Oregon Women, Infants and Children (WIC) Program Farm Direct Nutrition Program (FDNP) Review Tool Compliance Findings — Agency and clinic locations visited: Reviewer: Contact: Date: Compliant? Program area Citations Findings/comments Yes No N/A A. Are all FDNP recipients eligible State Policy Local Program — to receive FDNP checks? Responsibilities, ¶2.0–¶2.1 (a) Eligible recipients — B. Were the appropriate number of State Policy Local Program — FDNP checks issued, per policy? Responsibilities, ¶2.0–¶2.1 (a) Eligible recipients — C. Can the local program account State Policy Local Program — for receipt of FDNP checks from Responsibilities, ¶1.0–¶1.4 the State WIC program? (f)(1) Control of FDNP checks — Is the FDNP check register filled D. State Policy Local Program — out correctly (including Responsibilities, ¶13.0 issue date and participant ID)? (f)(1) Control of FDNP checks — E. Are the FDNP checks signed State Policy Local Program — for by the participant? Responsibilities, ¶13.2 and ¶13.2.1 (f)(1) Control of FDNP checks — F. Is the original FDNP check State Policy Local Program — register retained in the clinic for Responsibilities, ¶13.3 three (3) years? (a)(1), (2) Recordkeeping — requirements
Oregon Women, Infants and Children (WIC) Program Farm Direct Nutrition Program (FDNP) Review Tool — Compliance Findings Agency and clinic locations visited: Reviewer: Contact: Date: Program area Compliant? Citations Findings/comments Yes No N/A A. Are all FDNP recipients eligible to receive FDNP checks? State Policy — Local Program Responsibilities, ¶2.0–¶2.1 (a) — Eligible recipients B. Were the appropriate number of FDNP checks issued, per policy? State Policy — Local Program Responsibilities, ¶2.0–¶2.1 (a) — Eligible recipients C. Can the local program account for receipt of FDNP checks from the State WIC program? State Policy — Local Program Responsibilities, ¶1.0–¶1.4 (f)(1) — Control of FDNP checks D. Is the FDNP check register filled out correctly (including issue date and participant ID)? State Policy — Local Program Responsibilities, ¶13.0 (f)(1) — Control of FDNP checks E. Are the FDNP checks signed for by the participant? State Policy — Local Program Responsibilities, ¶13.2 and ¶13.2.1 (f)(1) — Control of FDNP checks F. Is the original FDNP check register retained in the clinic for three (3) years? State Policy — Local Program Responsibilities, ¶13.3 (a)(1), (2) — Recordkeeping requirements
fdnp-review-tool.docx