Review Information
 
School Food Authority Name:
ESTES PARK R-3 SCHOOL DISTRICT
Date of Administrative Review:
(Entrance Conference Date)
4/10/2024
Review Type:
Administrative
 
The review summary must cover access and reimbursement (including eligibility and certification review results), an SFA's compliance with the meal patterns and the nutritional quality of school meals, the results of the review of the school nutrition environment (including food safety, local school wellness policy, and competitive foods), compliance related to civil rights, and general program participation. At a minimum, this would include the written notification of review findings provided to the SFAs Superintendent or equivalent as required at 7 CFR 210.18(i)(3).
General Program Participation
 
  1. What Child Nutrition Programs does the School Food Authority participate in? (Select all that apply)
 
 
 
 
 
 
 
  2. Does the School Food Authority operate under any Special Provisions? (Select all that apply)
 
 
 
 
 
Review Findings
 
  3. Were any findings identified during the review of this School Food Authority?
      
 
  If yes, please indicate the areas and what issues were identified in the table below.
 
 
REVIEW FINDINGS
A. Program Access and Reimbursement
YES NO  
Certification and Benefit Issuance
Verification
Meal Counting and Claiming
 Finding(s)/CorrectiveAction(s)/Technical Assistance Details
1
Certification and Benefit Issuance - ESTES PARK R-3 SCHOOL DISTRICT
126. a. Certification and Benefit Issuance Review Method:
Finding:
126. Selected applications were incorrectly approved. One application as approved as free and should have been reduced based on household size and income, one application was approved as free and should have been reduced based on a student being counted twice on the application. One application was incorrectly denied due to incorrect income calculation.
Corrective Action:
Please provide the steps the Sponsor will take to make this correction and ensure future compliance. For example, how will the Sponsor ensure all applications approved are accurate (i.e., have a second reviewer periodically check applications for accuracy).



Technical Assistance:
B. Meal Patterns and Nutritional Quality
YES NO  
Meal Components and Quantities
Offer versus Serve
Dietary Specifications and Nutrient Analysis
 Finding(s)/CorrectiveAction(s)/Technical Assistance Details
1
Offer versus Serve - ESTES PARK HIGH SCHOOL
502. Is there signage explaining what constitutes a reimbursable meal to students including the requirement to select at least 1/2 cup fruit or vegetable?
Finding:
502. Signage must include the requirement to select a fruit or vegetable. Additionally, the most recent health inspection was not posted.

Corrective Action:
The finding was corrected by the SFA while the SA was on-site. The SA ensured compliance by posting the most recent health inspection and offer versus serve signage.

Technical Assistance:
2
Meal Components and Quantities - ESTES PARK HIGH SCHOOL
410. a. Do planned menu quantities meet meal pattern requirements for the review period?
Finding:
410. Menu production records and other supporting documentation indicate that required quantities of food were not available. Compliant meal documentation is maintained by the sponsor nor are standardized recipes used to determine component contribution. The chili does not have any compliant documentation in order to determine the component contribution.


Corrective Action:
Please provide the steps that the SFA will take to make this correction and ensure future compliance. For example, explaining how you obtain and maintain compliant product documentation. Include the following supporting documentation with your response: compliant documentation for chili or potential menu change to be in compliance.


Technical Assistance:
3
Dietary Specifications and Nutrient Analysis - ESTES PARK HIGH SCHOOL
603. Were any areas identified during the Off-site review requiring technical assistance or corrective action prior to the beginning of the On-site portion of the review?
Finding:
603. Standardized recipes are not used for most recipes. Standardized recipes must include, at minimum, recipe title, recipe category, ingredients with amounts, directions (including equipment needed, cooking temperatures, HACCP process/procedures, cooking, cooling and holding temperatures), portion size, and recipe yield.

Corrective Action:
Please provide the steps the SFA has taken to address the issue and will ensure future compliance. Please provide examples (at least two) of updated recipes.

Technical Assistance:
603. Recommend sponsor utilize existing menu software to adopt current recipes, menus, productions records. It will streamline current operations and ultimately eliminate manual work while providing more accurate activities of production, inventory and ordering.

By adopting standardized recipes, operations for all staff (especially for newer staff) will be very clear by stating what should be served with a menued entree and what exact serving size is to be provided to ensure component quantities are met.
4
Meal Components and Quantities - ESTES PARK HIGH SCHOOL
409. Review production records and other supporting documentation.
Finding:
409. Menu production records are not being maintained for the salad bar. Sponsor likely meets the daily/weekly vegetable sub-group requirements but there is not supporting documentation.

Corrective Action:
Please provide the steps that the SFA will take to make this correction and ensure future compliance. Include the following supporting documentation with your response: one day of completed salad bar production records.

Technical Assistance:
C. School Nutrition Environment
YES NO  
Food Safety
Local School Wellness Policy
Professional Standards
Reporting and Recordkeeping
 Finding(s)/CorrectiveAction(s)/Technical Assistance Details
1
Food Safety - ESTES PARK HIGH SCHOOL
1411. a. Did a review of agricultural food components indicate violations of the Buy American provision (7 CFR 210.21(d)) either during review of products on-site at reviewed schools or at off-site storage facilities as applicable?
Finding:
1411. Documentation is not available to support the exception to purchase non-domestic foods or consideration for the purchase of alternative domestic products as a substitute when the food product ordered is prohibitively costly or sufficient quantity is not available.

Corrective Action:
Please provide the steps that the SFA will take to make this correction and ensure future compliance. Include the following supporting documentation with your response: completed exception worksheet.

Technical Assistance:
1411. Document non-domestic products using the Buy American Provision worksheet: https://www.cde.state.co.us/nutrition/procurementbyamericanprovisionexceptionworksheet.
2
Local School Wellness Policy - ESTES PARK R-3 SCHOOL DISTRICT
1006. How does the public know about the results of the most recent assessment on the implementation of the Local School Wellness Policy?
Finding:
1005. The sponsor has not completed the triennial assessment of their Local School Wellness Policy.
Corrective Action:
The finding was corrected by the SFA while the SA was on-site. The SA ensured compliance by sharing the plan for conducting the Local Wellness Policy Assessment. It appears the last review of the implementation of the wellness policy was in 2019, which was the year before COVID. The District spent last year developing a new five year strategic plan for the district with three pillars or areas of focus. One of the pillars of our strategic plan is wellness. This year we have focused on implementing year one of the strategic plan. Going forward, we will plan to develop an assessment of our wellness policy and build it into our next year’s action steps for the wellness plan.


Technical Assistance:
D. Civil Rights
YES NO  
Civil Rights
 Finding(s)/CorrectiveAction(s)/Technical Assistance Details
1
Civil Rights - ESTES PARK R-3 SCHOOL DISTRICT
800. What is the non-discrimination statement that is used for appropriate Program materials?
Finding:
800. The non-discrimination statement provided on program materials is incorrect. The nutrition webpage and program materials does not have the most up to date non-discrimination statement. The most up to date non-discrimination statement can be found here: https://www.cde.state.co.us/nutrition/civil-rights.

Corrective Action:
Please provide the steps that the SFA will take to make this correction and ensure future compliance. For example, check this annually or ensure proper training is conducted to stay up to date with information. Include the following supporting documentation with your response: link to updated nutrition webpage and menus with the correct non-discrimination statement.

Technical Assistance:
E. Other
YES NO  
Other
 Finding(s)/CorrectiveAction(s)/Technical Assistance Details
1
Other - ESTES PARK R-3 SCHOOL DISTRICT
900. a. Was the on-site monitoring of breakfast completed prior to February 1st?
Finding:
900. The on-site review of the meal counting and claiming procedure was not completed prior to February 1 and/or an extension wasn’t requested or approved by the State Agency.

Corrective Action:
Please provide the steps that the SFA will take to make this correction and ensure future compliance. Include the following supporting documentation with your response: completed on-site monitoring forms or provide plan for how you will ensure this gets completed annually by the Feb. 1st due date.

Technical Assistance:
900. Utilize the CDE on-site monitoring form template: https://www.cde.state.co.us/nutrition/usdaonsitemonitoringform.
2
Other - ESTES PARK HIGH SCHOOL
1105. a. Review 10% of the food and beverages sold during the review month.
Finding:
1105. Foods and beverages sold on the school campus during the school day to students (that are not a part of an exempt fundraiser) do not meet the Smart Snack standards. The oatmeal and chocolate cookie sandwiches, pop tarts, BodyArmor Lyte, and Capri Sun are not compliant.

Corrective Action:
Please provide the steps that the SFA will take to make this correction and ensure future compliance. For example, any a la carte items will be put through smart snacks calculator prior to offering. Include the following supporting documentation with your response: indication that ALL current a la carte items were/are entered into the smart snacks calculator.

Technical Assistance:
1105. Sponsors should check all items served as a la carte items for compliance by using the Smart Snack calculator: https://foodplanner.healthiergeneration.org/calculator/.