increased cost of providing child nutrition programs meals in the public health emergency, and supports efforts to serve meals in a safe and accessible manner that minimizes potential exposure to the novel coronavirus (COVID-19). Section 2202(a) of the FFCRA permits the Secretary of Agriculture to establish a waiver for all states for the purposes of providing meals under the child nutrition programs, with appropriate safety measures, as determined by the Secretary. Under the National School Lunch Act, 42 USC 1761(b),(z),(C), school food authorities operating SSO are reimbursed for meats and snacks at rates in accordance with those of the National School Lunch Program and School Breakfast Program. SSO meals and snacks are excluded from using the SFSP reimbursement rates. However, FNS recognizes that school food authorities have incurred significant costs during COVID-19 operations, and need additional support and flexibility to continue serving meals to children while maintaining appropriate safety measures in school year 2021-2022. Allowing school food authorities to claim SSO meals and snacks at the SFSP reimbursement rates will provide additional funding to offset the costs associated with providing a safe meal service. School food authorities have reported increased operational costs during the pandemic, including hazard pay, personal protective equipment, meal delivery costs, and packaging costs for individually wrapped, grab -and -go meals. These costs have been necessary to protect the health and safety of students, families, and school food service professionals. Many of these costs will remain in place as students return to the classroom, and school food service professionals work to provide nutritious meals in a safe and accessible manner in the new school year. Therefore, pursuant to the waiver authority cited above, FNS waives, for all states, the requirement at 42 USC 1761(la)_(1).(C), that reimbursements for SSO meals and snacks shalt not be paid at the SFSP reimbursement rates. For school year 2021-2022, FNS establishes the payment rates for SSO meals and snacks at the level of reimbursement paid for SFSP meals and snacks, in accordance with the provisions of 42 USC 1761(b).Q),(8). and .(B). of the National School Lunch Act. This waiver is effective July 1, 2021, and remains in effect through June 30, 2022. Consistent with Section 2202(a)(2) of the FFCRA, this waiver applies automatically to all states that elect to use it, without further application. State agencies must elect to be subject to this waiver in order to use it. State agencies must inform their FNS regional office if they elect to be subject to the waiver. If the state agency elects to implement this waiver, it must notify its respective FNS regional office, which will acknowledge receipt. State agencies should inform school food authorities of the flexibilities provided by this waiver as quickly as possible,' and work in partnership with school food authorities to provide meals to all participants in a safe and accessible manner. As required by Section 2202(d) of the FFCRA, each state that elects to be subject to this waiver must submit a report to the Secretary not later than 1 year after the date such state elected to receive the waiver.2 The report must include: • A summary of the use of this waiver by the state agency and school food authorities, and • A description of whether and how this waiver resulted in improved services to program participants. FNS appreciates the exceptional effort of state agencies and local program operators working to meet the nutritional needs of participants during a challenging time. State agencies should direct questions to the appropriate FNS regional office. Jessica Saracino Acting Director Program Monitoring and Operational Support Division 04/20/2021 The contents of this guidance document do not have the force and effect of law and are not meant to bind the public in any way. This document is intended only to provide clarity to the public regarding existing requirements under the taw or agency policies. Return to top Home Grants Resources Programs USA.gov WhiteHouse.gov FNS PartnerWeb.gov No Fear Act Privacy Policy Non -Discrimination Statement Civil Rights Data & Research Newsroom Our Agency FOIA Information Quality Peer Review Accessibility Sign up for Updates Your Email Address: USDA_ Food and Nutrition Service U.S. DEPARTMENT OF AGRICULTURE Authority: Child Nutrition Act of 1966, Office of Health and Nutrition Services MICH1GAr- Completion: Voluntary, School Nutrition Programs �.,�. AN P.O. Box 30008 yEducation Lansing, MI 48933 517-241-5374 2021-2022 NATIONAL SCHOOL LUNCH/USDA FOODS DISTRIBUTION SPECIAL MILK, AFTERSCHOOL SNACK, AND BREAKFAST PROGRAMS Permanent Aareement Child Nutrition Proaram AaencV/Subagency CFDA # Praaram Title School Lunch USDA/Food and Nutrition Service 10.555 National School Lunch Program - Including Food Distribution USDA/Food and Nutrition Service 10,555 USDA Foods Distribution Program -Seamless Summer Option USDA/Food and Nutrition Service 10.555 Seamless Summer Option Afterschool Snack USDA/Food and Nutrition Service 10.555 National School Lunch Program School Breakfast USDA/Food and Nutrition Service 10.553 School Breakfast Program Special Milk USDA/Food and Nutrition Service 10.556 Special Milk Program for Children Summer Food Service Program USDA/Food and Nutrition Service 10.559 Summer Food Service Program for Children Child and Adult Care Food Program USDA/Food and Nutrition Service 10.558 Child and Adult Care Food Program - Final approval for all programs covered under this Agreement is contingent upon approval of a Policy Statement covering the service of meals and/or milk to needy children, as specified by regulations. In order to effectuate the purpose of the National School Lunch Act (42 J.X.C, 1751-1760) and the regulations for the National School Lunch Program (NSLP) issued; the Child Nutrition Act of 1966, the Healthy Hunger Free Kids Act of 2010, and regulations governing the School Breakfast Program (SBP) issued; the Healthy Meals Initiative and regulations governing applicable menu planning options; the regulations for the Special Milk Program (SMP) issued; and the regulations governing the Summer Food Service Program issued there under, the State Superintendent, State of Michigan, hereinafter referred to as the "State Agency," and the School District, hereinafter referred to as the "Sponsor," agree as follows: PART 1. SCHOOL LUNCH PROGRAM/USDA FOODS DISTRIBUTION A. THE STATE AGENCY AND THE SPONSOR MUTUALLY AGREE THAT: 1. For the purpose of this Agreement, the following terms shall be construed to mean, respectively: a. Cost of Providing a Meal or Afterschool Snack: Food, labor, benefits, supplies, depreciation and indirect costs associated with a reimbursable meal or afterschool snack served to a child. Cost related to supervision of children, outside of the food service area, such as playground, etc., is NOT considered a program cost, b. School Year: A period of 12 calendar months beginning July 1 of any calendar year and ending with June 30 of the following calendar year. c. Nonprofit Food Service Program: A food service program maintained for the benefit of children and where all the income is used solely for the operation or improvement of such food service. d. Sponsor: The board of education of a school district, which serves youth in high school grade or under, or the governing body of an institution. (The term also includes a "nonprofit agency," to which such school has delegated authority for the operation of its nonprofit food service program.) e. Milk: See Definition of Milk in Part 3. Page I of 10 8/21 2. MEGS+ Site Listing is a list of all schools within the district and will be part of this Agreement. 3. Schools may be added to or deleted from the MEGS+ CNP: School Nutrition Programs Site Listing and all references to that form shall include those amendments. 4. The State Agency shall promptly notify the Sponsor of any change in general requirements, in menu planning options, and in assigned rates of reimbursement. 5. A Sponsor, which operates its program under contract with a food service management company or under similar arrangement, must have its contract approved by and provide a copy of the contract to the State Agency to be eligible for participation. 6. The terms of this Agreement shall not be modified or changed in any way other than by written consent of both parties. B. THE STATE AGENCY AGREES THAT: To the extent of available funds, the State Agency shall reimburse the Sponsor in connection with the cost of providing a meal, afterschool snack, or milk in the schools listed in the MEGS+ CNP: School Nutrition Programs Site Listing during any school year this agreement is in effect. The amount of reimbursement on behalf of any sponsor shall not exceed the lesser of (a) an amount equal to the number of lunches and/or afterschool snacks served to children of high school grade or under, multiplied by the rate assigned by the State Agency or (b) by another rate as that may be subsequently assigned by the State Agency. C. THE SPONSOR AGREES THAT: In general, the Sponsor supervises school food service operations in the schools listed in the MEGS+ CNP: School Nutrition Programs Site Listing and, in particular, will require each school to: 1. Operate a nonprofit food service and use program income only for program purposes (7 CFR Part 210.14(a) and 210.19(a)(2)). Such income shall not be used to purchase land or buildings, or to construct buildings, All direct costs for the school lunch program must be paid before indirect costs can be paid from reimbursement. 2. Accept federal funds and/or donated foods in accordance with the applicable regulations and to comply with any instructions, policies, or procedures issued in connection with the regulations. The Sponsor further agrees to administer programs funded under this agreement in accordance with applicable provisions of the Uniform Guidance, 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards and all applicable State and local laws/regulations and Comptroller General opinions. 3. Limit its operating balance to a level consistent with program needs; and upon request by the State Agency, submit a plan of action to spend down the excess fund balance that exceeds three months average expenditures. (Depreciation reserve is not included in the operating balance.) 4. Maintain a financial system as prescribed by the Michigan Department of Education. 5. Price the school lunch as a unit consistent with USDA Paid Lunch Equity requirements. Serve lunches as described in 7CFR 210.10 during the period designated as the lunch period by the school. 6. Supply lunches without cost or at reduced -price to children that qualify according to income criteria prescribed by USDA. 7. Supply afterschool snacks free of charge to all children when an Afterschool Care Program is located in a school building that is area eligible or in a non -school building that is in the Page 2 of 10 8/21 attendance of a school that is area eligible. (Area eligible refers to a school where free and reduced -price students comprise 50% or more of the enrollment.) 8. Supply afterschool snacks free of charge or at a reduced price to children that qualify according to the income criteria prescribed by USDA, when Afterschool Care Programs are located in buildings that are not area eligible. To charge no more than 15 cents for a reduced -price snack in a non -area eligible building. 9. Serve lunches and snacks that meet meal pattern requirements established by the USDA. However, if a child has been determined by a medical doctor to be disabled and the disability would prevent the child from eating the regular school meal, the school must make substitutions prescribed by a medical doctor. 10, Maintain files of approved and denied free and reduced -price applications. If applications are maintained at the Local Educational Agency (LEA) level, they must be readily retrievable by school building. 11. Access the Direct Certification Report as required by 7 CFR Part 245, a minimum of three times during the school year; at or around the beginning of the school year, three months after the initial effort, and six months after the initial effort. Update eligibility and benefits based on the direct certification report. When a student's name is on the direct certification report, no further application is necessary, and the benefit will be extended to the rest of the students in the household. Update the benefit issuance list and maintain files of the direct certification report. 12. Complete verification in compliance with regulations (7 CFR Part 245), 13. Comply with the requirements of USDA Civil Rights Nondiscrimination regulations (7 CFR Parts 15, L5a, and 15b), 14. Claim reimbursement at the assigned rates only for the type of lunches and snacks specified in the MEGS+ Site Listing in this agreement served to eligible children. Not to overtly identify or discriminate against any child because of inability to pay the full price. Claim only one snack per child per day, Snacks served on weekends, holidays, during vacation periods or before or during a child's school day will not be claimed for reimbursement. 15. Submit claims for reimbursement in accordance with procedures established by the State Agency. 16. Comply with the Smart Snacks in Schools Regulations and the State of Michigan Public Act 42 (PA42). 17. Ensure that any profit from the sale of non -program food accrues to the benefit of the nonprofit school food service. 18. Maintain proper sanitation and health standards for storage, preparation, and service of food in conformance with all applicable state and local laws and regulations. 19, Purchase in quantities that can be efficiently utilized in the program. Purchases made with the program funds must also comply with the established procurement standards set forth in Program Regulations CFR 210.21 and 250.56 ("Buy American"), as well as the procurement standards set forth in the previously indicated Uniform Guidance Requirements. 20. Upon request, make all accounts and records pertaining to the program available to the State Agency, its agents, and USDA for audit or review at a reasonable time and place, as prescribed by regulation. The Sponsor agrees to comply with all audit requirements set forth in Program Regulations, Single Audit Act (31 U.S.C. sections 7501-7507), as amended by the Single Audit Act Amendments of 1996 (P.L. 104-156), Office of Management and Budget Circulars and Compliance Supplement Documents, Bulletin 1022, and the Michigan School Auditing Manual, Page 3 of 10 6/21 21, The Sponsor agrees to the following requirements in the accepting and handling of USDA Foods: a. To furnish proper storage facilities to safeguard against theft, spoilage, and other losses as recommended by the State Agency. The State Agency and the USDA are authorized to inspect the storage facilities at any reasonable time, b. To install thermometers, suitable ventilation, and provide specific temperatures for certain USDA Foods per local health department requirements. All USDA Foods will be used on a First In, First Out (FIFO) basis. c. If recommended storage for perishables is not available within the Sponsor's own buildings, it will be permissible to remove the USDA Foods from the premises to a local commercial locker or warehouse for the purpose of providing proper storage, The Sponsor must ensure that the storage facility is properly licensed and inspected by the Michigan Department of Agriculture and Rural Development. The Sponsor must make arrangements to maintain a current record of receipts, withdrawals, and balances. USDA Foods must not be stored in private homes under any circumstances. d. Request and accept USDA Foods on a 30-day supply basis only. e. To use USDA Foods SOLELY for the benefit of the students. Under no circumstances will USDA Foods be sold, traded, or used off the premises of the Sponsor. The use of any USDA Foods by an ineligible recipient constitutes damage to the federal government under the law. When such irregularities are brought to the attention of the State Agency, it will be necessary for the Sponsor to make satisfactory settlement with the State Agency for the illegal use of such foods. f. To assume liability for all losses resulting from: gross neglect by failure to provide proper storage or care, failure of mechanical equipment, and improper use of any USDA Foods. Recovery for the value of such losses will be made at the option of the State Agency. g. Maintain a monthly inventory record which shall reflect, at a minimum, a record of receipts, withdrawals, and inventory balances of all USDA Foods. The State Agency and USDA are authorized to inspect and audit these books and records, including financial records, at any reasonable time or place to ensure compliance with the conditions in this Agreement. h. Furnish the State Agency with an inventory of all USDA Foods on hand upon request. That either the Sponsor or the State Agency may terminate this Agreement by giving a 30-day notice, in writing, to the other party. The State Agency may cancel this Agreement immediately upon receipt of evidence that the terms and conditions thereof have not been fully complied with. Subject to such notice of termination or cancellation of the agreement, the Sponsor agrees to comply with the instructions of the State Agency - either to distribute all remaining USDA Foods in accordance with provisions of this Agreement or to return such inventories to their distribution outlet upon written authorization from the State Agency, USDA Foods will not be transferred or destroyed without written permission from the State Agency. Sponsor must submit such reports as are required by the State Agency to record final distribution of such inventories. Funds derived from the feeding program salvage of USDA Foods or recoveries from insurance claims involving lost USDA Foods shall be used only for the payment of expenses related to the Food Distribution Program. k. Report to the State Agency any complaint in connection with the condition or improper use of USDA Foods. 22. Provide a means to encourage student and teacher/parent input into the program. Page A of 10 8/21 23, Agree that the School Food Authority (SPA) official signing the claim shall be responsible for reviewing and analyzing meal counts to ensure accuracy governing claims for reimbursement (7 CFR 210.8). Acknowledge that failure to submit accurate claims will result in the recovery of an overclaim and may result in the withholding of payments, suspension, or termination of the program (7 CFR 210.24 and 7 CFR 210.25). Acknowledge that, if failure to submit accurate claims reflects embezzlement, willful misapplication of 'funds, theft or fraudulent activity, penalties shall apply (7 CFR 210.26). 24. Count the number of free, reduced -price, and paid reimbursable meals served to eligible children at the point of service, or through another courting system if approved by the State Agency. 25. Only claim reimbursement for snacks served in eligible Afterschool Care Programs, i.e., Afterschool Care Programs that provide children with regularly scheduled activities in an organized, structured, and supervised environment. 26, Monitor, twice a year, each Afterschool Care Program thz It claims reimbursement for snacks. This monitoring review must assess each site's compliance with counting and claiming procedures and the snack meal pattern. The first review will take place during the first four weeks that school is in operation each school year and the second review will take place before the end of the school year, 27, Comply with requirements for Professional Standards for school nutrition professional including hiring standards and yearly training requirements. 28. Establish a local meal charge policy. 29. Establish written school wellness policy for all schools under its jurisdiction and include all the required elements per 7 CFR 210.31 (c). 30. Respond to surveys and research studies as requested by the USDA. PART 2. SCHOOL BREAKFAST PROGRAM A. THE STATE AGENCY AND THE SPONSOR MUTUALLY AGREE THAT: 1, Schools may be added or deleted from the MEGS+ CNP: School Nutrition Programs Site Listing as need arises, and the references herein to MEGS+ CNP: School Nutrition Programs Site Listing shall be deemed to include such schedule supplemented and amended including selection of menu planning options for each building. 2. A school which operates its breakfast program under a fee, concession, or contract arrangement with a food service management company or under a similar arrangement must provide a copy of its management company contract to the State Agency, if one has not already been sent. 3. For the purpose of this Agreement, the following terms will mean, respectively: a. Cost of providing a meal: Cost of food used, labor, benefits, supplies, depreciation, and indirect costs that can be associated with a breakfast served to a child. b. School Year: A period of 12 calendar months beginning with July 1 of any calendar year and ending with June 30 of the following calendar year. c, Nonprofit breakfast program: Food service maintained for the benefit of children, all of the income from which is used solely for the operation or improvement of such food service. d. Sponsor: The board of education of a school district, which serves youth in high school grade or under, or the governing body of an institution. (The term also includes a "nonprofit Page 5 of 10 8/21 agency," to which such school has delegated responsibility for the operation of its nonprofit food service program.) 4. The terms of this Agreement will not be modified or changed in any way other than by consent in writing of both parties hereto. B. THE STATE AGENCY AGREES THAT: To the extent of the funds available, the State Agency will reimburse the Sponsor in connection with the cost of providing a meal for the School Breakfast ProgrElm (SBP) in the schools listed in MEGS+ CNP: School Nutrition Programs Site Listing in any school year during which this Agreement is in effect. The amount of reimbursement on behalf of any school will not exceed the lesser of (a) an amount equal to the number of breakfasts served to children of high school grade or under multiplied by the rate assigned by the State Agency or by su,-h other rate as may be subsequently assigned by the State Agency, or (b) the cost of providing a real (applies to severe need breakfasts). The State Agency will promptly notify the Sponsor of any change in the minimum breakfast menu planning options or the assigned rate of reimbursement. C. THE SPONOSOR AGREES THAT: It will supervise school breakfast operations in the schools listed in MEGS+ Schedule A Site Listing and will require each school to: 1. Operate a nonprofit breakfast program and use program income only for program purposes. However, such income shall not be used to purchase land or buildings, or to construct buildings. 2. Serve breakfasts, which have been planned to meet the meal pattern requirements designated in 7 CFR 220.8, and that meet the requirements for a school breakfast during a period designated as the breakfast period by the school. 3. Price the school breakfast as a unit. 4. Supply breakfasts without cost or at a reduced price to all children who are determined by the school food authority to be unable to pay the full price thereof. 5. Claim reimbursement only for breakfasts served to children that meet the requirements specified in 7 CFR 220.8, at the rate assigned or by such other rate as the State Agency may subsequently assign. 6. Submit claims for reimbursement in accordance with procedure established by the State Agency. 7. Maintain in the storage, preparation, and service of food, proper sanitation and health standards, in conformance with all applicable state and local laws and regulations. 8. Maintain necessary facilities for storing, preparing, and serving food. 9. Upon request, make all accounts and records pertaining to the breakfast program available to the State Agency or USDA for audit or review at a reasonable time and place. 10. Not to overtly identify or discriminate against any child because of inability to pay the full price of breakfast. Page 6 of 10 8121 PART 3. SPECIAL MILK PROGRAM (Only split -session preschool/kindergartens that do not have access to the School Breakfast Program or National School Lunch Program are allowed to participate in the Special Milk Programs in schools that also participate in one or more other Child Nutrition Programs.) DEFINITION OF MILK — Schools or institutions must offer only pasteurized fluid types of unflavored or flavored fat free or low -fat (1%) fluid milk. All milk must meet all State and local standards, All milk should contain vitamins A and D at levels specified by the Food and Drug Administration. A. THE STATE AGENCY AND THE SPONSOR MUTUALLY AGREE: 1. To comply with and meet all responsibilities and requirements set forth in (7CFR Part 215), Special Milk Program regulations. 2. That MEGS+ CNP: School Nutrition Programs Site Listing is a listing of schools or facilities within the district and shall be a part of this Agreement. 3. That schools or facilities may be added to or deleted from MEGS+ CNP: School Nutrition Programs Site Listing as need arises, upon request, and such references to MEGS+ CNP: School Nutrition Programs Site Listing herein shall be deemed to include such amendments, B. THE STATE AGENCY AGREES: To the extent of the funds available, the State Agency shall reimburse the Sponsor for each one-half pint of fluid (8 oz.) milk served to children (exclusive of those served with breakfast and/or lunch). The exact rate is determined annually according to USDA regulations and the funds available. C. THE SPONSOR AGREES TO: 1. Provide one-half pint (8 oz.) of fluid milk per serving. See the above definition of milk. 2. Ensure that the purchase price of milk shall not include straws, equipment purchases, vending machine rentals, other rentals, maintenance, service, etc, 3. Convert various size cartons of milk into one-half pints for reporting purposes. 4. Submit claim forms as prescribed by the State Agency. S. Operate the program on a nonprofit basis. Any funds accruing as a result of the service of milk shall be used only for such purposes as will further increase the availability to and consumption of milk by children. PART 4. RECORDKEEPING REQUIREMENTS The Sponsor must keep full and accurate records of the Breakfast, Lunch, Afterschool Snack and Special Milk Programs to serve as a basis for the claim for reimbursement and for audit and review purposes. The records are to be kept three years after the date of the final claim for reimbursement for the fiscal year to which they pertain or as long as there are unresolved audit findings or investigations related to those records. A. MEAL SERVICE: 1. Daily number of breakfasts, lunches, afterschool snacks, and special milk served to children. 2. Daily number of breakfasts, lunches, and afterschool snacks, and special milk served free or at reduced -price, Page 7 of 10 8/21 3. Daily number of breakfasts, lunches, afterschool snacks, and milk served to adults. 4. Daily amounts of food prepared and served (Production Records). 5. Daily attendance sheets/rosters for afterschool care programs serving snacks. B. PROGRAM INCOME RECEIPTS: 1. From children's payments. 2. From federal reimbursement, including federal reimbursement under the National School Lunch and Child Nutrition Acts (National School Lunch, School Breakfast, Afterschool Snack, and/or Special Milk Programs). 3. From State reimbursement. 4. General Fund (subsidy). 5. Loans, 6. From all other sources (adult meals, catering, a la carte). C. PROGRAM EXPENDITURES (supported by invoices, receipts or other evidence of expenditure): 1 For food (include all milk). 2. For labor. 3. Repayment of loans or advances. 4. All other cash expenditures. D. VALUE OF DONATIONS TO PROGRAM: 1. Donated food, exclusive of food donated by the USDA and Department of Defense (DoD). 2. Donated services. 3. All donations other than food and services. E. APPROVED AND DENIED FREE AND REDUCED -PRICE APPLICATIONS F. NOTICE TO PARENTS OF DENIAL OF FREE AND REDUCED -PRICE BENEFITS G. RECORD OF HEARING PROCEEDINGS ON FREE AND REDUCED -PRICE ELIGIBILITY AND THE RESULTS OF SUCH HEARINGS H. DESCRIPTION OF VERIFICATION EFFORTS, INCLUDING: 1. Summary of verification efforts, including techniques used. 2. Number of approved free and reduced -price meal applications on file as of October 1 of each school year. 3. Number or percentage of applications verified. 4. The reasons for changes in eligibility as a result of verification. I. Direct Certification Reports J. Food Production Records Page 8 of 10 8/21 PARTS. CIVIL RIGHTS REQUIREMENTS The Sponsor must keep full and accurate records (documented) of compliance with all civil rights regulations. These activities and procedures are an ongoing requirement of the NSLP. A. RACIAL/ETHNIC DATA: 1. Record numbers of approved children for free and reduced -price meals according to racial/ethnic category (for each school building/facility), 2. Record numbers of denied applicants for free and reduced -price meals according to racial/ethnic category (for each school building/facility). 3. Maintain this information on file for three years. B. PUBLIC NOTIFICATION: 1. Include the most current nondiscrimination statement in all printed materials, publications, and websites. 2. Develop and review policies and procedures for civil rights complaints. 3. Display a nondiscrimination "And justice for All" poster in a prominent place in each school building/facility located in the area where meals/snacks are provided. C. PROVIDE ANNUAL CIVIL RIGHTS TRAINING FOR STAFF: The training must include: Collecting and using data, effective public notification systems, complaint procedures, compliance review techniques, resolution of non-compliance, requirements for reasonable accommodation of persons with disabilities, requirements for language assistance, conflict resolution, and customer service. D. COMPLIANCE REVIEWS: Sponsor must visit/review ail school buildings/facilities each year in order to ensure civil rights compliance. E. COMPLAINT/GRIEVANCE PROCEDURES: 1. Sponsor must develop and implement a procedure to accept written and verbal complaints/ grievances. All information must be properly documented. 2. Assign a complaint/grievance coordinator for Title IX (Equal Sex Opportunity) Section 504 (Equal Opportunity for Handicapped Persons). This requirement applies only if the Sponsor employs 15 or more employees. PART 6. CERTIFICATION To qualify for federal assistance, the program application must be accompanied by a written assurance that the program or facility will be operated in compliance with the civil rights laws and implementing nondiscrimination regulations. A. The Sponsor agrees to comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. 1681 et seq,), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), the Age Discrimination Act of 1975 (42 U.S.C. 6101 et seq.): all provisions required by the implementing regulations of the Department of Agriculture; Department of Justice Enforcement Guidelines, 28 CFR 50.3 and 42; and FNS directives and guidelines, to the effect that no person shall, on the grounds of race, color, national origin, sex, Page 9 of 10 8/21 age or handicap, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination under any program or activity for which the sponsor re ;elves federal financial assistance from FNS; and hereby gives assurance that it will immedia :ely take measures necessary to effectuate this agreement. S. By accepting this assurance, the Sponsor agrees to compile data, maintain records, and submit reports, as required, to permit effective enforcement of the nondiscrimination laws and permit authorized USDA personnel during normal working hours to review such records, books and accounts as needed to ascertain compliance with the nondiscrimination laws. If there are any violations of this assurance, the United States Department of Agriculture, Food and Nutrition Service shall have the right to seek judicial enforcement of this assurance. This assurance is binding on the sponsors and its successors, transferees and assignees, as long as they receive assistance or retain possession of any assistance from the department, C. The SFA certifies that it is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in this transaction by any federal department or agency. Additionally, the SFA certifies that its vendors/sub recipients are neither excluded nor disqualified under the suspension and debarment rules found at 7CFR section 3017.300 by checking the Excluded Parties List System (EPLS). This information can be found at www.eols,aov, D. Non -Public, Private, and Residential Child Care Institutions (RCCIs) certify to tax-exempt status from income tax under 501(c)(3) of the Internal Revenue Code of 1954, as amended. In accordance with Federal law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, disability, and reprisal or retaliation for prior civil rights activity. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible State or local Agency that administers the program or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at 800-877-8339. Additionally, program information is available in languages other than English. To file a complaint alleging discrimination, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at USDA Office of Assistant Secretary for Civil Rights Discrimination Complaint Filinial, or at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call 866-632-9992, Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410 (2) fax: 202-690-7442; or (3) email: oroaram.intake( usda,00v. This institution is an equal opportunity provider. https://www.ascr, usda.gov Jflling-program-discrimination-complaint-usda-customer Page 10 of 10 8/21 Authority. Child Nutrition Act of 1966. Office of Health and Nutrition Services Completion: Voluntary. School Nutrition Programs MICHIGAN P.O. Box 30008 Lansing, MI 48933 517-241-5374 2021-2022 NATIONAL SCHOOL LUNCH/ COMM ODITI' DISTRIBUTION SPECIAL MILK, AFTERSCHOOL SNACK, AND BREAKFAST PROGRAMS Child Nutrition Prooram School Lunch - Including Commodity Food Distribution - Seamless Summer Option Afterschool Snack School Breakfast Special Milk Summer Food Service Program Child and Adult Care Food Program Policv Statement Aaencv/Sub agency F� DA * USDA/Food and Nutrition Service 10,555 USDA/Food and Nutrition Service 10.550 USDA/Food and Nutrition Service 10.550 USDA/Food and Nutrition Service 10.555 USDA/Food and Nutrition Service 10.553 USDA/Food and Nutrition Service 10.556 USDA/Food and Nutrition Service 10.559 USDA/Food and Nutrition Service 10.558 Program Title National School Lunch Program Food Donation Seamless Summer Option National School Lunch Program School Breakfast Program Special Milk Program for Children Summer Food Service Program for Children Child and Adult Care Food Program The Local Educational Agency (LEA) assures the Michigan Department of Education (MDE) that the school system will uniformly implement the following policy to determine children's eligibility for free or reduced -price school meals in all National School Lunch, School Breakfast, Afterschool Snack, and/or Special Milk Programs in schools under its jurisdiction, The following forms are adopted with and considered part of this policy: Frequently Asked Questions About Free and Reduced -Price School Meals - Free Milk Application - Free and Reduced -Price School Meals Family Application How to Apply for Free and Reduced -Price Meals Form - Free Milk Application - Free and Reduced -Price School Meals Family Application 2021-2022 Household Application for Free and Reduced -Price School Meals Free Milk Application Free and Reduced -Price School Meals Family Application Sharing Information with Other Programs Form Approval -Disapproval to Households Form Direct Certification Free Approval Medicaid Direct Certification Reduced -Price Approval Michigan Press New Release - Sample Public Release for Free and Reduced -Price Meals A. The State Agency agrees to: 1. Announce to state-wide media outlets the Federal Income Eligibility Guidelines for Free and Reduced -Price School Meals, Page 1 of 6 08/21 2, Ensure there are no barriers for participation by Limited English Proficient (LEP) families, LEP households will be provided program information in a language they can understand throughout the certification and verification process. B. The LEA (including Residential Child Care Institutions (RCCls) with day treatment programs) agrees to: 1. Submit the informational public release containing the same information outlined in the Frequently Asked Questions About Free and Reduced -Price School Meals to local unemployment offices, major employers contemplating large layoffs, and minority and grass -roots organizations. 2. Submit to MDE any alterations to the Frequently Asked Questions About Free and Reduced -Price School Meals, Family Application for Free and Reduced -Price School Meals, Family Application for Free Milk, etc., prior to implementation. Such changes will be effective only upon approval. All changes in eligibility criteria must be publicly announced it the same manner used at the beginning of the school year. 3. Depending on whether your School Food Authority: a) counts and claims students' meals using the traditional claiming using the eligibility status (free, reduced -price, or paid) of students; b) through a combination of some school(s) claiming by eligibility status and other schools claiming through the Community Eligibility Provision (CEP); or c) your entire School Food Authority is claiming through the CEP, you will be required to follow one of the following methods to determine student's eligibility and correct claiming procedures. For standard eligibility determination - Develop and send to each child's parent or guardian a letter, as outlined herein, including an application form for free or reduced - price school meals or free milk at the beginning of each school year and whenever there is a change in eligibility criteria. Only the reduced -priced guidelines may be included in the School Meals Program Frequently Asked Questions About Free and Reduced -Price School Meals. The free scale is used for Special Milk Program Letter to Parents only. Parents will be requested to complete the application and return it to the Eligibility Determination Official for review. Such applications and documentation of action taken will be maintained for three years after the end of the fiscal year to which they pertain. Designate an Eligibility Determination Official to review applications and make the determination of eligibility. This official will use the criteria outlined in this policy to determine which individual children are eligible for free and reduced -price meals and/or free milk. b. If your district/LEA has some schools on regular claiming using eligibility status and some are participating in CEP, you will determine eligibility depending on how the school is counting/claiming meals. If using the standard method of free/reduced/paid eligibility counting and claiming, those schools must follow 1(a) above. For those schools that have been approved for CEP, all students will receive free breakfast and free lunch. With CEP schools, they will only need to count the total number of reimbursable meals served and submit these monthly totals in the claim system. Your ISP will automatically calculate the number of meals reimbursed at the free rate and the paid rate in the claim system. For student level socioeconomic information, CEP does not make all of the students "free". The use of the Household Information Survey would need to be used to capture the socioeconomic status of individual students who are NOT already directly certified, foster, homeless, migrant, or runaway. It is CRITICAL for you save all of the documentation used to calculate your ISP. c. For schools/LEAS that are all CEP, individual determination of students eligibility status is completed through direct certification and those students that are certified, foster, homeless, migrant or runaway. The total of these students is then divided by enrollment to determine the schools/SFAs Identified Student Percentage (ISP). For school lunch and Page 2 of 6 08/21 school breakfast, additional student level information is not required for these students. Household Information Surveys can NOT be used to determine a student's eligibility for free meals - all students in a CEP school are served free meals. Districts participating in the NSLP must use one of the methods for counting and claiming as described above. If schools enter or exit the CEP, the SFA shall adjust their counting and claiming methods to coincide with the above. For non -CEP schools, access the Direct Certification Report as required by 7CFR Part 245, a minimum of three times during the school year; at or around the beginning of the school year, three months after the initial effort, and six months after the initial effort. MDE encourages LEAS as a best practice to access the direct certification report monthly and each time it is refreshed by the Center for Educational Performance and Information (CEPI), Michigan Student Data System (MSDS). Update eligibility and benefits based on the direct certification report. When a student's name is on the direct certification report, no further application is necessary and the benefit will be extended to the rest of the students in the household. Foster children on the direct certification report are automatically eligible for free meals. This eligibility is not extended to other students in the household. However, the household may include the foster child on the application to increase household size and increase the likelihood of receiving benefits for the other students in the household. If a household has foster children living with them and wishes to apply for free and reduced -price school meals and/or free milk for the other children in the household, they must provide the information requested on the application. Medicaid matched students are included on the Direct Certification report as Medicaid Free and Medicaid Reduced -Price eligible. The two different types of eligibility will be designated in the Direct Certification eligibility column as "M" for Medicaid Free eligible and "R" for Medicaid Reduced -Price eligible. Students directly certified as Medicaid Free eligible or Medicaid Reduced - Price eligible can extend benefits to the rest of the students in the household without further application. Directly certified Medicaid Reduced -Price eligible households will have the opportunity to complete an application to determine if they qualify for free meals based on household income and size. A separate direct certification notification letter for Medicaid Reduced -Price eligibility will be sent to the households along with the Application for Free and Reduced -Price School Meals and the Income Eligibility Guidelines for Reduced -Price Meals. Medicaid case numbers on applications or letters from a state agency may not be used in place of direct certification by Medicaid. The Direct Certification Report is the only means to determine Medicaid eligibility for free or reduced -price meals. Under 7CFR Part 245.6(b)(1)(v), LEAs electing CEP are required to conduct a data match between SNAP records and student enrollment records at least once annually. The requirement must be met by accessing the Direct Certification Report in MSDS by April Ist every year. 5. Accept applications at any time during the school year. Any parent enrolling a child in a school for the first time, at any time during the year, shall be supplied with such documents. If a child transfers from one school to another under the jurisdiction of the same school food authority, his/her eligibility for free meals or reduced -price meals will be transferred to and honored by the receiving school. All children from a family will receive the benefits they qualify for. The eligibility determination must be made within 10 working days of the receipt of the application. Parents or guardians will be notified individually of the acceptance or denial of their applications. Children will be served free and reduced -price school meals and/or free milk immediately upon the establishment of their eligibility. Page 3 of 6 08/21 Parents or guardians will be informed in writing of the reason for denial and of the fair hearing procedure when an application is rejected. Develop a procedure for households with children who are categorically eligible under other source categorically eligible programs should contact the school for assistance in receiving benefits and indicate the source of their status on the application. Establish and use a fair hearing procedure for parents' appeals of the school's decisions on applications and for school officials' challenges to the correctness of information contained in an application or to the continued eligibility of any child for free and reduced -price meals and/or free milk. During the appeal and hearing, the child will continue to receive free and reduced -price meals and/or free milk. A record of all such appeals and challenges and their dispositions shall be retained for three years. Prior to initiating the hearing procedure, the parent or local school official may request a conference to provide an opportunity for the parent and school official to discuss the situation, present information, and obtain an explanation of data submitted in the application and decisions rendered. Such a conference shall not in any way prejudice or diminish the right to a fair hearing. The hearing procedure shall provide the following: a. A publicly -announced, simple method for making an oral or written request for the hearing. b, An opportunity to be assisted or represented by an attorney or other person. c. An opportunity to examine, prior to and during the hearing, the documents and records presented to support the decision under appeal. d. Reasonable promptness and convenience in scheduling a hearing and adequate notice as to the time and place of the hearing. e. An opportunity to present oral or documentary evidence and arguments supporting its position. f. An opportunity to question or refute any testimony or other evidence and to confront and cross-examine any adverse witnesses. g. That the hearing be conducted and the decision made by a hearing officer who did not participate in the decision under appeal. h. That the decision of the hearing official be based on the oral and documentary evidence presented at the hearing and made part of the hearing record, 1, That the parties concerned and any designated representative, thereof, be notified in writing of the decision of the hearing official. j. That for each hearing, a written record be prepared, including the decision under appeal, any documentary evidence and a summary of any oral testimony presented at the hearing, the decision of the hearing official and the reasons therefore, and a copy of the notification to the parties concerned of the hearing official's decision. 8. Verify applications for meal benefits in accordance with program regulations and maintain records of such verification. Prepare a summary of verification results according to regulatory requirements. 4, Serve free meals or free milk to children from families whose income are at or below the guidelines listed in Scale A (Federal Income Eligibility Guidelines). 10. Serve reduced -price meals to children from families whose income is at or below the guidelines list in Scale B (Federal Income Eligibility Guidelines). Page 4 of 6 08/21 Reduced -price meals must be provided with a maximum charge of $0.40 for lunch, $0.30 for breakfast and $0.15 for afterschool snack. 11.Provide these benefits to children of families who are experiencing strikes, layoffs and unemployment, which cause the family income to fall below the guidelines in Federal Income Eligibility Guidelines. 12.Establish a procedure to collect from children who pay for meals or milk and to account for the number of free, reduced -price, and full price meals served and the number of half-pints of full -price and free milk served. This procedure will be used so that no other child in the school will consciously be made aware of such procedure or the identity of the children receiving free and reduced -price meals and/or free milk. 13.Ensure the names of the children eligible to receive free meals or milk or reduced -price meals shall not be published, posted, or announced in any manner. LEAS may disclose, without parent/ guardian consent, participants' names and eligibility status (whether they are eligible for free meals or free milk or reduced -price meals) to persons directly connected with the administration or enforcement of federal education or state education programs such as Title I, M-Step, and No Child Left Behind. In order to release the names for any other purpose such as research, grant applications, etc., the parent or guardian must sign a Sharing Information with Other Programs statement, Such Sharing Information with Other Programs must be maintained on file in the food service office. Parents must be informed that failure to grant the Sharing Information with Other Programs does not change their child's eligibility to receive free or reduced -price meals or free milk. 14.Ensure there is no physical segregation of, nor any other discrimination against any child because of inability to pay the full price of the meal or milk. There shall be no overt identification of any such children by use of special tokens, tickets or any other means. Further assurance is given that children eligible for free meals or reduced -price meals shall not be required to: a. Use a separate lunchroom. b, Go through a separate serving line, c. Enter the lunchroom through a separate entrance. d. Eat meals or drink milk at a different time. e. Eat a meal or drink milk different from that sold to children paying the full price, f. Work for their meals or milk. 16.Develop a procedure that prevents overt identification of the children receiving free or reduced - price meals or free milk when competitive foods are being sold during meal service in the cafeteria. 17.In the operation of child feeding programs, no child shall be discriminated against because of race, sex, color, national origin, age, or disability. 18.Ensure there are no barriers for participation by Limited English Proficient (LEP) families, and LEP households will be provided program information in a language they can understand throughout the certification and verification process. 19. Review and follow all guidance in the USDA Eligibility Manual for School Meals Determining and Verifying Eligibility. Page 5 of 6 08/21 In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e,g, Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at 800-877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www,ascr.usda.gov/cornplaint_filing_cust.htmi, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call 866-632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410 (2) fax: 202-690-7442; or (3) email: orooram,intakel)usda.00v This institution Is an equal opportunity provider, Page 6 of 6 08/21 CNP: School Nutrition Program - Sponsor Information Agency: Oakland County Childrens Village 2022 Recipient Code:630008006 1. Agreement #: 630008006 15. a. RCCI Flag: YES 2. Sponsor Name: Oakland County Childrens Village 3. a. Address Line 1: 1200 NORTH TELEGRAPH RD DEPT 63 b. Address Line 2: C. City: PONTIAC d. State: MI e. Zip: 483411032 4. a. Federal Employer ID Number: 386004876 b. School District Code: 63030 c. School Building Code: 00000 d. County Name and Code: Oakland County - 063 e. DUNS Number: 136200362 f. Activity Status and Effective Month: Active JUL g. Number of Active Sites: 1 '5. Is SFA operated by a Food Service Management Company? ❑ Yes RI No a. If Yes, Name of Company: b. Or, if company not listed enter Name here: "6. Does SFA have meals prepared and delivered by a Vendor/ Caterer or another self -operated SFA? ❑ Yes Q No Generated 12/02/2021 Page 1 of 3 CNP: School Nutrition Program - Sponsor Information Agency: Oakland County Childrens Village 2022 a. If Yes, Name of Vendor/Caterer: b. Or, if company not listed enter Name here: Recipient Code: 630008006 *7. *a. Business Contact: Greg Alessi *b. Title: Administrator *c. Telephone Number: (248)858-1135 Ext: 0 *d. Fax Number: (248) 858-4943 *e. E-mail Address: alessig@oakgov.corn 8. Food Service Director: *a. Name: Karla Jensen *b. Telephone Number: (248) 858-1163 - *c. E-mail Address: jensenk@oakgov.com *d. Was the food service director for this SFA hired on or No after July 1, 2020? e. Date of Hire: 10/11/2016 9. a. Application Contact and/or Additional Contact: Lori Strong b. Title: Contract Compliance Analyst C. Telephone Number: 248-858-1317 Ext. d. Fax Number: e. E-mail Address: strong)@oakgov.com *10. Does your district share a food service director? No Generated 12/02/2021 Page 2 of 3 CNP: School Nutrition Program - Sponsor Information Agency: Oakland County Childrens Village 2022 Recipient Code: 630008006 a. If Yes, what is the methodology for reporting the shared costs of the food service director? *11. Do any of your Residential Child Care Institution sites have a Z Yes ❑ No ❑ NA day treatment program? *12. Are any of your schools going to participate in the Community ❑ Yes 0 No Eligibility Provision(CEP)? 13. Indirect Costs: a. Provide your organization's indirect cost rate (if none, 0 enter 0): b. Provide the source of approval: C. Documentation supporting indirect cost rate: d. I have a public school rate: ❑ Yes 2 No 14, School Nutrition Program Start and End Dates: a. Start Date: 7/1/2021 b. End Date: 6/30/2022 15. Will you be participating in NSLP Seamless Summer Option RBI Yes No (SSO) for SY 21-22? * I certify that the above data is complete and correct. d Generated 12/02/2021 Page 3 of 3 CNP: School Nutrition Program - Site Information: 63RCC0015 Oakland County Children's Village Agency: Oakland County Children Village 2021 - 2022 Recipient Code: 630008006 1. Site Number: 63RCCO015 a. License Number: CE630201060 b. License Number Expiration Date: 2M3/2022 2. Site Name: Oakland County Children's Village a. "New" or "Renewal" tag: Renewal 3. a. Address Line 1: 1200 N Telegraph Rd b. Address Line 2: c. City: Pontiac d. State: MI e, Zip: 48328 f. Primary Address (Geocode) 42,655640,-83.326738 4. a. School District Code: 63030 b. School Building Code: c. County Code and Name: Oakland County - 063 d. Activity Status and Effective Month: Active-01-JUL e. Grade Set: f. CEP Eligibility and Percentage: Undetermined 5. Do you provide School Breakfast? Qyes ONO a. Mandate Flag N b. Breakfast Model options (Check all that apply): Generated 10/05/2021 Page 1 of 5 CNP: School Nutrition Program -Site Information: 63RCC0015 Oakland County Children's Village Agency: Oakland County Childrens Village 2021 - 2022 Recipient Code: 630008006 Cl 1 - Universal Free Breakfast (do not check if CEP) ❑ 2 - Breakfast in the Classroom ❑ 3 - Grab-N-Go ❑ 4 - Second Chance Breakfast 5 - Breakfast Vending Machine ❑ 6 - Breakfast on the Bus ❑ 7 - Cafeteria II 8 - Other in red dining rooms c. Is this site Offer versus Serve? Dyes QNo 6. Do you provide School Lunch? QYes ❑No a. Lunch Menu Pattern Choices (Check all that apply): ❑ 0 - Preschool ❑ 1 - Lunch:K-5 ❑ 2 - Lunch:K-8 ❑ 3 - Lunch: 6-8 R1 4 - Lunch: 9-12 R 5 - Lunch: RCCI with Approved Exception b. Lunch Model (Check all that apply): 111 - Lunch in the classroom ❑ 2 - Grab-N-Go Generated 10/05/2021 Page 2 of 5 CNP: School Nutrition Program - Site information: 63RCCO015 Oakland County Children's Village Agency: Oakland County Childrens Village 2021 - 2022 Recipient Code: 630008006 ❑ 3 - Lunch Vending Machine Cl 4 - Cafeteria ❑ 5 - Closed Campus ❑ 6 - Open Campus RI 7 - Other in red dining rooms c. Is this site Offer versus Serve? ❑Yes @No 7. Do you provide a Special Milk Program? DYes @No a. Type(s) of Special Milk Program Operated (Check all that apply): ❑ Free ❑ Pricing ❑ Non -Pricing b. Special Milk Program price per'/z pint charged to student. c. Average price paid by school to dairy/vendor per 112 pint of milk d. Do children in the Special Milk Program have access to School Breakfast Program or National School Lunch Program? ✓QYes ❑No 8. Do you provide an Afterschool Snack? QYes ❑No a. If After School Snack is Selected, site is: D i. Covid Eligible C] ii. Eligible: At least 50% of enrolled children at this site are eligible for free or reduced price Generated 10/05/2021 Page 3 of 5 CNP: School Nutrition Program -Site Information: 63RCC0015 Oakland County Children's Village Agency: Oakland County CHIdrens Village 2021 - 2022 Recipient Code 630008006 meals based on October claim. ❑ Ill. Area Eligible: Middle and High Schools are considered area eligible when students from an area eligible Elementary (or Middle) follow an education pathway or "Feed into" the higher level school. Building Code Number: Building Name: 9. Is an Alternate Agreement required? ❑Yes ONo Alternate Agreement Instructions 10. Food Safety Inspections/Food Safety Program based on Hazard Analysis Critical Control Point principles (HACCP) a. A minimum of two food safety inspections are required to be conducted annually by the local health department for each building, or part of a building, participating in the NSLP in which food is stored, prepared, or served. This requirement also includes Residential Child Care Institutions (RCCls). It is the responsibility of the SFA to request the food safety inspections. Please indicate the date(s) of the Food Service Establishment Inspection Report for this site, as performed by your local health department personnel, between the dates of July 1, 2020 and June 30, 2021. NOTE: List routine inspections only. DO NOT list follow-up inspections made by the local health department or any self -inspections you perform yourself. If you are unsure of the dates of the most recent inspections, contact your local health department for this information. Date 1: 12/1012020 Date 2: 612912021 b. If less than two food safety inspections were obtained for each building, please indicate the reason provided by the local health department for not conducting the inspections(s): 11. Other Child Nutrition Programs: SFSP and CACFP Q Participating ❑ Non -Participating Check the boxes below for all USDA Child Nutrition Programs that this site operates and provide program dates and information in the space provided. ❑ a. Summer Food Service Program Generated 10/05/2021 Page 4 of 5 CNP: School Nutrition Program - Site Information: 63RCCO015 Oakland County Children's Village Agency Oakland County Childrens Village 2021 - 2022 Recipient Code630008006 2 b. Child and Adult Care Food Program Shelter Care cottage participates in CACFP food program 12. Does this site provide and claim meals through the NSLP and/or SBP for (Check all that apply): ❑a. Great Start Readiness Program (GSRP) Students ❑b. Head Start ❑c. Other Preschool 13. What type of site will you be operating for the NSLP Seamless Summer N/A - Not operating NSLP SSO Option? Other: 14. Site Eligibility El Covid Eligible: Less than 50% of enrolled students at this site are eligible for free or reduced -price meals based on student data from the past 18 months. This could include SNP claim data or CEPI general collection (fall or spring). 10 Eligible: At least 50% of enrolled students at this site are eligible for free or reduced -price meals based on student data from the past 18 months. This could include SNP claim data or CEPI general collection (fall or spring). 15. What meal types are you offering at your NSLP SSO site? SSO allows for a maximum number of two meals per day per site. Lunch & supper cannot be reimbursed for the same day by the same site, except for camp and migrant sites. If you are claiming breakfast and lunch under SSO you must claim snack under NSLP on question 8. ❑ Breakfast ❑ Lunch Q Snack ❑ Supper 16. What additional flexibilities is this site using? ❑ Non -congregate meal service 0 Parentlguardian meal pick-up ❑ Offer versus serve flexibility for senior high school 17. if doing multiple meal distribution, what time and day(s) are you distributing meals? Meal distribution time (for example, 11:00 AM): Start: End: Day(s) of Distribution: ❑ Sunday ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday I certify that the above data is complete and correct: 9 Generated 10/0512021 Page 5 of 5 CNP: School Nutrition Program - Certification Statements Agency: Oakland County Childrens Village 2021 - 2022 Recipient Code: 630008006 Please note that this application cannot be modified and/or amended in MEGS+ until it has been reviewed by the Office of Health and Nutrition Staff. If you have any questions or concerns regarding your application, please contact the Office of Health and Nutrition office. The Authorized Official or their designee certifies that I hereby attest that the School Food Authority (SFA) and all schools under its jurisdiction operating the following Child Nutrition programs are in compliance with all regulations of the nutrition assistance programs authorized under the following Acts: Richard B. Russell National School Lunch Act (42 U.S.C. 1751 et seq), as amended through P.L. 112-55, effective Nov. 19, 2011, (NSLA) Child Nutrition Act of 1966 (42 U.S.C. 1773), as amended through P.L. 111-296, effective Dec. 13, 2010 (CNA) Child Nutrition and WIC Reauthorization Act of 2004, P.L. 108-265, effective June 30, 2004 -Food, Conservation, and Energy Act of 2008, P.L. 110-234, effective May 22, 2008 (Farm Bill) Healthy, Hunger -Free Kids Act of 2010, P.L. 111-296, effective Dec. 13, 2010 (HHFKA) I also attest that the School Food Authority (SFA) and all schools under its jurisdiction operating the following Child Nutrition programs are in compliance with requirements in effect for School Year 2021-2022, as set forth in 7 CFR Part 210, 215, 220, 225, 226, and 250, as applicable. National School Lunch Program (NSLP) 7 CFR Part 210 Fresh Fruit and Vegetable Program (P.L. 110-234 amended NSLA, adding Section 19) School Breakfast Program (SBP) 7 CFR Part 220 Afterschool Snack Program 7 CFR Part 210 Special Milk Program (SMP) 7 CFR Part 215 Summer Food Service Program (SFSP) 7 CFR Part 225 Generated 10/07/2021 Page 1 of 2 CNP: School Nutrition Program - Certification Statements Agency: Oakland County Childrens Village 2021 - 2022 Child and Adult Care Food Program (CACFP) 7 CFR Part 226 Commodity Food Distribution Program 7 CFR Part 250 In addition, for School Year 2021-2022, the SFA 1 represent attests that: Recipient Code: 630008006 I have read and agree to the terms of the Permanent Agreement of the Child Nutrition Program (a) in operation in the SFA for the current fiscal year, I have read and agree to the terms of the Policy Statement of the Child Nutrition Program(s) in operation in the Local Educational Agency for the current fiscal year, The responsible person(s) for the operation of the Child Nutrition program(s) has been trained in all program requirements. Any changes or updates to information on this certification form or program application will be made in MEGS+ in a timely manner. Officials of the U.S. Department of Agriculture (USDA) and the Michigan Department of Education (MDE) may verify this information at any time. The Sponsor has a screening system to scrutinize any criminal convictions of program staff, as well as prior mismanagement of not -for -profit or governmental supported programs. You will provide any information for USDA research projects. All information on this application is true and correct. If you would like to exit the system, please click the logout button at the top of this page. QI Agree Submission/Certification Person Date MDE Approval Person Date Generated 10/07/2021 Page 2 of 2 10/7121, 12:21 PM InteiliGrants - MIND Security Agreement SAVE 1 GL08AL ERRORS I I REVIEW COMMENTS I Main Menu > Application Menu > View/Edit > MiND Security Agreement Oakland County Childrens Village - 630008006 Quick Links: View dit I Change Status I Management Tools I Examine Related Items I View Comments Application: FY 2022 - CNP: School Nutrition Program I Status: In Progress I Security Level: MEGS+: Level 4 Application Administrator Created By: Modified By: Strong, Ms. Lori on 10/IJ2021 4:38:33 PM alessi, Mr. greg on 10/5/2021 9:09:20 AM MIND SECURM AGREEMENT Instructions: Please indicate the person(s) that will complete the claims far this application in Michigan Nutrition Data System (MIND). Only School Food Authority employees can submit and certify claims in the Movo System. The two users fisted on this page must be employed by the School Food Authority. Food Service Management Company (FSMC) or Vended Service Management Company (VSMC) employees are not legally authorized to certify the claim for reimbursement. Other users may be added in the MIND system to view and/or edit claims. Confirm MEIS accounts here: httnsa/mdoestate.mi,us/melslLoq;n aspx Primary contact Lori Strong MEIS Account Number: A1176865 First Name: Lori Last Name: Strong Phone Number; (248) 858-1317 Email Address: strongi@oakgov.com Active since Date: 10/3/2016 12:35:14 PM Secondary Contact greg alessi MEIS Account Number: A1036253 First Name: gong Last Name: alessi Phone Number: (248) 858-1135 Email Address: alessig@oakgov,com Active since Date: 10/3/2016 12:35: 14 PM P I certify that the above data is completed and correct. Top of he Page Related Pages Status Page Name Comments Created By Last Modified By 1 1017121, 12.21 PM SnonsotInformation Site Llsttng Certification Statements MIND 5ecurf y_Ag er ement IntelliGrants - MiND Security Agreement Ms. Lori Strang 10/1/2021 4c38:32 PM 10/6/2021 3:20:19 PM greg alessi 10/1/2021 4:38:32 PM 10/5/2021 9:08:18 AM Mr. greg alessi 10/1/2021 4:38:32 PM 10/5/2021 9:10.22 AM Strong, Ms. Lori alessi, Mr. greg 10/1/2021 4:38:33 PM 10/5/2021 9:09:20 AM MLgov I MEGS+ Home I Contact I Policies FOIA I Comptlance Copyright 2015 State of MkYagan CNP: School Nutrition Program - Meal Counting and ; Iaicning Agency: Oakland County Childrens Village ❑ 1. Computer System a. Card/code (Computer System): b. Cards or codes accepted at: 2021 - 2022 ❑ Number Series ❑ Bar Code ❑ Other: (Specify) ❑ Beginning of Service Line* ❑ End of Serving Line ❑ Other: (Specify) Recipient Code:630008006 * Meal counts may be taken at the beginning of the serving line only when the school district ensures that meals are monitored for completeness at the end of the serving line. RI 2. Roster or Class List a. Method used to check names: ❑ Self identification by Student (name or ID number) Visual identification by Teacher, Cashier, etc, with Back-up Self 1D (name or ID number) 0 Other: (Specify) RCCI staff and supervisors visual check b. Meal Count: ❑ End of Meal Comparison of Checklist to List of Names of Eligible Children ❑ End of Meal Tally of Codes and Number of Children Checked Off Q Meals counted on meal count form after reimbursable meal given (RCCI) ❑ Meals counted on meal count form at the end of the serving line (CEP) ❑ Other: (Specify) ❑ 3. Ticket System a. Type of code: b. Tickets collected at: ❑ Number Series ❑ Hole Punch ❑ Date Placement ❑ Other: (Specify) ❑ Beginning of Service Line* ❑ End of Service Line Generated 1010512021 Page 1 of 2 CNP: School Nutrition Program - Meal Counting and Claiming Agency: Oakland County Childrens Village 2021 - 2022 Recipient Code: 630008006 ❑ Other: (Specify) Meal counts may be taken at the beginning of the serving line only when the school district ensures that meals are monitored for completeness at the end of the serving line. Point of Service Certification * I certify that all of the following statements are true: 4. Overt identification d Yes 0 No There is a method in place to prevent overt identification. Serving lines, which offer reimbursable meals, are not set up to receive only cash. Children eligible for free or reduced -price meals or free milk are not the only children * 5. Meal Counts 0 Yes 0 No * 6. Claims R Yes 0 No listed on pre -paid lists or class rosters. Children eligible for free or reduced -price meals are not required to use a separate dining area, go through a separate line, enter through a separate entrance, or consume their meals at a different time than children paying the full price. If No, please explain: Meals counted for reimbursement contain all required meal components. Meal counts are taken at the end of the serving line unless indicated above. Daily meal counts are not based on tray or plate counts, pre -order counts, classroom attendance or on the number of eligible students that have applications on file. If No, please explain: Meals counted for reimbursement contain all required meal components. Meal counts are taken at the end of the serving line unless indicated above, Daily meal counts are not based on tray or plate counts, pre -order counts, classroom attendance or on the number of eligible students that have applications on file. If No, please explain: * I certify that the above data is complete and correct. Q Generated 10/05/2021 Page 2 of 2 CNP: School Nutrition Program - Request for USDA Foods Delivery Agency: Oakland County Childrens Village 2021 - 2022 Recipient Code: 630008006 USDA Foods Instructions: You must indicate a consortia option by answering question 1 or question 2. 1. Please choose ONE of the following consortia options for USDA Foods delivery for next year, School Year 2022-2023 ❑a. MOR- Macomb -Oakland -Wayne RESA Zb. SPARC- School Purchasing and Resource Consortiums ❑c. GLC- Great Lakes Consortium 2. If not choosing a consortia, please indicate your reason: ❑a. Do not wish to participate in the USDA Foods program for next year, School Year 2022-2023 ❑b. Notjoining a consortia (for 82010 Detroit Public Schools Only) Note: Please direct any questions pertaining to this form to the Food Distribution Unit at (517) 241-5348. 'Cdl certify that the above data is complete and correct, Assurances and Certifications pertaining to participation in the USDA Foods Program can be found within the Related Pages section of this application Local Food Purchasing Instructions: While this section of the application is not mandatory, we ask that you complete these questions to the best of your knowledge to assist MDE with the oversight of various programs that provide local / fresh fruits and vegetables. Do you currently purchase local foods for your school meals? Local foods are foods that are grown, raised or processed in Michigan. 10 Yes❑ No Department of Defense (DoD) and/or USDA Foods Program and/or Unprocessed Fruit & Vegetable Pilot Program (UFV Pilot) utilizing USDA entitlement dollars 21 Broadline distributor (such as GFS, SYSCO, Van Eerden) Q Local grocery store Q Farmers market 0 Farmer cooperative 0 Food hub Farm direct Generated 10f05/2021 Page 1 of 2 CNP: School Nutrition Program - Request for USDA Foods Delivery Agency: Oakland County Chlldrens Village 2021 •2022 Recipient Code, 630008006 Generated 10105/2021 Page 2 of 2 CNP: School Nutrition Program - Meal Prices Agency: Oakland County Children Village 2021 -2022 Recipient Code. 630008006 Student Meal Prices Program Type: Residential Child Care Institution (RCCI) K-5 6-8 9-12 Breakfast 0 0 0 Lunch 0 0 0 Snack 0 0 0 If you are Traditional Priced and students are provided meals at no cost, indicate 0 in fields. If a grade set is not in your enrollment or you do not serve breakfast and/or snack, indicate NIA, and only enter meal prices into the grade set fields that are in your enrollment or meals you provide. If you have tiered pricing, only list the highest price. For further information on the pricing requirements for adult meals please refer to MDE's "Menu , Adult, and Ala Carte Pricing Worksheet", which is available on our webstte at: www.michigan.gov/schoolnutrition, If you have any questions, please contact the MDE Fiscal Team at MDE-Fiscal@michigan.gov or (517) 241-5348. 0 1 certify that the above data is complete and correct. Generated 10/05/2021 Page 1 of 1