Administrative Review Summary Report

Date: 01-15-26

Name of Agency: Murrow Indian Children’s Home Date of off-site review: 08-07-25

Reviewer: Matthew Smith Date of on-site review: 09-18-2

and 10-17-25

Fiscal Action: Yes, fiscal action amount will be assessed in the fiscal action and closure letter.

Persons interviewed: Dawn Hibbard and Date of exit conference: 01-09-26

Margret Anderson

Programs Operated by the School Food Authority (SFA): This SFA operates the National School Lunch Program, the School Breakfast Program, and the After School Snack Program.

The following areas were corrected prior to the On-Site Portion of this Administrative Review (AR):

· Afterschool Snack Program – First Self-Monitoring Inspection: Murrow Indian Children’s Home (MICH) failed to conduct the first self-monitoring inspection within the first four weeks of school starting for the school year as required by federal regulation [7 CFR Part 210.9 (c) (9)]. Prior to the completion of the on-site portion of this AR, MICH took corrective action by completing the first self-Monitoring inspection.

· Failure to Provide Request Records: During the off-site portion of this AR, Murrow Inian Children’s Home failed to provide records to Oklahoma Human Services (OKDHS) School Nutrition Programs (SNP) as required by federal regulation [7 CFR Part 210.9 (b) (17)] and their permanent agreement with OKDHS. Prior to the completion of the on-site portion of this AR, MICH provided OKDHS SNP with the records requested.

· HACCP Food Safety Plan: During the on-site visit conducted on 10/17/25, the SFA was unable to locate their HACCP food safety plan. Federal regulation [7 CFR Part 210.13 (c)] requires School Food Authorities (SFA) to have a HACCP food safety plan. Prior to the completion of the on-site portion of this AR, MICH adopted a HACCP food safety plan compliant with federal regulation [7 CFR Part 210.13 (c)].

· Meal Patterns: For the menu week of breakfast and lunch menus assessed non-systemic insufficient serving sizes were discovered [in violation of federal regulations 7 CFR Part 210.10 (c) and 7 CFR Part 220.8 (c)]. Prior to the completion of the on-site portion of this AR, MICH took corrective actions bringing the non-systemic insufficient serving sizes into compliance.

· Non-Creditable Items Served as Part of Reimbursable Meals: During the menu week assessment of lunch menus non-creditable food items were served as part of reimbursable lunch meals in violation of federal regulation [Appendix C of 7 Part 210]. Prior to the completion of the on-site portion of this AR, MICH took corrective actions replacing the non-creditable food items with creditable food items.

· Professional Standards – Eight Hour Food Safety Training: At the time of the off-site visit, the school food services director had not completed eight hours of food safety training five years prior to starting in the position, or within 30 days from the date the director started in the position. Prior to the completion of the on-site portion of this AR, the director completed eight hours of food safety training.

· Whole Grain-Rich (WGR) – Percentage of Weekly Serving Under 80%: For the menu week of breakfast menus assessed the percentage of the weekly serving of the weekly grain serving at breakfast was below 80% in violation of federal regulation [7 CFR Part 220.8 (c) (2) (ii)]. The percentage of the weekly bread/gran serving for the lunch menus was below 80% in violation of federal regulation [7 CFR Part 210.10 (c) (2) (iii) (A) and (D)]. Prior to the completion of the on-site portion of the AR, MICH took corrective actions bringing the percentages of the weekly servings that were WGR for breakfast and lunch over 80%.

No further action is required for the above.

Findings and Recommendations Identified During the Off-Site Portion of the Review Conducted August 7, 2025:

Local Wellness Policy: The local wellness policy for Murrow Indian Children’s Home (MICH) provided during the off-site portion of this AR did not contain the following required areas:

Did not have a specific goal area for the goals for nutrition education [as required by federal regulation 7 CFR Part 210.31 (c) (3)].
Guidelines and standards for the following:
- Fundraisers involving food and beverages sold for consumption on campus during the school day [as required by federal regulation 7 CFR Part 210.31 (c) (3)].

MICH’s local wellness policy must be updated to include the above required mentioned areas.

To demonstrate compliance with local wellness policy requirements:

Provide a copy of the updated local wellness policy compliant with federal requirements.
Replace the local wellness policy posted on the bulletin board at MICH’s site with the updated local wellness policy.
Provide a copy of the updated local wellness policy along with MICH’s plan for corrective action to demonstrate understanding and compliance.

Production Records: The production records submitted as part of the menu week assessment were not being filled out correctly. Federal regulations [7 CFR Part 210.10 (a) (3) and 7 CFR {art 220.8 (a) ) (3)] required as part of a reimbursable meal. The issues discovered with the production records include:

· Leftovers not being documented on the production records

· Two serving sizes were listed on one line.

· Condiments served were not listed on the records

· The choices of milk types being offered were not documented on the production records.

To demonstrate compliance with production record requirements:

· Provide a copy of one complete breakfast production record.

· Provide a copy of one complete lunch production record.

· Provide the above documentation along with MICH’s plan for correction action to demonstrate understanding and compliance.

Professional Standards – Annual Training Requirements: During the off-site portion of this AR, compliance with the annual training hour requirements for school year 2024 – 2025 was reviewed. The school food services director failed to complete at least 12 hours of training crediting toward the annual training requirements during school year 2024 – 2025 as required by federal regulation [7 CFR Part 210.30 (c)].

Two employees with part-time duties failed to complete at least four hours of training crediting toward the annual training requirements during school year 2024 – 2025, as required by federal regulation [7 CFR Part 210.30 (e)].

To demonstrate compliance with annual training requirements:

· Provide MICH’s plan for corrective action to demonstrate understanding and compliance.

Findings and Recommendations Identified During the On-Site Portion of the Review Conducted September 18, 2026, and October 17, 2025:

Count and Claiming: During this AR, OKDHS School Nutrition Programs (SNP) is required to review one month’s reimbursement claim. For this review, July 2025 reimbursement claim was reviewed for the National School Lunch Program (NSLP) and the School Breakfast Program (SBP). October 2025 is the review period for the Afterschool Snack Programs. Errors were only discovered in the review for the Afterschool Snack Program for the month of August 2025. These errors caused an over claim of eight snacks.

Federal regulation [7 CFR Part 210.8 (a) (2)] requires School Food Authorities (SFA) to review their claims prior to submitting them to State Agency (SA).

To demonstrate compliance with counting and claiming requirements:

· Review the counting and claiming system and create a plan to ensure accurate meal counts are claimed.

· Provide copies of the following: snack meal rosters for January 2026 and the edit checks for snack for January 2026.

· Provide the above documentation above along with MICH’ plan for corrective action to demonstrate understanding and compliance.

Edit Checks: During the on-site portion of this AR, it was discovered MICH was not completing daily edit checks for their participation in the National School Lunch Program (NSLP) and the School Breakfast Program (SBP). Federal regulations [7 CFR 210.8 (a) (3) and 7 CFR Part 220.11 (d)] require daily edit checks to be completed for each program School Food Authority (SFA) participates in (NSLP, SBP, and the Afterschool Snack Program).

To demonstrate compliance with edit check requirements:

· Provide January 2026’s edit check for the snack.

· Provide the above documentation along with MICH’s plan for corrective action to demonstrate understanding and compliance.

Procurement Review Summary Report

Date: 01-15-26

Name of Agency: Murrow Indian Children’s Home Date of AR off-site review: 08-07-25

Reviewer: Matthew Smith Date of AR on-site review: 09-18-25

and 10-17-25

Persons interviewed: Dawn Hibbard and Date of exit conference: 01-09-26

Margret Anderson

Programs Operated by the School Food Authority (SFA): This SFA operates the National School Lunch Program, the School Breakfast Program, and the After School Snack Program.

The following areas were corrected during the Procurement Review (PR):

· Procurement Plan: At the time of the PR was commenced, the procurement plan did not address the use of the micro-purchase method of procurement. Federal regulation [2 CFR Part 200.318 (a)] requires School Food Authorities to document procurement procedures for procurement activities using funds from the Nonprofit School Food Services Account (NSFSA). Prior to the completion of the on-site portion of the Administration Review, Murrow Indian Children’s Home took corrective action by adopting an amendment for their procurement plan addressing the micro-purchase method of procurement.

No further action is required for the above.

Findings for the Procurement Review (PR)

There were no additional findings for the PR.