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(SFSP) User Manual - Special Nutrition Programs

1. Unauthorized or improper use of this system may result in administrative disciplinary action and civil and criminal penalties Unauthorized access is prohibited by Public Law 99 474 The Computer Fraud and Abuse Act of 1956 Unauthorized access use misuse or modification of this computer system or of the data contamed herein or in transit to from this system constitutes a violation of Title 18 United States Code Section 1050 and may subject the individual to Criminal and Civil penalties pursuant to Title 26 United States Code Sections 7213 1213A the Taxpayer Browsing Protection Act and 7451 By continuing to use this system you indicate your awareness of and consent to these terms and conditions of use LOG OFF IMMEDIATELY if you do not agree to the conditions stated in this warning User Name Password 16 Alerts 16 1 Accessing Alerts 4 Upon successful log on to the Claims system the user is redirected to their home page This page will display the alerts data grid and all businesses associated to the user a The alerts will default to the New and Open alerts see Figure 4 1 1 48 SFSP User Manual Northrop Grumman Special Nutrition Programs Alerts Default view shows New and Open Alerts View New amp Open G52 In Process New Application 05 15 2013 05 15 2013 G26 In Process Admin Approval 05 15 2013 05 15 2013 G26 In Process New Application 05 15 2013 05 15 2013 50 New New Application 04 22 2013 G66 In
2. Date Attended Program Class Name SFSP ANNUAL TRAINING RETURNING SPONSORS OLA P 05 01 2012 5 ere 05 13 2011 SFSP SUMMER FOOD TRAINING 04 16 2010 SFSP SFSP ANNUAL TRAINING 12 I certify to the best of my knowledge and belief that this application is true and correct in all aspects I understand that this information is being given in connection with the receipt of Federal funds and the State Agency personnel may for cause verify information fully understand that deliberate misrepresentation may subject me and any principal or responsible persons of the institution submitting this application to prosecution under applicable Federal and or State statutes submit Application to SNP Coordinator Override Submit Date Status Pending Submission Coordinator Approval Coordinator UnApprove Figure 8 1 1b SFSP Colleges and Universities Checklist Below is a listing of each on line document 1 SFSP Sponsor Application 2160 a This form shall be completed for all businesses applying for the Summer Food Service Program The user shall complete identifying information including information such as Administrative and Operational budgets 2 SFSP Site Applications 2161 a This list displays all of the sites the sponsor is associated with The user shall select the site through the Site Application Checklist for the 2161 24 SFSP User Manual Northrop Grumman Special Nutrition Programs a This form shall be completed
3. NSLP Food Service Momt Contract 201 ms NSLP LEA Joint reement zs 45 NSLP Meal Count Procedures 4 x NSLP Sample Meal Count Form 1685 USDA Memo Headstart Eligibility s USDA Memos USDA Memo Headstart Eligibility x5 Figure 2 1 2 Print Forms page 2 To access a specific form or application select the form name This will redirect the user to an Acrobat Reader PDF form to allow the user to print the form see Figure 2 1 3 5 SFSP User Manual Northrop Grumman Special Nutrition Programs SPECIAL NUTRITION PROGRAMS Agreement CERTIFICATE OF AUTHORITY This is to certify that PRINT NAME OF AUTHORIZED PERSON SIGNATURE OF AUTHORIZED PERSON TITLE IS DESIGNATED AS THE AUTHORIZED REPRESENTATIVE OF THE NAME OF INSTITUTION TELEPHONE NUMBER STREET ADDRESS CITY STATE ZIF Authority is hereby given to the above designated representative to enter into an agreement whether by handwritten or electronic signature on behalf of the above named institution for the operation of the Child and Adult Care Food Program National School Lunch Program and or Summer Food Service Program on all remaining forms for this application and any other documents or Division reports relating thereto including claims for reimbursement Non Profit Institution BY SIGNATURE EXECUTIVE DIRECTOR PRESIDENT OF BOARD OF DIRECTORS OR DATE SCHOOL SUPERINTENDENT For Profit Institution CACFP Only
4. Number of Second Do Breakfast Number of Lunches 51 Number of Second ff Lunches 3 Number of Snacks 0 Number of Second Do Snacks Number of Suppers 0 Number of Second Do Suppers Average Daily oO Attendance L Operation Total 5163 28 Admin A Total 17 16 Admin B Total 150 00 Subtotal 180 44 Advance Amount 0 00 Balance Due 0 00 Payment Plan Amount 0 00 Previous Claim Amount 0 00 Amount Paid 180 44 Date Signed Comments Z C I certify that the information submitted on this form is true and correct to the best of my knowledge I understand that this information is being given in connection with the receipt of Federal funds and the deliberate misrepresentation may result in prosecution under applicable State and Federal statutes I have met the training requirements for all administrative and site personnel as required under 225 15 d 1 E Return to Site Claims 17 3 Adjust Claims Search for a Claim Select the month and enter the year for the claim to be adjusted click Search 57 SFSP User Manual Northrop Grumman Special Nutrition Programs Select the Site for the claim to be adjusted Click on Adjust next to the claim to be adjusted CA25 SUMMER CAMP TEST 1 123 MAIN LITTLE ROCK AR 72203 TIN 9087891111 Claim Month Chim Year Verify Eligibility Claim Listing for Month Year Requested 6 6 2013 2 45 55 PM 5 2013 Inactive Daily Meal Counts Site Listing for Current Claim Select Amount
5. a This Federal form is for all participants If it does not apply sign and date 10 Schedule for Site Visitation a Applicants are required to submit a schedule of site visitation 11 Schedule for Making Pre Operational Visits a Applicants are required to submit a schedule of Pre Operational Visits Paper Documents Below is a listing of each paper document listed on the SFSP Colleges and Universities Checklist 1 Executive Order Disclosure Form EO9804 25 SFSP User Manual Northrop Grumman Special Nutrition Programs a Applicants that were previously a member of the general assembly constitutional officer board or commission member state employee of the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required to be completed by all applicants 2 Certificate of Authority a Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement on behalf of the institution for the operation of the SNP program for that facility 3 Food Service Contract a Applicants will be required to complete this form if they answered Contract with Food Service Management Company on the Site Application for Participation SFSP2161 form 4 W 9 Request for Tax Payer Identification Number and Certification a Applicants must complete this form 5 Direct Deposit Form a Applicants
6. BY SHON ATURE OWNER S DATE By my signature above I understand that Special Nutrition Programs must be advised immediately of any change in authorized personnel and my designation of the above named representative does not relieve me of any liability for the mistakes fraud or any other illegal activity performed by the designated representative in the name of or on behalf of the above named institution Figure 2 1 3 Example of Certificate of Authority from Print Document directory a Select the Print button on the tool bar or select File from the tool bar and then select Print in the drop down list to print a document b Select the Back button on the tool bar to return to the directory or close the browser 5 3 Applying to the Special Nutrition Program On Line The Apply to participate in the Special Nutrition Program On Line button can be selected to initiate a request for a user name and password for the Special Nutrition Program on line application After selecting this button the user will be asked a series of questions to the appropriate program Follow these steps to navigate to the SNP Initial Screening Form 1 Access the Special Nutrition Program Website by using the following URL https dhs arkansas gov dccece snp WelcomeSNPM aspx a The Special Nutrition Program Home Page will appear 6 SF SP User Manual Northrop Grumman Special Nutrition Programs 2 Select the button labeled Apply to Participate in the
7. Entering User Name and Password Once a user name and password have been assigned the user can log in to complete the SNP On line application by using the following steps 1 Select the Existing User Log on hyperlink from the main menu see Figure 3 1 1 2 Enter the User Name and Password assigned to the facility attempting to log in 3 Once the information is entered select the OK button To stop this action select the Cancel button 0 A Northrop Grumman Knows Child Nutrition IT elcome to SNP On Line v5_24 Ang 13 2012 SLP centers ACEP Homes Rates Poverty Levels JSDA Web Site ISDA NSLP Site This if a government computar system and is the property of the Arkansas Department of Human Services It is for suthorized wa only Users IE ES E E authorized of unacthorized have no explicit or implicit expectation of privacy Any of all wees of this system and all las on this system mar Ea be intercepted monitor d recorded copied auditad inspected and disclosed to authorized site Department of Human Services and law SDA CACFP Site anircement personnel as well as authorized oficials of other agencias both domestic and Geizn By wing this system the user consents dO ISDA SFSP Site such interception monitoring recording copying auditing inspection and disclosure at the discretion of surborizad site or Department of Human Services personnel Privacy Statement Unauthorizad or improper u
8. Manual Northrop Grumman Special Nutrition Programs 14 Rates Poverty Levels 14 7Reimbursement Rates Select the Rates Poverty Levels hyperlink on the main menu to access the Poverty Levels and Reimbursement Rates form see Figure 13 1 1 Note This hyperlink is only available when the user is not logged on to the system nro emma Northrop Grumman Knows Child Nutrition IT Welcome to SNP On Line v3 24 Ang 13 2012 Enter Claims Reimbursement Rates and Poverty Levels Discussion Forum Select Fiscal Year NSLP Reimbursement Rates By Program Centers Day Care Home Rates CACFP Homes Tier 1 Rates Breakfast 1 19 Lunch 2 22 SDA Web Site Supplement 50 66 USDA NSLP Site Spa 222 School Nutrion Assoc Tier I Rates USDA CACFP Site Breakfast 4044 USDA SESP Site E p eH Supplement 50 18 Supper 1 34 Administrative Rates 1 50 Homes 102 00 51 200 Homes 578 00 201 900 Homes 561 00 1000 Homes 553 00 Day Care Center Rates Breakfast Free 1 48 Reduced 1 18 Paid 0 26 Lunch and Supper Free 272 Reduced 4232 Paid 50 26 Privacy Statement Supplement Free 0 74 Reduced 0 37 Paid 50 06 National School Lunch Program Rates Summer Food Service Program Breakfast Free 51 76 Reduced 51 46 Paid 0 26 Lunch Supper Supplement Administrative Costs Rural Self Prep Breakfast Lunch Supper Supplement Administrative Costs Vended Urban Breakfast Lunch Supper Supplement Free 2 74
9. Name AllowKemb Status oral SCHOOL BASED DAY 16 2013 189 71 6 6 2013 TREATMENT CATHERINE S HSE No Claim SUMMER FOOD SITE TEST 1 True 1 Select the new Inactive record click on Daily Meal Counts Claim dit for Month Year A dn Select Att SebmitDato Month Clim Year A 6 6 2013 3 56 43 PM F 2013 Active een aoe Daily Meal Counts Meal Counts View Claim View Claim Summary Select the Meal served from the dropdown list and day that you would like to adjust 5 g SFSP User Manual Northrop Grumman Special Nutrition Programs Select Meal Served Breakfast x August 2013 Sun Mon Tue Wed Thu Fri Sat 4 2 6 Fi 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Cl Add This Day To Watch List Lock This Day Meal Counts for 8 1 2013 Total Program Meal Meals Weather Meals First Second Adult NonProgram Damaged Leftover Additional Money Rea Meals Previous Meals Meals Meals Adult Meals Meals Meals Children Collected Waivers SCHOOL BASED DAY 08 01 2013 TREATMENT CATHERINE Breakfast 25 0 0 5 0 0 0 0 0 0 0 00 S HSE 08 01 2013 i ae 0 0 0 0 0 0 0 0 0 0 0 Click Edit beside the appropriate site make changes click Update and Return to Site Claim Form Select the adjusted claim and the Site Listing Clam Listing for Month Year Requested let Adjust Submit Date Month Chain Year Esse Adjust 6 6 2013 3 56 43 PM 8 2013 Active EEN
10. Northrop Grumman Special Nutrition Programs Physical Address Same as Mailing Address Address Linel Address Line2 ZIP Code L State City Seer County ay Address Linel l Address Line2 ZIP Code E State City County Contact Person Last Name First Name Telephone FAX Number i E Mail Alternate Phone a PENDING APPROVAL Directions manne HEYMSFELD manne Assigned Coordinator SFSP Initial Screening Have you been in business at least three years O Yes O No Please select one of the following Business types O University Public School O Summer Camp Govt Entity Other Submit Request for Access To The SNP System b Ifthe user is determined not eligible to apply for the Special Nutrition Program through the on line application the user will receive a message stating the following You need more information to proceed Please contact SNP Central Office for information for the SNP Program You may contact 1 800 xxx xxxx or 555 xxx xxxx for assistance 3 Additional questions will be posed to the user to evaluate the appropriate program 9 SFSP User Manual Northrop Grumman Special Nutrition Programs Note Day Care Homes and Home Sponsors cannot apply for a user name online All other programs can request a user name and password online unless they are already an SNP recipi
11. Process Facility Change 03 08 2013 03 08 2013 l Business Search Enter One Search Criteria Below to Find a Business Find Facility Fayment Flan Advance Payments Facility Payment Additional Payments Enter Claims ina Figure 13 1 1 Alerts Data Grid on Business Home Page 5 To read an alert the user shall select the alert from the data grid a The user is redirected to a Site Alert form which displays all data regarding the alert Alert Information In Process Ly App Approved v App Approved 110332240 Your application amendments for participation in the SNP program has been approved Sa 6 The Open Date and View Date auto populates the date and time when the alert is accessed the first time The Close Date auto populates the date and time when the user changes the Status from In Process to Closed 49 SF SP User Manual Northrop Grumman Special Nutrition Programs 50 The status 1s automatically updated on New alerts to display as In Process once accessed and are then considered as Open Once the alert is closed the alert is removed from the home page alert data grid Find closed alerts by selecting the View Closed button The user can use the View New Open View New and View Closed buttons to filter their alerts SF SP User Manual Northrop Grumman Special Nutrition Programs 17 Enter and Submit Claims 17 1 Enter New Claims From t
12. Special Nutrition Program On Line at the bottom of the page Northrop Grumman SNP IT Supports Implementation o Data Conversion o Custom Interfaces o User Training and Consultation Hosting Administration o SQL Server 2008 IIS 7 0 Technical Support For more Information please contact Greg Fitch Systems Engineer amp Child Nutrition Project Manager 501 682 8810 gregory fitch ngc com This page has been viewed times a Selecting this button will redirect the user to the SNP Initial Screening Form SNP Initial Screening Questionnaire The SNP Initial Screening Questionnaire contains a series of questions to determine if a provider is eligible to apply Enter Claims Discussion Forum Existing User Log On NSLP Centers CACFP Homes Summer Food Rates Poverty Levels USDA Web Site USDA NSLP Site School Nutrition Assoc USDA CACFP Site USDA SFSP Site Resource Library Privacy Statement NORTHROP GRUMMAN TIO CRUAN Northrop Grumman Knows Child Nutrition IT Welcome to SNP On Line v3 24 Aug 13 2012 Special Nutrition Program On Line Application Please answer the questions below to see if you qualify to apply to the Arkansas Special Nutrition Program 1 Do you have a Taxpayer Identification Number TIN O Yes No 2 Are you currently excluded from any state or federally administered programs Yes 9 No 3 Which program would vou like to parti
13. USDA Sponsor Review Summary 1 SNP USDA SFSP Sponsor Inspection Checklist Return to Home Page Return to Review Listing Return to Checklist CA23 BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 Review Date 6 8 2013 Update Date Application Reviewed 2013 P SFSP Residential Su mmer Camp Approved Amended There are no forms to complete Enter findings from the USDA Review on the Findings Page Upload Documents Pictures 0 Files Uploaded io i E DR TM tt Create Follow Up Review Enter Findings Click the Enter findings button 65 SF SP User Manual Northrop Grumman Special Nutrition Programs CA23 BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 E E FRPM Free and Reduced Priced Meals E NSLP National School Lunch Program SAEF State Administrative Expense Funds E E SBP Special Breakfast Program E SFSP Summer Food Service Program SMP Special Milk Program Please Select a Regulation and or Enter Finding Below Finding Tope 5 Finding Date OOO Current Findings O Dee Tue ining Eine Date Delete Positive a 05 05 2013 Show Previous Findings Generate Letters Select a Regulation or enter the Finding in the text box Select Finding Type and enter Date Save Finding Each Finding will be displayed in the Cu
14. aes he ee G Prepared Meals Waivers SUMMER FOOD SITE TES 0 0 lo Jff 0 0 0 O 0 fo 0 07 09 2013 You can make changes by selecting Edit Meal Counts for 7 0 2013 Total Inen ent Program Count Site Meal Meals Weather Meals First Second pari NonProgram Damaged Leftover Additional Money Date Es z Meals Previous Meals Meals Adult Meals Meals Meals Children Collected Prepared Meals Waivers 07 09 2013 50 0 4 30 3 0 0 0 0 0 0 00 SF SP User Manual Northrop Grumman Special Nutrition Programs 53 SFSP Daily Meal Counts Return to Site Claim Form Select Meal Served Lunch 7 May 2013 Sun Mon Tue Wed Thu Fri Sat 1 2 3 4 5 s 2 WM x u 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Meal Counts for 5 8 2013 Total Inclement Pro Meal ay E Weather Meals First Second preg NonProgram Damaged Leftover Additional Money oe Meals Previous Meals Meals Adult Meals Meals Meals Children Collected Prepared Meals Waivers SCHOOL BASED DAY 05 08 2013 TREATMENT CATHERINE 0 0 0 0 0 0 0 0 0 0 0 S HSE 05 08 2013 E nd 0 0 0 0 0 0 0 0 0 0 0 Figure 14 2 Meal Counts displayed for Sponsors with multiple sites Continue entering meal counts by selecting the appropriate meal from the drop down and selecting the day meals were served Ca
15. business to access the Business Maintenance form Business Maintenance stores the contact information for a Business or Sponsor The form displays the facility information such as addresses contact information and allows the user access to applications and any sites associated to the business see Figure 5 1 1 15 SNP Business Maintenance NSLP Direct Certification Agreement ca 7 E Number 3 9087898333 CCL Number 23434 CCL Status s Not Valid v BELDERSON SCHOOL FOR THE BLIND Mailmg Address 123 MAIN Address Line2 ZIP Code 72223 State AR City LITTLE ROCK County PULASKI Physical Address Same as Mailing Address Address Linel 123 MAIN 72223 State AR LITTLE ROCK County PULASKI 0 0000000000000 Longitude 0 0000000000000 Fetch Coordinates Address Where Records Are Kept Same as Mailing Address Same as Physical Address 123 MAIN 72223 State AR LITTLE ROCK County PULASKI SFSP User Manual Northrop Grumman Special Nutrition Programs Contact Information Contact Person Last Name BELDERSON First Name GERTRUDE Contact Title Telephone 501 555 5555 FAX Number Alternate Email tywelch arkansas gov Du Authorized Signat
16. summer months The program helps eligible children receive the same high quality meals during the summer as they get during the school year There are five types of Summer Food Programs Public school food authorities and non profit private school food authorities Public or non profit private residential summer camps Units of local municipal county tribal or state government 3 te Public or private non profit colleges or universities which are currently participating in the National Youth Sports Programs 5 Private non profit 501 c 3 organizations Each section will give a synopsis of the forms for each specific checklist However all of the forms will work the same There are two types of forms Online Documents and Paper Documents 21 SFSP User Manual Northrop Grumman Special Nutrition Programs With the Online Documents when the user starts a form the system will automatically check the Started check box When the form 1s submitted the system will check the Completed by Entity checkbox With the Paper Documents the user will be required to manually select the Completed by Entity checkbox when they send in their paper documents to SNP Central Office The user shall complete the Online Documents and select the Submit button to electronically submit the form to the user s checklist In some instances the form may be information that must be read The submit button for that form may read as I Have Read and Understand
17. the methods they used to secure corrective action including follow up for their sites 9 Description of Procedures for Collecting Daily Number of Meals a Applicants are required to provide their procedures for collecting their daily meal counts 10 Copy of Public Release 11 4 SFSP Other Private Non Profits On Line Documents 3 3 SF SP User Manual Northrop Grumman Special Nutrition Programs The user shall select their application from the Application Main form This will redirect the user to their checklist see Figures 10 4 la 1b SESP Other Non Profit Entity TA91 CITY YOUTH MINISTRIES INC P24 Meal Policy Statement FRPS1 EMail text A EMail Figure 8 4 1a SFSP Other Private Non Profit Checklist 3 4 SFSP User Manual Northrop Grumman Special Nutrition Programs e Executive Order Disclosure Form EOSS04 E Details Details Food Service Contract If a on E Details Copy of Health Inspection or Letter to Health as partment for Each Site etails Description of Method Used to Secure Corrective E Deiis nai Action Including Follow Up Plans new sponsors only Description of Procedures for Collecting Daily Number E Details of Meals fa sponsors only a Trammg Date 04 18 2013 SESP SUMMER FOOD SERVICE PROGRAM ANNUAL TRAINING SUMMER FOOD SERVICE PROGRAM APPLICATION 05 29 2012 SESP SESP ANNUAL TRAINING NEW SPONSORS ONLY 12 I certify to the best of my knowledge and belief th
18. this form if they answered Contract with Food Service Management Company on the Site Application for Participation SFSP2161 form 15 W 9 Request for Tax Payer Identification Number and Certification a Applicants must complete this form 16 IRS Tax Exempt Letter a Applicants are required to submit verification of tax exempt status from the IRS 17 Direct Deposit Form a Applicants that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form 18 Copy of Health Inspection or Letter to Health Department for Each Site a Applicants are required to submit a copy of the most recent health inspection for each site or a letter from the health department 19 Description of Method Used to Secure Corrective Action Including Follow Up Plans a Applicants are required to provide a description of the business s method they used to secure corrective action including their follow up plans 20 Description of Procedures for Collecting Daily Number of Meals a Applicants are required to provide a description of the procedures the business used to collect the daily meal count 21 Copy of Public Release 41 SF SP User Manual Northrop Grumman Special Nutrition Programs 12 Application Approval Process Note This section is geared to understanding the approval process Although the Business User will be unable
19. user is redirected to the Site Listing page This page displays all of the sites associated with the business The user can select a site within the data grid or add sites see Figure 5 2 1 16 SFSP User Manual Northrop Grumman Special Nutrition Programs Northrop Grumman Knows Child Nutrition IT Welcome ARTHUR BELDERSON v3 Avg 13 2012 Facilities Assigned to Sponsor BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 EI oor J 22292 CAREBEARLANDPRESCHOOL 8704237132 ACTIVE Data Entry 22264 DAY DREAMS DAY CARE 479 787 1008 ACTIVE Training Calendar On Line Training Privacy Statement Figure 5 2 1 Site Listing 2 All Active and Inactive Sites will be displayed in the data grid If a site has been closed by the Childcare Licensing Unit the user shall contact their SNP Coordinator to change the status to Inactive a The user can remove Active or Inactive Sites at any time by selecting the Remove button The assigned SNP Coordinator will receive an alert when the user adds or removes sites they are associated with 3 When the user selects a site or selects the Add New button the user is redirected to the Site Maintenance form 17 SF SP User Manual Northrop Grumman Special Nutrition Programs Site Information CCL Number CCL Status License Type Operating Name Physical Address Address Line 1 Address Line 2 ZIP Code City State County Telephone Status ACTIVE License C
20. user is redirected to their home page This page will display the alerts data grid and all businesses associated to the user The alerts will default to the New and Open alerts see Figure 4 1 1 62 SFSP User Manual Northrop Grumman Special Nutrition Programs Alerts Default view shows New and Alerts No Alerts For acbelderson View New View Closed View New amp Open Generate Alert Business Search Enter One Search Criteria Below to Find a Business Agreement Number Business Name Find Facility Figure 16 1 1 Alerts Data Grid on Business Home Page REDO WHEN THERE ARE ALERTS 5 To read an alert the user shall select the alert from the data grid The user is redirected to a Site Alert form which displays all data regarding the alert Alert Information In Process Ea App Approved v App Approved 710332240 E Your application amendments for participation in the SNP program has been approved Save 6 The Open Date and View Date auto populates the date and time when the alert 1s accessed the first time The Close Date auto populates the date and time when the user changes the Status from In Process to Closed The status 1s automatically updated on New alerts to display as In Process once accessed and are then considered as Open Once the alert is closed the alert is removed from the home page alert data grid Find closed alerts by selecting the View Close
21. 09 TE Details I certify to the best of my knowledge and belief that this application 1s true and correct in all aspects I understand that this information is being given in connection with the receipt of Federal funds and the State Agency personnel may for cause verify information I fully understand that deliberate misrepresentation may subject me and any principal or responsible persons of the institution submitting this application to prosecution under applicable Federal and or State statutes Submit Application to SMI Coordinator Override Submit Date 3 Three hyperlinks Return to Home Page Return to Facility and Return to Checklist are found on all online forms and checklists to offer the user short cuts for easier navigation throughout the system 4 The system will display a date on the checklist to verify when the form was completed approved or the date additional information was requested e By using the checkboxes and the dates the user can monitor what has been processed on their application 5 Once all mandatory forms have been completed the user will submit the application An alert is sent to the assigned coordinator to notify that the application is ready for processing e The system will display the date and time that the user submitted the form 11 Summer Food Service Program SFSP The Summer Food Service Program is a federally funded program that provides nutritious meals and snacks to children during the
22. ASKI Date Submitted 5 15 2013 Phone 501 555 5555 Date Approved 5 15 2013 Coordinator MARY ABNEYYOUNG Directions App Status Approved Amended a Figure 10 1 2 View of Business At A Glance Report Viewer 3 After choosing the recommended Acrobat PDF File format select the Export hyperlink to initiate a printable version of the form a A file download box will display Select the Open button to access the report NOTE Word and Excel formats are an option 4 Once downloaded the report will display and allow for the user to view or print the report see Figure 12 1 3 44 SF SP User Manual Northrop Grumman Special Nutrition Programs SFSP Business At A Glance Report 5 16 2013 7 20 30 AM SFSP Residential Summer Camp Fiscal Year 2013 CA23 BELDERSON SCHOOL FOR THE BLIND TIN 9087898333 123 MAIN LITTLE ROCK AR 72223 BELDERSON ARTHUR Start Date 1 1 2013 End Date 12 31 2013 County PULASKI Date Submitted 5 15 2013 Phone 501 555 5555 Date Approved 5 15 2013 Coordinator MARY ABNEYYOUNG Directions App Status Approved Amended Sites DAY DREAMS DAY CARE Breakfast O AM Snack O 503 DETROIT NE Lunch 1100 PM Snack O GRAVETTE AR 72736 Supper O County BENTON CARE BEAR LAND PRESCHOOL Breakfast 0 AM Snack 0 109 E FREEMAN Lunch 1200 PM Snack 0 BERRYVILLE AR 72616 Supper 0 County CARROLL Number of Sites 2 Figure 10 1 3 Business At A Glance Report PDF 45 SF SP User
23. Daily Meal Counts Meal Counts View Claim View Claim Summary Site Listing for Current Claim Ed re i E E SCHOOL BASED DAY 2013 ted bold TREATMENT CATHERINE HSE pi No Claim SUMMER FOOD SITE TEST 1 True 1 Get Current Daily Data Calculate and or Save 59 SFSP User Manual Northrop Grumman Special Nutrition Programs SFSP Site Claim Data SCHOOL BASED DAY TREATMENT CATHERINE 5 HSE Number of Days In Operation i First Servings Second Servings Number of Breakfast 5 o Number of Lunches p gt o Number of Snacks p gt p gt Number of Suppers o o o Average Daily Attendance 5 Operation Total 8900 Admin A Total 50 90 Admin B Total pb Subtotal 990 Select View Summary enter date and Submit Claim Return to Site Claims Claim Listing for Month Year Requested EM 6 6 2013 3 56 43 PM 8 2013 Inactive 6 6 2013 4 06 34PM 8 2013 Active The original claim is now inactive and the adjustment has been applied to an Active claim 60 SF SP User Manual Northrop Grumman Special Nutrition Programs 18 Rates Poverty Levels 18 1Reimburs ement Rates Select the Rates Poverty Levels hyperlink on the main menu to access the Poverty Levels and Reimbursement Rates form see Figure 13 1 1 Note This hyperlink is only available when the user is not logged on to the system Reimbursement Rates By Program Day Care Home Rates Tier 1 Rates oe are J iter Tale Breakfast 1 27 pein nares Bre
24. FSP Agreement a The SFSP Agreement contains participant rules and responsibilities for taking part in the summer food program 8 Officers and Employees a Applicants will list board member owner and employee information on this form 9 Disclosure of Lobbying Act SFLLL a This Federal form is for all participants If it does not apply sign and date 10 Schedule for Site Visitation a Applicants are required to submit the business s site visitation schedule 11 Schedule for Making Pre Operational Visits a Applicants are required to submit the business s pre operational visits schedule Paper Documents Below is a listing of each paper document listed on the SFSP Summer Camp Checklist 12 Executive Order Disclosure Form 40 SF SP User Manual Northrop Grumman Special Nutrition Programs a Applicants that were previously a member of the general assembly constitutional officer board or commission member state employee or the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required to be completed by all applicants 13 Certificate of Authority a Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement on behalf of the institution for the operation of the SNP program for that facility 14 Food Service Contract a Applicants will be required to complete
25. Northrop Grumman Special Nutrition Program Summer Food Service Program SFSP User Manual Rev 1 0 June 2013 Table of Contents APPLICATION ire sececesesesscsacssseceassensesaceasechsegessesdessseiessssssevsesauesbscaesievaeeseeivses 3 1 o DD DO S ph ei cecceoscecsaceceavevoscacssucccussscescessccaszsavevasecousscssssececsiasusaseesovecsrsceves 3 2 Accessing the Special Nutrition Program System cccceccceeeeeess 4 2 1 Welcome to the Special Nutrition Program Home Page cc ceeeeseeeeeeeeeeeeeeees 4 2 2 Print Blank Application Forms 2 0 0 0 ceeccccccccccccceesseeeeceeeeeesaeasseeeeceeeeesaaaanseeeeeees 2 2 3 Applying to the Special Nutrition Program On Line ccccccseeeeeeeeeeeeeeeeeeeeees 6 3 Exi one User LOOD secescececececcsaisvssccsuascacerecesiecsinesseostavs saceteuceessssustces 11 3 1 Entering User Name and Passwotd cccccccssssssseccccecceaeeeseeeeeceeeeeaeaeeseeeeeeeeenaaas 11 3 2 Chancino PASS Wy ONG sesca E E E 12 3 3 Lost PAS SOU Gl araee os soeeneaseceansecacevodeccmasacaesenexeaseceanaaeseeeodeccmasasnesenineeseceanaaescoressaumesces 12 4 DRC a TE E E A A E E E 13 4 1 PICS I FM bia ae Eai oras ai a as 13 5 Business and Site Maintenancce cccccccccccsccccccssccscsccccccccccccceees 15 5 1 BUS Do Le ABIN UE DO ANC Coo oa cee RAR RR RR OR E E A 15 5 2 SEM BIC IVAN re E E EE E seua E E 16 6 New and Reapplication ProCesseSs eccssseeccsssceeccssceccsssceccsssceecssseee 19 7 Co
26. Program Info and Hyperlinks 15 1Summer Food Service Program SFSP Link The Summer Food hyperlink directs the user to an overview of the Summer Food Service Program 47 SF SP User Manual Northrop Grumman Special Nutrition Programs 15 2 Accessing the SNP Claims System 15 3 Entering User Name and Password The user can log in to submit the SNP Claim by using the following steps 1 Go directly to https dhs xxxx gov DCCECE SNPClaims or click on Enter Claims from the SNP Main page 2 Enter the User Name and Password assigned to the facility attempting to log in 3 Once the information is entered select the OK button To stop this action select the Cancel button Please Enter User Name and Password to Access the System This is a government computer system and is the property of the Arkansas Department of Human Services It is for authorized use only Users authorized or unauthorized have no explicit or implicit expectation of privacy Any or all uses of this system and all files on this system may be intercepted monitored recorded copied audited inspected and disclosed to authorized site Department of Human Services and law enforcement personnel as well as authorized officials of other agencies both domestic and foreign By using this system the user consents to such interception monitoring recording copying auditing inspection and disclosure at the discretion of authorized site or Department of Human Services personnel
27. Reduced 234 Paid 0 28 Free 50 74 0 37 Paid 50 06 Milk 0 18 46 SF SP User Manual Northrop Grumman Special Nutrition Programs Poverty Levels Federal Poverty Levels Free Meals Federal Poverty Levels Reduced Meals HouseHold Size Year Month Week HowseHold Size Year Month Week 1 1 2 2 3 3 4 4 3 3 6 6 7 T 8 oo Fach Additional Figure 13 1 1 Rates and Poverty Levels 1 The SNP Reimbursement Rates and Poverty Level form displays a table of the Day Care Home Day Care Center National School Lunch Program and the Summer Food Service Program rates by Fiscal Year a Select the Fiscal Year drop down list to retrieve rates for other years The current fiscal year will be the default year 2 The SNP Reimbursement Rates and Poverty Level form displays the Poverty Level amounts for Free and Reduced Meals by Annual Monthly and Weekly income by Fiscal Year i Select the Fiscal Year drop down list to retrieve rates for other years The current fiscal year will be the default year 15 USDA SFSP Site This hyperlink found on the main menu located at the left side of the form directs the users to the Summer Food Service Program section of the USDA website This hyperlink is only available when the user is not logged on to the system 1 Select the USDA SFSP Site hyperlink a The hyperlink opens the USDA Summer Food Service Program form and displays a general overview of the program at the national level
28. This Form or similar wording Some forms may span additional pages due to their length Each form will give the user the opportunity to print the document for their records Some forms will allow the user to copy data from one year to the next The Paper Documents section has links to allow the user to print PDF documents to be completed and returned to SNP Central Office However depending on the program some information may not require a form 11 1SFSP Colleges and Univers ities On Line Documents The user shall select their application from the Application Main form This will redirect the user to their checklist see Figures 10 1 la 1b 22 SFSP User Manual Northrop Grumman Special Nutrition Programs SFSP Colleges and Universities Checklist CAZ1 SOUTHERN AR UNIVERSITY UPWARD BOUND P151 Ee Et TR Doo fa a EMail Text EMail Figure 8 1 la SFSP Colleges and Universities Checklist 23 SFSP User Manual Northrop Grumman Special Nutrition Programs Paper a ee Executive Order Disclosure Form EO9S04 C Details DI cc Certificate of Authority if applicable Food Service Contract If applicable W 9 Taxpayer ID Certification Qf applicable Direct Deposit Form optional Copy of Health Inspection or Letter to Health Department for Each Site Description of Procedures for Collecting Daily Number of Meals new sponsors only Trammg
29. a paper document the user would send to the news media 7 SFSP Agreement a The SFSP Agreement contains participant rules and responsibilities for taking part in the summer food program 8 Officers and Employees SNP3 a Applicants will list board member owner and employee information on this form 9 Disclosure of Lobbying Act SFLLL a This Federal form is for all participants If it does not apply sign and date 10 Schedule for Site Visitation a Applicants are required to submit a schedule of site visitation 11 Schedule for Making Pre Operational Visits a Applicants are required to submit a schedule of Pre Operational Visits 28 SFSP User Manual Northrop Grumman Special Nutrition Programs Paper Documents Below is a listing of each paper document listed on the SFSP State Local Municipal or County Government Entity Checklist 1 Executive Order Disclosure Form a Applicants that were previously a member of the general assembly constitutional officer board or commission member state employee of the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required to be completed by all applicants 2 Certificate of Authority a Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement on behalf of the institution for the operation of the SNP program for
30. acility search by pero Facilities Report by County Progam Summer Food Seviee Program i Program Summer Food Sevice Program E na E co Mies o Execute Search Facility search by County Program Summer Food Servic Program 5 Select County mau To Facility search by Address pean Ades City Sate DT Mies DD Users may search by Zip code County or by a specific address The map will be updated with the location of all facilities meeting the criteria entered For example the map below shows all Summer Food Service Program locations with 10 miles of Zip Code 12225 73 SFSP User Manual Northrop Grumman Special Nutrition Programs Map Satelite Gibson Sherwood Wountain y State Park a Johnson Elementary 1701 S Main St Little Rock AR 72204 Phone 501 555 5555 Days of Operation Mon Fri Meals Served time Breakfast 0730 Lunch 1100 Directions To Here From Here EE 30 nA Facilities found 19 Facilities serving Breakfast 13 Facilities serving Lunch 13 Facilities serving AM Snack 1 Facilities serving PM Snack 0 Facilities serving Supper 1 Facilities serving Late Snack 0 This map shows SFSP Feeding sites from both the State Department of Human Services and the State Department of Education Once the map is populated clicking on a map point will display the facility s name address phone number Days of Operation Meals Served and a links for mapping direct
31. aeeseeeeeeeeeeeaas 48 PRETOS E E E E 48 PROCES IN A T sron E E E E E qui 48 Enter and Submit Claims ssssssssssssssssssssssssssoesesssssesessososososssesosoo 51 Enter IN yA Sects coc cise atado SD Ade Re inss ea dedie denon E dna Eat oro e 51 SUDC re E E E E EA EE ETE 56 ASE ao ii ir EE E E EE 57 Rates Poverty Levels vesescccincsccevsessvecessseescvessccussesseceeceusessrecssecerssvaseexs 61 Fe LS PCG RAS aca sasa a penendo ec gad R ia 61 TNSPEC TIONS ieee E E 62 Accessing the SNP Inspections System sseeeeessssssssseeerssssssseseerrsssssssserrrsssss 62 PRC CSS SUN Nata ra or E Ra ease casas taainae OSS E O 62 Locating an SNP PE POVIOON ccccssescssccscsusssescccsesesesessccaceosescucesasecseversseses 73 2 SF SP User Manual Northrop Grumman Special Nutrition Programs 2 APPLICATIONS 3 4 Summary The Special Nutrition Program manual is a tool for businesses associated with the Special Nutrition Program to use in conjunction with the SNP Web online software application This manual is a reference guide for users that will assist in navigating the web application as they complete their day to day tasks The SNP Online Application has been developed in ASP Net using a SQL database The Minimum System Requirements for the SNP Web Application are e Windows version to XP e Internet Explorer 6 e 128 bit encryption enabled Session Cookies will be used to run the program if Cookies are disabled the user will be notified tha
32. ail will be sent to the user notifying them that the password has been reset to the last four digits of their Social Security Number a If the user cannot answer their Security Question the user must contact SNP Central Office at 1 800 482 5850 ext 28699 or 682 8869 for additional assistance 7 Alerts 7 1 Accessing Alerts 1 Upon successful log on to the system the user is redirected to their home page This page will display a welcome message alerts data grid and all businesses associated to the user a The alerts will default to the New and Open alerts see Figure 4 1 1 Enter Claims Discussion Forum SFSP Message Alerts for user acbelderson Alerts Default view shows New and Open Alerts View New Open View Closed No Alerts For acbelderson Businesses Associated with acbelderson Serem TIN Nm Eme CA 23 9087898333 BELDERSON SCHOOL FOR THE BLIND 5015555555 1 Figure 4 1 1 Alerts Data Grid on Business Home Page 2 To read an alert a The user is redirected to a Site Alert form which displays all data regarding the alert 1 3 SF SP User Manual Northrop Grumman Special Nutrition Programs Northrop Grumman Knows Child Nutrition IT Welcome GREG G FITCH v3 24 Avg 13 2012 Enter Claims Alert Information Discussion Forum Agreement B4 TEST HOME SPONSOR application has been approved by their coordinator Comments Alerts Detault view shows New and Open Al
33. akfast Lunch 2 38 Supplement 0 71 T oa 2 38 ido di Paid Tier II Rates Lunch and Supper Breakfast 50 46 Free Lunch 51 44 Supplement 0 19 a ay Paid Supper 1 44 E Supplement Administrative Rates 1 50 Homes 107 00 51 200 Homes 82 00 201 999 Homes 564 00 1000 Homes 556 00 National School Lunch Program Rates Summer Food Service Program Breakfast Operating Cost Free 1 85 Breakfast 1 80 Reduced 1 55 Lunch Supper 3 14 Paid 0 27 Supplement 0 73 Lunch Administrative Costs Rural Self Prep Free 2 88 Breakfast 0 18 Reduced 2 48 Lunch Supper 0 33 Paid 50 29 Supplement 50 09 Supplement Administrative Costs Vended Urban Free 0 78 Breakfast 0 14 Reduced 80 39 Lunch Supper 0 27 Paid 0 07 Supplement 0 07 Milk 0 19 61 SF SP User Manual Northrop Grumman Special Nutrition Programs 19 INSPECTIONS 19 1Accessing the SNP Inspections System The user can log in to submit the SNP Claim by using the following steps 1 Go directly to https dhs xxxx gov DCCECE snpinspect 2 Enter the User Name and Password same login used for Applications Claims and Inspections 3 Once the information is entered select the OK button To stop this action select the Cancel button Please Enter User Name and Password to Access the System This is a government computer system and is the property of the Arkansas Department of Human Services Itis for authorized use only Users authorized or unauthorized have n
34. aoe e Ste EEE BELDERSON ia Geleg CA23 9087898333 SCHOOL Pending Residential MARY eae FOR THE submission Summer ABNEYYOUNG BLIND Camp 01 01 2013 12 31 2013 1 Figure 9 1 1 Application Search a A list of all applications that meet the search criteria will be displayed in the application data grid 3 The Coordinator will view the checklist for the desired business by selecting the business to be accessed 42 SFSP User Manual Northrop Grumman Special Nutrition Programs 4 The Coordinator is redirected to the business s application checklist The user will review each form submitted and will approve the form or request information see Figure 11 1 2 Figure 9 1 2 Example of approved forms 5 Once all forms have been approved the SNP coordinator can approve the application or reject the application see Figure 11 1 3 a An alert will be sent to the SNP Administrator notifying that person that the application has been approved or denied b The Program Coordinator or the SNP Administrator can submit the Administrator approval on the application An alert will go to the facility notifying them of approval of their application c The Coordinator Approval sends an alert to the Program Administrator who must give the application final approval 1 When Coordinator Approval button is selected a date will display verifying the date and time the Coordinator approved the checklist ii The Program Adminis
35. apacity Latitude Longitude Fetch Coordinates School District A Owner Last Name Owner First Name SNP Approved Date Add Date SNP End Date Last Updated Notes PA Agreement Number 22794 Sponsor Name SU MMER CAMP TEST 1 Return to Site Maint Seriously Deficient 4 The online application system 1s integrated with the Child Care Licensing system CCLAS and DHS Exclusions a The facility status 1s validated and displayed from the Child Care Licensing system b The system displays any exclusions the facility has had Business Directors and Business Users will not be able to view exclusion data 18 SFSP User Manual Northrop Grumman Special Nutrition Programs 9 New and Reapplication Processes To initiate a new or reapplication select the business from the home page to advance to the Business Maintenance form On the Business Maintenance form select the Applications button to advance to the Application Main form see Figure 6 1 1 Enter Claims Discussion Forum Existing Applications for CA23 BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 Select Contract Year Start Date End Date Status 2013 01 01 2013 12 31 2013 Pending Submission 1 Complete the information below to add a new application or renewal application Contract Year 2013 Contract Start Contract End Add New Renewal Application Figure 6 1 1 Application Main 1 For New or Reapplications enter their contract year in
36. at this application is true and correct in all aspects I understand that this information is being given in connection with the receipt of Federal funds and the State Agency personnel may for cause verify information I fully understand that deliberate misrepresentation may subject me and any principal or responsible persons of the institution submitting this application to prosecution under applicable Federal and or State statutes Submit Application to SNP Coordinator Override Submit Date Attended Program Class Name 03 05 2013 SPSP Status Pending Submission Coordinator Approval Coordinator UnApprove Application Type SFSP Other Private Non Profit Change Application Type Figure 8 4 1b SFSP Other Private Non Profit Checklist Below is a listing of each on line document 1 SFSP Sponsor Application 2160 a This form shall be completed for all businesses applying for the Summer Food Service Program The user shall complete identifying information including information such as Administrative and Operational budgets 2 SFSP Sponsor Application 2161 a This list displays all of the sites the sponsor is associated with The user shall select the site through the Site Application Checklist for the 2161 3 5 SF SP User Manual Northrop Grumman Special Nutrition Programs b This form shall be completed for all sites associated with the SFSP Sponsor The user shall complete identifying information inclu
37. b SFSP Public or Private Non Profit Local Education Agency 5452 BEEBE PUBLIC SCHOOLS Contract Period 12013 12 31 2013 O MemDesintm OnLine Documents si Line Documents a eo pre oe Meal Policy Statement FRPS 1 E E a E E O E E E Doo moa o Dm EMail Text A EMail Figure 8 3 1a SFSP Local Education Agency Checklist 30 SFSP User Manual Northrop Grumman Special Nutrition Programs Paper Paper Docments Ee oO Eae lro Il Executive Order Disclosure Form E09804 Ti E E E Copy of Health Inspection or Letter to Health 7 Department for each site E Details Trammg Date 04 25 2013 SFSP SUMMER FOOD SERVICE PROGRAM ANNUAL TRAINING SUMMER FOOD SERVICE PROGRAM APPLICATION 05 01 2012 SESP SESP ANNUAL TRAINING RETURNING SPONSORS ONLY Attended Program Class Name 03 26 2015 SFSP I certify to the best of my knowledge and belief that this application is true and correct in all aspects I understand that this information is being given in connection with the receipt of Federal funds and the State Agency personnel may for cause verify information I fully understand that deliberate misrepresentation may subject me and any principal or responsible persons of the imstrtution submitting this application to prosecution under applicable Federal and or State statutes Submit Application to SNP Coordinator Override Submit Date Status Pending Submission Coordinator Appr
38. characters long and cannot be one of the last 6 passwords used for the user account 3 Enter the Username and current password in the corresponding fields 4 Enter the desired password in the New Password field 5 Re enter the newly constructed password in the Confirm New Password field and select the OK button To stop this action select the Cancel button 6 Once the password is updated the user is required to sign in using the new password before they can access the online application system The newly entered password will be saved and can be used for future log ins Note Passwords are required to be changed every 90 days The user shall receive a message when attempting to access the program if the password is due to expire within 14 days or has expired since last log in 6 3 Lost Password If a user forgets their current password that will allow them to access the SNP on line application the following steps can assist them in resetting their password 1 Select the Existing User Log on hyperlink from the Main Menu 2 Enter the Username in the corresponding field 3 Select the Lost Password button a A security question and answer field will appear below the Lost Password button 12 SF SP User Manual Northrop Grumman Special Nutrition Programs 4 Enter the correct Security Answer for the question listed and select the Submit button To stop this action select the Cancel button 5 A message will display and an em
39. cipate in O CACFP NSLP O SFSP O DONT KNOW Information about each program can be found using the links on the left side of this web page Please review this information before making your selection SF SP User Manual Northrop Grumman Special Nutrition Programs Follow these steps to answer the questions on the SNP Initial Screening Questionnaire 1 Select the radio button beside the answer that is the correct answer to the question being posed a When the radio button is selected a dot will appear in the provided space to indicate the answer that has been selected 2 Select the Next button located at the end of the survey a If the user is determined eligible to apply for the Special Nutrition Program through the on line application the user will be directed to another set of questions that are specific to the program for which the user is applying Enter Claims Please enter your personal information below Discussion Forum E Please enter the name and contact information for the Executive Director or Responsible Person for the Tax Identification xisting User Log On Number vou enter below Program SFSP Last Name First Name Middle Initial Agreement Prefix Zz o Entity Name Mailing Address Address Linel Address Line2 ZIP Code State S City oO County g SFSP User Manual
40. ction Forms Start a Review Date 8 8 2013 Application Reviewed 2013 SFSP Residential Summer Camp Approved Amended fr Update There are no forms to complete Enter findings from the USDA Review on the Findings Page Do TT e o ENEM E RA Upload Documents Pictures Files Uploaded Review Status Update Review Status Create Follow Up Review Select a Follow Up Review Select Follow Up Date Completed Select 06 11 2013 Complete the form and click on Save Follow Up Review 7 SFSP User Manual Northrop Grumman Special Nutrition Programs CA23 BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72225 Follow Up Date Test Month June SNP Representative CE LastName FrtNme Midde na Facility Phone Compliance Review Date 6 8 2013 ni CE Adjusted Claim Received Tr No Findings Have Been Entered Deficiency Cited 71 SFSP User Manual Northrop Grumman Special Nutrition Programs Deficiency Corrected fr Save Finding Have all deficie ies cited in the compliance review been corrected ha Have all areas of non compliance been explained in detail Was training and technical assistance provided in each area of non compliance e Do Food Service personnel need to attend SNP training x ditional Corrective Action Plan required Jr Is an Adjusted Claim required 7 If A
41. d button The user can use the View New Open View New and View Closed buttons to filter their alerts 63 SFSP User Manual Northrop Grumman Special Nutrition Programs Completing a Review Accessing the Online Sponsor Inspection Checklist Business Search Enter an Agreement number Tin and or business name click on Find Facility A list of all Facilities that meet the search criteria will be displayed in the application data grid Business Search Enter One Search Criteria Below to Find a Business Agreement Number TIN Business Name belderson Find Facility soe is Ness TIN a a CA 23 9087898333 BELDERSON SCHOOL FOR THE BLIND 5015555555 ACTIVE l The user will view the Review Listing for the desired business by selecting the business to be accessed The user is redirected to the business s Review Listing The user will complete the form and click on Add Review Review Listing CA23 BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 Review Type USDA Sponsor Review Summary Date of Review 06 08 2013 Month Reviewed June Application Reviewed 2013 SFSP Residential Summer Camp Approved Amended M No Reviews Found Deleted Reviews No Deleted Reviews Select a Review in the Existing Reviews data grid to access the Inspection checklist 6 4 SFSP User Manual Northrop Grumman Special Nutrition Programs Existing Reviews For This Facility 6 2013 06 08 2013 Open
42. dgets 2 SFSP Sponsor Application 2161 a This list displays all of the sites the sponsor 1s associated with The user shall select the site through the Site Application Checklist for the 2161 b This form shall be completed for all sites associated with the SFSP Sponsor The user shall complete identifying information including attendance and meal preparation methods 39 SF SP User Manual Northrop Grumman Special Nutrition Programs 3 Funds Received SNP4 a This form contains the state local and federal funds received during the previous fiscal year This form also includes the annual audit information required for participating organizations that receive more than 100 000 per year in state and or Federal funds 4 Meal Policy Statement FRPS1 a This statement assures that all children and or adult participants in attendance will be offered the same meals as non participants and that there will be no discrimination against any child and or adult 5 Pre Award Compliance Review SNP6 a This statement assures that all participants in attendance will be offered the same meals as non participants 6 Public Release Verification SNP7 a This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media b The hyperlink Public Release Form SNP 8 redirects the user to a paper form to send to the news media 7 S
43. ding attendance and meal preparation methods 3 Funds Received SNP4 a This form contains the state local and federal funds received during the previous fiscal year This form also includes the annual audit information required for participating organizations that receive more than 100 000 per year in state and or Federal funds 4 Meal Policy Statement FRPS1 a This statement assures that all children and or adult participants in attendance will be offered the same meals as non participants and that there will be no discrimination against any child and or adult 5 Pre Award Compliance Review SNP6 a This statement assures that all participants in attendance will be offered the same meals as non participants 6 Public Release Verification SNP7 a This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media b The hyperlink Public Release Form SNP 8 redirects the user to a paper document the user would send to the news media 7 SFSP Agreement a The SFSP Agreement contains participant rules and responsibilities for taking part in the summer food program 8 Officers and Employees SNP3 a Applicants will list board member owner and employee information on this form 9 Disclosure of Lobbying Act SFLLL a This Federal form is for all participants If it does not apply sign and date 10 Schedule for Ma
44. djusted Claim required enter number of meals disallowed Breakfast 0 Lunch 0 Snack 0 Supper 0 Is organization considered to be seriously deficient Have the appropriate personnel advised that failure to correct the noted deficiencies may be cause for termination of the agreement with Special Nutrition Programs x Ad ional mments E Save Follow Up Review Print Follaw Up Review Complete Follow Up Review This report has been explamed and an opportunity to provide any extra data was provided during or prior to the exit conference Last Updated by ARTHUR C BELDERSON 6 11 2013 1 44 26 PM Delete Follow Up Review Click on Return to Review Listing 72 SF SP User Manual Northrop Grumman Special Nutrition Programs 20 Locating an SNP Provider SEARCH FOR SFSP FACILITIES IN YOUR AREA Anyone may search the applications system for facilities in their area no log in is required GO TO http ngsnp com WelcomeSNPM aspx Click on Parents Locate a Special Nutrition Provider Near You Northrop Grumman Knows Child Nutrition IT Welcome to SNP On Line v 3 Sal Ang 13 2012 Enter Clams Mt ed _ Del Wee Chigggor O LF SDA Web Site USDA NSLP Sate School Nutriton Assoc SDA CACFP Site SDA SFSP Site gt es Privacy Statement A ee Forthontho Dallas i a E as a canis Map gata 012013 Google INEGI MapLink Teme of E ame amor F
45. ent If the user is already an SNP recipient they shall contact SNP Central Office for assistance in obtaining their user name and password Follow these steps to answer the questions on the program s Initial Screening form 1 Enter the requested information in the appropriately labeled field Note The Same As buttons located in the address portion of the form can be selected if the Mailing Physical and or Record Keeping addresses are the same 2 Select the radio button beside the answer that is the correct answer to the question being posed a When the radio button is selected a dot will appear in the provided space to indicate the answer that has been selected 3 Once all requested information has been entered and all questions have been answered select the Submit Request for Access to the SNP System button 4 A message will display indicating whether or not they meet the minimum requirements to request a user name and password a Ifthe user entered data that meets the minimum requirements the submitted request will be reviewed by the SNP staff and if approved an e mail with log in instructions will be sent to the e mail address provided when completing the Initial Screening form 10 SF SP User Manual Northrop Grumman Special Nutrition Programs 6 Existing User Log on Users that have access to the SNP On line application will log in and complete their application to participate in the Special Nutrition Programs 6 1
46. erts View Clened Alert Status AlertReason Open Date View Date Closed Date B4 In Process Application Change 03 27 2013 05 10 2013 A638 InProcess New Application 0614 2011 05 18 2012 A638 InProcess Application Change 06 14 2011 03 14 2013 A638 InProcess Admin Approval 06 03 2009 08 04 2009 A638 InProcess New Application 06 03 2009 02 01 2011 1234567 3 The Open Date and View Date auto populates the date and time when the alert is accessed the first time The Close Date auto populates the date and time when the user changes the Status from In Process to Closed a The status is automatically updated on New alerts to display as In Process once accessed and are then considered as Open b Once the alert is closed the alert is removed from the home page alert data grid Find closed alerts by selecting the View Closed button Select Facility Alert Status Open Date ViewDate Closed Date Sele B Closed Facility Reassigned 06 11 2008 06 12 2008 06 17 2008 Geled B4 Closed Facility Reassigned 03 25 2008 6182008 02 03 2009 Beled B4 Closed Admin Approval 03 25 2008 03 25 2008 02 03 2009 1 d The user can use the View New Open View New and View Closed buttons to filter their alerts 14 SFSP User Manual Northrop Grumman Special Nutrition Programs 8 Business and Site Maintenance 8 1 Business Maintenance From the user s home page the user can select their
47. for all sites associated with the SFSP Sponsor The user shall complete identifying information including attendance and meal preparation methods 3 Funds Received SNP 4 a This form contains the state local and federal funds received during the previous fiscal year This form also includes the annual audit information required for participating organizations that receive more than 100 000 per year in state and or Federal funds 4 Meal Policy Statement FRPS1 a This statement assures that all children and or adult participants in attendance will be offered the same meals as non participants and that there will be no discrimination against any child and or adult 5 Pre Award Compliance Review SNP6 a This statement assures that all participants in attendance will be offered the same meals as non participants 6 Public Release Verification SNP7 a This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media b The hyperlink Public Release Form SNP 8 redirects the user to a paper document the user would send to the news media 7 SFSP Agreement a The SFSP Agreement contains participant rules and responsibilities for taking part in the summer food program 8 Officers and Employees SFSP3 a Applicants will list board member owner and employee information on this form 9 Disclosure of Lobbying Act SFLLL
48. gram The user shall complete identifying information including information such as Administrative and Operational budgets 2 SFSP Sponsor Application 2161 a This list displays all of the sites the sponsor is associated with The user shall select the site through the Site Application Checklist for the 2161 b This form shall be completed for all sites associated with the SFSP Sponsor The user shall complete identifying information including attendance and meal preparation methods 3 Funds Received SNP 4 a This form contains the state local and federal funds received during the previous fiscal year This form also includes the annual audit information required for participating organizations that receive more than 100 000 per year in state and or Federal funds 4 Meal Policy Statement FRPS1 a This statement assures that all children and or adult participants in attendance will be offered the same meals as non participants and that there will be no discrimination against any child and or adult 5 Pre Award Compliance Review SNP6 a This statement assures that all participants in attendance will be offered the same meals as non participants 6 Public Release Verification SNP7 a This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media a The hyperlink Public Release Form SNP 8 redirects the user to
49. he Claims home page select the business for which user would like to submit a claim and click on the Enter Claims button Alerts for user jteresa Alerts Default mew shows New and Open Alerts View Mew Open View Closed P select Alert Status Alert Reason Open Date VincDats Closed Daie New App Approved 05 30 2013 1 Businesses Associated with jteresa EEE CA 25 9087891111 SUMMER CAMP TEST1 5012222222 1 Enter Claims The next screen displays the facility s name address TIN and allows the user to access existing Claims adjust claims that have not been submitted and add new Claims see Figure 14 1 1 Summer Food Service Program Claim Entry CASS SUMMER CAMP TESTA 123 MAIN LITTLE ROCK AR f220s TIM 2087891111 Clam Month January Ly Claim Year 2 Search Verify Eligibility Daily Meal Counts View Claim Summary Figure 14 1 1 Claims Verify Eligibility Select the month and enter the year click on Verify Eligibility to verify authorization to claim for this time period 51 SF SP User Manual Northrop Grumman Special Nutrition Programs Summer Food Service Program Claim Entry CASS SUMMER CAMP TESTA 123 MAIN LITTLE ROCE AR 72203 TIM 2087891111 Claim Month Claim Year Verify Eligibility Claim Lasting for Month Year Re i Select Adjust Submit Date Claim Year 5 2013 Inactive Daily Meal Counts lew Claim Summary Submit New Claim c Choo
50. i i E ss 0 Nm Figure 8 5 la SFSP Summer Camp Checklist 38 SFSP User Manual Northrop Grumman Special Nutrition Programs Paper Documents Copy of Health Inspection or Letter to escription of Method Used to Secure Corrective Action Including Follow Up E E F E Details Plans new sponsors only eseription of Procedures for Collecting aily Number of Meals new sponsors Details I certify to the best of my knowledge and belief that this application is true and correct in all aspects I understand that this information is being given in connection with the receipt of Federal funds and the State Agency personnel may for cause verify information fully understand that deliberate misrepresentation may subject me and any principal or responsible persons of the institution submitting this application to prosecution under applicable Federal and or State statutes Eubmit Application ta SNP Status Pending Submission Business At A Glance Report Figure 8 5 1b SFSP Summer Camp Checklist Below 1s a listing of each on line document 1 SFSP Sponsor Application 2160 a This form shall be completed for all businesses applying for the Summer Food Service Program The user shall complete identifying information including information such as Administrative and Operational bu
51. iance Review SNP6 o de E Public Release Verification SNP7 o m jan wn O S ss a OVO io OHS ie ie pos a lm flo lo Officers and Employees SNP3 f applicable JL a Hm Disclosure of Lobbying Activities SFLLL Schedule for Sie Visitation or fi E q a N 74 cats T3 S S VI 2 po a ln vo LR m ia aa g 2 S 3 IQ Ho m fi IS cb ot pas pang g a lt O eh J S jan amk n EMail text Figure 10 2 1a SFSP Government Entity Checklist Paper Documents Executive Order Disclosure Form EO9804 Details Certificate of Authority If applicable EN ES Details Food Service Contract If applicable CD Ea Details W 9 Taxpayer ID Certification If applicable o mo fa o Details Copy of Health Inspection or Letter to Health Department for Each Site EEN Details Direct Deposit Form optional Doo Do O oa E Details Description of Method Used to Secure oe e o Corrective Action Including Follow Up Plans Details new sponsors
52. ions to and from the facility 74 SFSP User Manual Northrop Grumman Special Nutrition Programs Users may also create a report listing all facilities by County Just Below Facilities Report by County select the Program and County click on Execute Search A pdf file will be created NOTE running this report does not update the map State Department of Human Services Division of Child Care and Early Childhood Education Special Nutrition Program Summer Food Service Feeding Sites by County County JOHNSON Youth Center 123 Main Jackson MS 74444 555 555 5554 Youth Ministries 105 N Oak Jackson MS 74444 555 555 5555 Turning Point 405 E Michigan Rd Jackson MS 7444 555 555 5556 75 SFSP User Manual Northrop Grumman Special Nutrition Programs
53. king Pre Operational Visits a Applicants are required to submit a schedule of their pre operational visits 11 Schedule for Site Visitation a Applicants are required to submit a schedule of their site visitation schedule Paper Documents Below is a listing of each paper document listed on the SFSP Colleges and Universities Checklist 12 Executive Order Disclosure Form 36 SF SP User Manual Northrop Grumman Special Nutrition Programs a Applicants that were previously a member of the general assembly constitutional officer board or commission member state employee or the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required to be completed by all applicants 13 Certificate of Authority a Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement on behalf of the institution for the operation of the SNP program for that facility 14 Food Service Contract a Applicants will be required to complete this form if they answered Contract with Food Service Management Company on the Site Application for Participation SFSP2161 form The user can select the Food Service Contract hyperlink to print the form from the checklist 15 W 9 Request for Tax Payer Identification Number and Certification a Applicants must complete this form 16 IRS Tax Exempt Letter a Applica
54. l Northrop Grumman Special Nutrition Programs I certify to the best of my knowledge and belief that this application is true and correct in all aspects I understand that this information is being given in connection with the receipt of Federal funds and the State Agency personnel may for cause verify information I fully understand that deliberate misrepresentation may subject me and any principal or responsible persons of the institution submitting this application to prosecution under applicable Federal andor State statutes Gubmit Application to SNF Coordinator Override Submit Date Submitted on 5 15 2013 2 19 55 PM Coordinator Approval Coordinator Approved On 5 15 2013 2 19 58 PM Administrator Approved on 5 15 2013 2 20 04 PM SFSP Residential Summer C ha ae Application Type Figure 10 1 1 View of Business At A Glance Report button b The Business At A Glance report viewer will display In the Select a Format drop down list select Acrobat PDF File see Figure 12 1 2 Enter Claims SNP Report Viewer Discussion Forum id 4 fi Joi Bi o Find next do E al SFSP Business At A Glance Report 5 15 2013 2 20 44 PM SFSP Residential SummerCamp Fiscal Year 2013 File Upload l i Training Calendar CAZS BELDERSON SCHOOL FOR THE BLIND TIN 9087898333 On Line Trainin 123 MAIN On Line Training Start Date 1 1 2012 Privacy Statement LITTLE ROCK AR 72223 End Date 12 31 2013 BELDERSON ARTHUR Data Entry County PUL
55. ld and or adult 5 Pre Award Compliance Review SNP6 a This statement assures that all participants in attendance will be offered the same meals as non participants 6 Public Release Verification SNP7 a This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media b The hyperlink Public Release Form SNP 8 redirects the user to a paper document the user would send to the news media 7 SFSP Agreement a The SFSP Agreement contains participant rules and responsibilities for taking part in the summer food program 8 Officers and Employees SFSP3 a Applicants will list board member owner and employee information on this form 9 Disclosure of Lobbying Act SFLLL a This Federal form is for all participants If it does not apply sign and date 10 Schedule for Site Visitation a Applicants are required to submit a schedule of their site visitations 11 Schedule for Making Pre Operational Visits a Applicants are required to submit a schedule of their Pre Operational Visits Paper Documents Below is a listing of each paper document listed on the SFSP Public or Private Non Profit Local Education Agency Checklist 32 SF SP User Manual Northrop Grumman Special Nutrition Programs 1 Executive Order Disclosure Form a Applicants that were previously a member of the general assembly constitutional officer b
56. lert or an email to the business user to notify of additional information needed to process the form NSLP SBP and SMP Independent LEA Pricing Checklist 214 BELDERSON SCHOOL FOR THE DEAF Details E Details E Details E Details Details Details EMail text EMail Figure 7 1 1 Example of an incomplete Application Checklist e Paper Documents The hyperlinks found in the Item Description column open pdf files of the specific forms to be printed completed and either uploaded to the system or mailed to the SNP office The checkboxes in the Uploaded Completed by Entity Approved by SNP and Additional Info Requested columns inform the user of the status of each specific form The Details hyperlink listed at the end of each form s row notifies the user of additional information needed for a specific form The user will select the Details hyperlink to access more information regarding the missing information SNP Staff can send an alert or an email to the business user to notify of additional information needed to process the form 20 SF SP User Manual Northrop Grumman Special Nutrition Programs Upload Documentis Uploaded e of Authority E 7 6 2 2009 Ra om L Details Flexo 9622008 C Details Food Service Contract It Applicable W 9 Taxpayer ID Certification F F Details F Details Details Jo Training Records 26220
57. mpleting On Line Applications sseseeeecooossssssceecccosossssscceeesossso 19 7 1 Accessing the Online Application Checklist nseesssoeennssessssseeersssssssseeerrsssss 19 8 Summer Food Service Program SFSP sssscsssssssssssssssssscssseees 21 8 1 SE SON ee and Uy SiS Sesioa o a OSa re EEEn 22 8 2 SPSPOUovernmnmeni POUNG gee ee e eE EEEE 26 8 3 SESP Local Education A SCN Cy saiccrasnsncesmas ssvecacisensiccwadeadataansnastenossvadadecenrctadeadecaanseces 29 8 4 SE SD Other Private Non Prole sesers sed RO asa 33 8 5 SPSP Residential Summer Camps casas edie scscesntetaneonasessansastaadensorataontresneoeesansaaseens 37 9 Application Approval Process ccccccccssssssccccsssssssscccccccssssscccceees 42 10 Business At A Glance Report sssccccscsssssccccssscscccccsssssccsseees 43 IL Rates Poverty MCV CIS usas ocacescascceecenssecsicesscesevsssetsacsasecscoriersns 46 1 SF SP User Manual Northrop Grumman Special Nutrition Programs 12 12 1 122 12 3 13 13 1 14 14 1 14 2 14 3 15 15 1 16 16 1 16 2 17 Reimbursement Rates errei errar rara 46 OSDA SE SP NEC wastes csen cess use sec ecu E 47 Summer Food Service Program SFSP Link ccccceccccccsesssseeeeeeeeeeeeeeeeeeeeeees 47 Accessing the SNP Claims Sy S161 ssscedoccesccicwercteacanuauadaveccaceewasesedseeccdeedescveatscetestens 48 Entering User Name and Passwotd cccccccsssesseecececcceeeeeseeecceeeeee
58. n Programs Website Northrop Grumman has developed and implemented an award winning SNP P e software system for the State of Arkansas Department of Human Services AR DHS and has successfully transferred and implemented that system for the owt Oklahoma Department of Education Northrop Grumman was the sole contractor ae who designed developed and integrated this system Our in depth experience with developing the Arkansas SNP application and our expertise in implementing that system for Oklahoma enables Northrop Grumman to implement the SNP software system quickly and at a lower risk and cost than any other option available We will deliver a modern functionally rich and proven Child Nutrition application A major benefit of our approach is that the Arkansas SNP software system source code is available through state to state software transfer at no cost to other states Figure 2 1 1 Welcome to Special Nutrition Program Main Page 4 SF SP User Manual Northrop Grumman Special Nutrition Programs 5 2 Print Blank Application Forms 1 Although it is recommended that providers submit their paperwork online some users prefer to submit the hard copy form to their coordinator To print blank application forms and submit a hard copy of their information to the SNP office select the Print Blank Application Forms button The user will be directed to the Print Documents form a A directory of all programs paper applicati
59. nserted Please remember to submit your claim from the Claim Summary Page 55 SFSP User Manual Northrop Grumman Special Nutrition Programs 17 28 ubmit Claims After saving all claims you want to enter you must submit the claims to SNP View Claim Summary Click on View Claim Summary a Select the month and enter the year for the claim you would like to view Claim Month June Claim Year 201 aim Listing for Month Year Requested 6 2013 Inactive Daily Meal Counts View Claim Summary b Choose SELECT next to the claim to be submitted and choose View Claim Summary If the claim has already been submitted the form is Read Only with the exception of buttons at the bottom of the form that will enable users to Return to Site Claims Print Site Summary Print Claim Summary or Print Disbursement c Review the Claim Summary Data enter the date optional comments and choose SUBMIT for the claim to be sent to SNP Personnel for authorization Once user has chosen SUBMIT no adjustments can be made unless the user is an authorized Home Sponsor Users not authorized to make their own adjustments must submit adjustments in writing to SNP personnel 56 SF SP User Manual Northrop Grumman Special Nutrition Programs CA25 SUMMER CAMP TEST 1 123 MAIN LITTLE ROCK AR 72203 TIN 9087891111 Claim Date 06 06 2013 Claim Month June Claim Year 2013 Number of Sites 4 Number of Days In i Operation Number of Breakfast 0
60. nts are required to provide a letter from the IRS validating their tax exempt status 17 Direct Deposit Form a Applicants that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form 18 Copy of Health Inspection or Letter to Health Department for Each Site a Applicants are required to submit their most recent health inspections for each site or a letter from the health department 19 Description of Method Used to Secure Corrective Action Including Follow Up Plans a Applicants are required to provide a description of the method the business uses to secure corrective action including follow up plans 20 Description of Procedures for Collecting Daily Number of Meals a Applicants are required to provide a description of the procedures the business uses to collect the daily meal count 21 Copy of Public Release a Applicants are required to provide their procedures for collecting their daily meal counts 17 5SFSP Residential Summer Camps On Line Documents 37 SF SP User Manual Northrop Grumman Special Nutrition Programs The user shall select their application from the Application Main form This will redirect the user to their checklist see Figures 10 5 la 1b Return to Home Page Retenio Facility Return to Checklist SFSP Summer Camp C Checklist m o ee DO O md H O
61. o explicit or implicit expectation of privacy Any or all uses of this system and all files on this system may be intercepted monitored recorded copied audited inspected and disclosed to authonzed site Department of Human Services and law enforcement personnel as well as authorized officials of other agencies both domestic and foreign By using this system the user consents to such interception monitoring recording copying auditing inspection and disclosure at the discretion of authorized site or Department of Human Services personnel Unauthorized or improper use of this system may result in administrative disciplinary action and civil and criminal penalties Unauthorized access is prohibited by Public Law 99 474 The Computer Fraud and Abuse Act of 1956 Unauthorized access use misuse or modification of this computer system or of the data contained herein or in transit to from this system constitutes a violation of Title 18 United States Code Section 1050 and may subject the individual to Criminal and Civil penalties pursuant to Title 26 United States Code Sections 7213 7215A the Taxpayer Browsing Protection Act and 7451 By continuing to use this system you indicate your awareness of and consent to these terms and conditions of use LOG OFF IMMEDIATELY if you do not agree to the conditions stated in this warning User Name Password 19 2Accessing Alerts 4 Upon successful log on to the Inspections system the
62. oard or commission member state employee or the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required to be completed by all applicants 2 Certificate of Authority a Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement on behalf of the institution for the operation of the SNP program for that facility 3 Food Service Contract a Applicants will be required to complete this form if they answered Contract with Food Service Management Company on the Site Application for Participation SFSP2161 form 4 W 9 Request for Tax Payer Identification Number and Certification a Applicants must complete this form 5 IRS Tax Exempt Letter a Applicants are required to submit verification of their tax exempt status 6 Direct Deposit Form a Applicants that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form 7 Copy of Health Inspection or Letter to Health Department for Each Site a Applicants are required to submit a copy of their most recent health inspection for each site or a letter from the health department 8 Description of Method Used to Secure Corrective Action Including Follow Up Plans a Applicants are required to provide a description of
63. only Description of Procedures for Collecting Daily oc a Number of Meals new sponsors only Copy o Publie Relese oo Ooo n E Ss O O O Training Date Attended Program Class Name Details 04 25 2013 SFSP SUMMER FOOD SERVICE PROGRAM ANNUAL TRAINING 06 01 2012 SFSP SFSP ANNUAL TRAINING ALL SPONSORS 04 22 2011 SFSP SUMMER FOOD TRAINING 12 I certify to the best of my knowledge and belief that this application is true and correct in all aspects I understand that this information is being given in connection with the receipt of Federal funds and the State Agency personnel may for cause verify information I fully understand that deliberate misrepresentation may subject me and any principal or responsible persons of the institution submitting this application to prosecution under applicable Federal and or State statutes Submit Application to SNP Coordinator Override Submit Date Status Pending Submission Coordinator Approval Coordinator UnApprove Figure 10 2 1b SFSP Government Entity Checklist Below 1s a listing of each on line document 1 SFSP Sponsor Application 2160 27 SFSP User Manual Northrop Grumman Special Nutrition Programs a This form shall be completed for all businesses applying for the Summer Food Service Pro
64. ons and forms will be found in this section see Figure 2 1 2 Northrop Grumman Knows Child Nutrition IT Welcome to SNP On Line v5 24 Ang 13 2012 Enter Clams Discussion Forum SNP Resource Library Application Packets NSLP CACFP Application Packet meme Centers NSLP Application Facket ari xe CACFP Home SFSP Application Packet sees Fates Poverty Levels CACFP and SFSP Forms ISDA Web Site Adult Participant Income Eligibility Application ces lt USDA NSLP Site School Nutrition Assoc USDA CACFP Site USDA SFSF Site Privacy Statement CACFP Food Service Contact 7a mas CACFP Letter To Parents as me Center Sponsor Listing i125 Child Food ram Enrollment Form i a7 ms Free And Reduced Price lMeal Application isss nsa Listing ss as SFSP Food Service Contract Ke 5FSP Public Release Form SNPS am me Claim Forms Center Paper Claim Form us NSLP Paper Claim Form 42 K5 SFSP Paper Claim Forms K5 SNP Claims Training Manual i z271 mes General Forms Application User Manual 12732 w8 Center Sponsor Listing 122 xe Certificate of Authority Request For ACCESSI 2 oe Direct Deposit Form iz xe Discimination Complaint Form i4415 Executive Order Disclosure Form 35s Federal WS Request For TIN 7 Ks OnLine Claims Training Manual am xen Public Release Form SNPS wey NSLP Forms Addendum to NSLP Food Service Contract mma
65. oval Coordinator U nApprove Application Type SFSP Local Education Agency EA Change Application Type Business At A Glance Repor Oooo O Figure 8 3 1b SFSP Local Education Agency Checklist Below is a listing of each on line document 1 SFSP Sponsor Application 2160 a This form shall be completed for all businesses applying for the Summer Food Service Program The user shall complete identifying information including information such as Administrative and Operational budgets 31 SFSP User Manual Northrop Grumman Special Nutrition Programs 2 SFSP Sponsor Application 2161 a This list displays all of the sites the sponsor is associated with The user shall select the site through the Site Application Checklist for the 2161 b This form shall be completed for all sites associated with the SFSP Sponsor The user shall complete identifying information including attendance and meal preparation methods 3 Funds Received SNP4 a This form contains the state local and federal funds received during the previous fiscal year This form also includes the annual audit information required for participating organizations that receive more than 100 000 per year in state and or Federal funds 4 Meal Policy Statement FRPS1 a This statement assures that all children and or adult participants in attendance will be offered the same meals as non participants and that there will be no discrimination against any chi
66. r a Document Description Upload file UPLOAD FILE No file chosen Upload File Maximum File Size is 4mb Attempting to Upload a Larger File Will Result In an Error NOTE Only PDF JPG and Excel files are accepted for upload Update a Review Status On the home page search for the site Select the site from the grid Business Search Enter One Search Criteria Below to Find a Business CI OO 23 9087898333 BELDERSON SCHOOL FOR THE BLIND 5015555555 ACTIVE Select the new review Status from the dropdown and Click on Update Review Status 68 SF SP User Manual Northrop Grumman Special Nutrition Programs CA23 BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 Review Date 6 6 2013 Update Date Application Reviewed 2013 SFSP Residential Summer Camp Approved Amended Ea There are no forms to complete Enter findings from the USDA Review on the Findings Page Enter Findings Upload Documents Pictures Files Uploaded Review Status Pending Corrective Action Se o ft Create Follow Up Review Create a Follow up Review Click on Create Follow up Review then select the Follow up review from the grid 69 SF SP User Manual Northrop Grumman Special Nutrition Programs SNP USDA SFSP Sponsor Inspection Checklist Return to Home Page Return to Review Listng Return to Checklist CA23 BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 D 5 i Inspe
67. refully complete each field Meals claimed must meet eligibility and application information EDIT checks will appear later when attempting to calculate the claim For example Total number of meals cannot exceed the SNP Approved Level of Meal Service on the 2161 Second servings cannot exceed 2 of first servings If you enter second servings that exceed 2 of the first servings a message will display and the number will be reduced to the maximum allowed second servings Continue to enter all meal counts for your claim click on Return to Site Claim Form In the Claim Listing for Month Year Requested select the claim you want to submit In the Site Listing for Current Claim grid Select the claim then Claim Summary 54 SF SP User Manual Northrop Grumman Special Nutrition Programs Clam Listmg tor Month Year Requested 5 2013 Inactive Daily Meal Counts View Claim Summary Site Listing for Current Claim o Select Amount Date Entered AllowReimb Status l F E7 F a 7 Site Claim Data Number of Days In Operation Number of Breakfast Number of Lunches Number of Snacks Number of Suppers Average Daily Attendance Operation Total EE E E E Admin A Total Do Admin B Total Subtotal RE Se CALCULATE or SAVE Choosing SAVE will calculate and save in one step Choosing CALCULATE does not Save This message will display to verify that the data has been saved Site Claim I
68. rrent findings Grid 66 SF SP User Manual Northrop Grumman Special Nutrition Programs Current dd e bre E Sane peas 05 05 2013 Positive indings txt box 06 11 2013 show Previous Findings Generate Letters The user shall select the Finding from the data grid Click on Generate Letters Select the Letter Type the letter template will display CA23 BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 Select Letter Type Center Sponsor Review Notification Letter 06 11 2013 GERTRUDE BELDERSON BELDERSON SCHOOL FOR THE BLIND 123 MAIN LITTLE ROCK AR 72223 RE Agreement Number CA23 Compliance Review Date 06 08 2013 Review Month 6 Dear GERTRUDE BELDERSON Center Opening Center Closing MARY ABNEYYOUNG Grants Coordinator Arkansas Special Nutrition Program frmation mmber Maling Date Response Received E Enter the Confirmation Number and or Mailing Date Save Letter 67 SFSP User Manual Northrop Grumman Special Nutrition Programs All Letters created will be displayed in the Letters Created data grid Letters Created For This Review See Create Prmt Confirmation Mailmg E Response Sista rh Date Date Number Date ic soma Recieved Select Delete 06 10 2013 05 05 2015 Impending Review Letter Yes Select Delete 06 11 2013 mae oe No Notification Letter Upload Files Return to the Review Listing Click on Upload Documents and or Pictures Choose File and ente
69. se SELECT all sites for the current user will be displayed Claim Month May m Claim Year Verify Eligibility Claim Listing for Month Year Requested zea EE Daily Meal Counts Meal Counts View Claim View Claim Summary Site Listing for Current Claim Select Amount Date Entered Name Status No Claim No Claim DAY CAMP LEARNING CENTER True No Claim No Claim KIWANIS BOYS CAMP True l d Click on Select next to the site for which you would like to enter a claim Click on Daily Meal Counts A dropdown for selecting the Meal Served and a calendar are displayed 52 SFSP User Manual Northrop Grumman Special Nutrition Programs SFSP Daily Meal Counts Return to Site Claim Form Select Meal Served Sun Mon Tue Wed Thu Fri Sat i 2 3 4 3 5 E 8 9 10 li 12 13 28 29 30 1 Select breakfast lunch or dinner from the Meal Served dropdown click on the day for which you would like to claim meals The Meal Counts grid for that day will display Enter the Totals for meal selected and click on Update to save your entries SFSP Daily Meal Counts Return to Site Claim Form Select Meal Served Breakfast v July 2013 Sun Mon Tue Wed Thu Fri Sat i 2 3 4 5 amp z s E o u z B 14 15 16 i7 18 19 20 2i 22 23 24 25 26 27 28 29 30 31 Meal Counts for 7 9 2013 Inclement Pe Weather Meals First Second pm NonProgram Damaged Leftover Additional Money Mirai ere a
70. se of this system may result in administrative disciplinary action and civil and criminal penalties Unauthorized access is prohibited by Public Law 0 474 The Compotas Frud and Abuse Act of 1526 Unauthorized access use misuse or modification of this computer system or of the data contained herein or in trensit to Fom this system constitutes a violation of Title 13 Unitad States Code Section 10530 and may subject the individual to Criminal and Civil penalties pursuant to Title 26 United States Code Sections 7213 7213 4 the Taxpayer Browsing Protection Act and 7431 By continuing to wee this system you indicata your awama of and comsent to these terms and conditions of use LOG OFF IMMEDIATELY if you do mot saree to the conditions stated in this warming Please Enter User Name and Password to Access the System Password Forget your password Click Here Lost Password Figure 3 1 1 User Log On form 11 SF SP User Manual Northrop Grumman Special Nutrition Programs 6 2 Changing Password Users can change their password by using the following steps 1 Select the Existing User Log on hyperlink from the Main Menu 2 Select the Change Password button a When the Change Password button is selected additional fields will display labeled New Password and Confirm New Password Note All passwords must contain both uppercase and lowercase alpha characters and at least one numeric character The password must be at least 8
71. t cookies are required to utilize the program 3 SF SP User Manual Northrop Grumman Special Nutrition Programs 5 Accessing the Special Nutrition Program System 5 1 Welcome to the Special Nutrition Program Home Page The Special Nutrition Program Home Page contains general information about the Special Nutrition Program Providers can review this page to determine who may be eligible to participate in the SNP program and find the answers to Frequently Asked Questions Providers can also select the Apply to Participate in the Special Nutrition Program On line button to initiate a request for a user name and password or select the Print Blank Application Forms button to access the print forms directory from this page see Figure 2 1 1 NORTHROP GRUMMAN Northrop Grumman Knows Child Nutrition IT Welcome to SNP On Line v3 24 Avg 13 2012 an Welcome to the Northrop Grumman Special Nutrition Program Demo Site Visit our Discussion Forum NG Nutrition Discussion Forum f Click Here to Log On Now Parents Locate a Special Nutrition Provider Near You Rates Poverty Levels USDA Web Site USDA NSLP Site School Nutrition Assoc Int grator ESDA CACEP Site Northrop Grumman Corporation USDA SFSP Site Center for Digital Government Resource Library 2011 Exceptional Service Award in Health and Human Services Privacy Statement Partner and Project Arkansas Department of Human Services Arkansas Special Nutritio
72. that facility 3 Food Service Contract a Applicants will be required to complete this form if they answered Contract with Food Service Management Company on the Site Application for Participation SFSP2161 form 4 W 9 Request for Tax Payer Identification Number and Certification a Applicants must complete this form 5 Copy of Health Inspection or Letter to Health Department for Each Site a Applicants are required to submit a copy of their most recent health inspection or letter from the health department for each of their sites 6 Direct Deposit Form a Applicants that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form 7 Description of Method Used to Secure Corrective Action Including Follow Up Plans a Applicants are required to provide a description of the method they use to secure corrective action including follow up plans 8 Description of Procedures for Collecting Daily Number of Meals a Applicants are required to provide a description of the procedures they use to gather their daily meal counts 9 Copy of Public Release 17 3SFSP Local Education Agency On Line Documents 29 SF SP User Manual Northrop Grumman Special Nutrition Programs The user shall select their application from the Application Main form This will redirect the user to their checklist see Figures 10 3 la 1
73. that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form 6 Copy of Health Inspection or Letter to Health Department for Each Site a Applicants are required to submit copies of health inspections or letters from the health department 7 Description of Method Used to Secure Corrective Action Including Follow Up Plans a Applicants are required to submit a description of the method used to secure corrective action with follow up plans with their application packet 8 Description of Procedures for Collecting Daily Number of Meals a Applicants are required to submit a description of their procedures for collecting their daily meal count 9 Copy of Public Release 17 2SFSP Government Entities On Line Documents The user shall select their application from the Application Main form This will redirect the user to their checklist see Figures 10 2 la 1b 26 SF SP User Manual Northrop Grumman Special Nutrition Programs Return to Home Page Retum to Facility Return to Checklist SFSP State Local Municipal or County Government Entity GA34 CITY OF LAKE VIEW Contract Contract Period 11 2013 2031 2073 ay Reviewed by Additional Info ra ss On Line Documents si Line Documents SFSP Sponsor Do 2160 SFSP Site Applications 2161 Meal Policy Statement FRPS1 TI a o Pre Award Compl
74. the contract year field to initiate the process When the user exits the field the system will auto populate the Contract Start and Contract End fields 2 The user shall select the Add New Renewal Application button to add the application to the application s data grid 3 Select an application from the applications data grid to access the application checklist 10 Completing On Line Applications 10 1 Accessing the Online Application Checklist 1 Select an application in the application data grid on the Application Main form to access the application checklist a The type of Business determines the correct application checklist the user will use see Figure 7 1 1 2 The application checklist is made up 2 sections Online Documents and Paper Documents Each section includes of hyperlinks checkboxes and buttons e Online Documents The hyperlinks found in the Item Description column redirect the user to the specific forms to be completed The checkboxes in the Started Completed by Entity Approved by SNP and Additional Info Requested columns inform the user of the status of each specific form 19 SF SP User Manual Northrop Grumman Special Nutrition Programs The Details hyperlink listed at the end of each form s row notifies the user of additional information needed for a specific form The user will select the Details hyperlink to access more information regarding the missing information SNP Staff can send an a
75. to view the steps for the approval process in their system an understanding of the process will better familiarize the user as to the steps the SNP User must complete to process the application The SNP Coordinator can review the application has been completed and all forms have been submitted by the business entity and approve the individual forms request additional information from the business entity and dispose of the application Approve Deny To review the application request additional information and approve the application the SNP Coordinator will do the following 1 The SNP User will log on to the SNP On Line application by selecting the Existing User Log in hyperlink and enter the assigned username and password Alerts shall be displayed in the user s Alerts data grid notifying the coordinator of the applications that have been submitted for processing The user can access the facility and go to the application through the alert 2 Alternately the Coordinator can select the Application hyperlink located in the main menu on the left hand side of the screen to complete a search for applications see Figure 11 1 1 Enter Claims Discussion Forum Special Nutrition Application Search Please enter at least one search criteria below to search for applications Program Type Applications older than 15 Days Applications older than 30 days Application Status Application Year Search for Applications
76. trator and Program Coordinators can select the Administrator Approval button lii Once approved the Business will receive an alert and email notifying of the approval of the application iv When the Administrator Approval button is selected the date and time will display verifying the application approval date I certify to the best of my knowledge and belief that this application is true and correct in all aspects I understand that this information is being given in connection with the receipt of Federal funds and the State Agency personnel may for cause verify information I folly understand that deliberate misrepresentation may subject me and any principal or responsible persons of the institution submitting this application to prosecution under applicable Federal andor State statutes Submit Application to SNP Coordinator Override Submit Date 7 Submitted on 5 15 2013 2 19 55 PM Administrator Approval Administrator Approved on 5 15 2013 2 20 04 PM Figure 11 1 3 Example Coordinator Approval and Administrator Approval 13 Business AtA Glance Report 1 The business director or user can access to the Business At A Glance Report This report displays the Sponsor and Site demographics based upon the specifications for each program 2 The Business At A Glance Report is accessed from the user s application checklist a Select the Business At A Glance button to access the report see Figure 12 1 1 43 SF SP User Manua
77. ure General Information um PENDING APPROV Direct Deposit PENDING APPROVAL Direct Deposit Unchecke Last Review Last Audit Entity Type SFSP Residential Summer C E Paper Appicaion ISFSP Residential Summer Cam Paper Application Unche Fiscal Year Fiscal Year Start PRA Rs mm dd No Year End mm dd No Year Next Review Initial Pre op Review Scheduled Directions Allow Adjustments Allow Adjustments Unchecked MARY ABNEYYOUNG v Assigned DCC Staff zl MARY ABNEYYOUNG Assignment History Figure 5 1 1 Business Maintenance 1 The user can select the Applications button to access the Application Main form The Site Maintenance button will redirect the user to the Site Maintenance form The View Screening function is not available for SFSP a Ifthe Business is NSLP or SFSP Entity Types when the View Screening button is selected the user will receive the message This function is not available for SFSP or unassigned facilities 2 The online application system is integrated with the Child Care Licensing CCLAS and DHS Exclusions systems a The facility status is validated and displayed from the Child Care Licensing system b The system displays any exclusions the facility has had Business Directors and Business Users will not be able to view exclusion data 8 2 Site Maintenance 1 When the user selects the Site Maintenance button in Business Maintenance the

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