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["Food Service Audit Tool"]
["Facility:",null,null,null,null,null,null,null,"Monitor(s):"]
[]
["Date Reviewed:"]
["Audit Period:"]
["Item #","Mandates","Standard",null,null,null,null,null,null,"Threshold  %","Method Of Evaluation",null,"Compliant"]
[" "]
["Menu Planning"]
[1," TDOC 116.01.VI.B.2","The contract vendor shall prepare one sample meal tray on each serving line to demonstrate the adequate serving size for each item in the served meal. The complete sample tray shall be appropriately wrapped, dated, and stored under refrigeration for 72 hours.\n\na) one sample meal tray on each serving line to demonstrate the adequate serving size for each item in the served meal (Three meals Monday-Friday, two meals Saturday-Sunday, DSNF has three meals 7 days a week)\n\nb) The complete sample tray shall be appropriately wrapped, dated, and stored under refrigeration for 72 hours",null,null,null,null,null,null,1,"Direct observation\n"]
[null,"a. # of sample trays needed to be prepared"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H10-H12","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H10-H12)/H10","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H13<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. # of sample trays wrapped, dated and stored appropriately"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H15-H17","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H15-H17)/H15","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H18<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"]
[]
["2\n","Contract A.6.b.1\nTDOC 113.35.VI.C.2\nTDOC 116.01.VI.C.2\n5-ACI-5C-06","The therapeutic diet shall be implemented as soon as possible after the CR-1798 is submitted to Food Services with service beginning no later than the first meal day following receipt of the CR-1798. ",null,null,null,null,null,null,0.9,"Review all therapeutic diets written for those six months"]
[null,"a. # of Therapeutic Diets reviewed to begin timely"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H22-H24","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"+(H22-H24)/H22","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H25<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
["3\n","TDOC 116.01.VI.C.3\nTDOC 116.01.VI.E\nTDOC 116.08.VI.C.7","The contract vendor shall be responsible for the daily documentation of therapeutic, specialty, and religious diets which are not served. Carefully documented Therapeutic Diet Requests, CR-1798s, contract vendor diet tracking spreadsheet. (Specialty diets review CR-4057)\na. therapeutic\nb. specialty\nc. religious meals",null,null,null,null,null,null,0.9," Review tracking system for meals served"]
[null,"a. # of daily therapeutic diet tracking sheets reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H29-H31","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H30/H29","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H32<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. #of daily specialty diet tracking sheets reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H34-H36","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H35/H34","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H37<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"c. #of daily religious tracking sheets reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H39-H41","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H40/H39","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H42<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"]
[]
[4," TDOC 116.01.C.3","A sign-in sheet, supervised by contract vendor staff, shall be provided and signed by the inmate for each meal to verify that the inmate has picked up his/her therapeutic, religious, or specialty meal with the exception of the segregated units and Health Center (DSNF).\na. therapeutic\nb. specialty\nc. religious meals",null,null,null,null,null,null,0.9,"Review sign in sheets"]
[null,"a. # of daily therapeutic diet sign-in sheets reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H46-H48","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H47/H46","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H49<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. #of daily specialty diet sign-in sheets reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H51-H53","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H52/H51","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H54<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"c. #of daily religious sign-in sheets reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H56-H58","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H57/H56","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H59<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
["5\n","TDOC 113.35.VI.D.7\nTDOC 116.01.VI.C.6.d","If an inmate refuses or fails to pick-up his/her therapeutic meal for nine consecutive meals, the contract food service director/designee shall notify the health service staff by using a reproduced copy of the Therapeutic Diet Request, CR-1798, within 24 hours or the next business day after the ninth missed meal.\na. review CR-1798 for documentation of 9 consecutive meal and a reproduced copy of the CR-1798\nb. review for 24-hour notification or next business day to medical ",null,null,null,null,null,null,0.9,"Review CR-1798\nMedical notification email"]
[null,"a. # of 9 consecutive missed therapeutic meals reviewed for notification to Health Services"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H63-H65","v":0}]
[null,"# Non-compliant "]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H64/H63","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H66<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. # of correct CR-1798 forms  for required for the notification to Health Services"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H68-H70","v":0}]
[null,"# Non-compliant "]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H69/H68","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H71<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
["6\n"," TDOC 116.01.VI.C.8","After the therapeutic diet order has expired or is cancelled, the contract food services \ndirector/designee shall scan the signed/dated Therapeutic Diet Request, CR-1798 to \nthe health services administrator within two business days. Food services shall retain \nthe completed copy of CR-1798 in a file for one year.\na. signed/dated Therapeutic Diet Request, CR-1798 to the Health Services Administrator (HSA) within two business days. \nb. Food Services shall retain the completed copy of the CR-1798 on file for one year.",null,null,null,null,null,null,0.9,"Review CR-1798"]
[null,"a. # of expired/canceled therapeutic diets reviewed"]
[null,"# Compliant "]
[null,"# Non-compliant "]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"+(H75-H77)/H75","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H78<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. Food Service maintains copy of the CR-1798 on file for one year "]
["NOTES"]
[]
[7,"Contract A.5.c.3\nTDOC 116.01.VI.A.2\n5-ACI-5C-16","Verify that the vendor provided 19 meals per week at each institution except DSNF where 3 meals are served seven days a week. Three meals Monday - Friday and two meals Saturday and Sunday.\na. three meals shall be served Monday-Friday, with two meals served on Saturday and Sunday \nb. DSNF serves three meals per day, seven days a week",null,null,null,null,null,null,1,"Review production sheets"]
[null,null,null,null,"1st Month","2nd Month","3rd Month"]
[null,"a. # 3 meals served Mon-Fri, two meals served on Sat-Sun"]
[null,"# Compliant",null,null,{"$f":"E85-E87","v":0},{"$f":"F85-F87","v":0},0]
[null,"# Non-compliant",null,null,null,null,null,null,{"$f":"SUM(#REF!)-SUM(E85:G85)","v":{"$error":"#REF!"}}]
[null,null,null,null,"4th Month","5th Month","6 Month"]
[]
[null,null,null,null,{"$f":"E89-E91","v":0},{"$f":"F89-F91","v":0},0]
[null,null,null,null,null,null,null,null,{"$f":"SUM(E85:G85)-SUM(E90:G90)","v":0}]
[]
[null,"DSNF ",null,null,"1st Month","2nd Month","3rd Month"]
[null,"b. # DSNF serves three meals per day, seven days a week"]
[null,"# Compliant ",null,null,null,null,null," "]
[null,"# Non-compliant",null,null,null,null,null,null,{"$f":"SUM(E91:G91)-SUM(#REF!)","v":{"$error":"#REF!"}}]
[null,null,null,null,"4th Month","5th Month","6 Month"]
[]
[null,null,null,null,{"$f":"E98-E100","v":0},{"$f":"F98-F100","v":0},0]
[null,null,null,null,null,null,null,null,{"$f":"SUM(#REF!)-SUM(E99:G99)","v":{"$error":"#REF!"}}]
["NOTES"," "]
["Meal Service Environment"]
[8,"Contract A.13.d.1.c\nTDOC 116.06.VI.C\n5-ACI-5C-03","Meal service records shall be maintained and submitted to the business office by the contract vendor and such records shall include the following information from the number of meals that are served daily and recorded on the Daily Meal Count, CR-0720, or the contract vendor’s form (to include inmate, staff and visitors)",null,null,null,null,null,null,1,"Review production sheets  \nTray and meal count forms"]
[null,"# meal/tray counts reviewed"]
[null,"# Compliant ",null,null,null,null,null,{"$f":"H104-H106","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"+(H104-H106)/H104","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H107<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[9,"Contract A.14.a \nTDOC 116.03.VI.M ","The Contractor shall serve the same meals in the staff and inmate dining halls on a daily basis, except the staff dining hall or café, which shall offer an enhanced salad bar for lunch and dinner\na. Hot meal\nb. Enhanced salad bar ",null,null,null,null,null,null,1,"Direct Observation"]
[null,"a. Hot meal"]
[]
[null,"b. Enhanced salad bar "]
["NOTES"]
["Safety in Food Service Area"]
[10,"Contract A.17.a \nTDOC 116.04.VI.A.4\n5-ACI-5C-09","All food service staff shall receive training in first aid and CPR and certification in these areas shall be current.",null,null,null,null,null,null,1,"Review staff credentials/records"]
[null,"# of Staff reviewed for CPR/First aid training"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H117-H119","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(H117-H119)/H117","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H120<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"]
[]
[11,"Contract A.16.a \nContract A.25.b\nTDOC 116.04.VI.A.4\n5-ACI-1C-09\n5-ACI-1C-22\n5-ACI-5C-10","A. The contractor must develop and implement an orientation and training plan and manual which is approved in writing by the State, and which incorporated components from both the Contractor and State’s mission and service delivery system.  Training must be satisfactorily completed by the employee within 30 days of clearance to enter the facility.\n\nB. A copy of the Contractor’s written standards for employee conduct provided to all employees and a signed document in their employee personnel file indicating they received the notification.",null,null,null,null,null,null,0.9,"Review Staff Training Records"]
[null,"a. # of staff reviewed for orientation training (30 days)"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H124-H126","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H124-H126)/H124","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H127<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. # of staff reviewed for orientation training (30 days)"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H129-H131","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H129-H131)/H129","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H132<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"]
[]
[12,"Contract A.16.c\n5-ACI-5D-15","All on-site providers must attend a security orientation session prior to entering the facility in accordance with State policy as may be revised and ACA standards.",null,null,null,null,null,null,0.9,"Review Staff Training Records"]
[null,"# of staff reviewed for TDOC orientation"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H136-H138","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H136-H138)/H136","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H139<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["SANITATION OF FOOD SERVICES"]
[13,"Contract A.22.b \nTDOC 113.44.VI.C.1\n5-ACI-6A-12","Non-Security staff screening shall be conducted within the first seven days of employment at the institution. The initial TST will follow the two step process (CR-3300)",null,null,null,null,null,null,1,"Review CR-3300"]
[]
[]
[]
[]
[]
[null,"# of staff reviewed for new hire TB testing (CR-3300)"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H147-H149","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(H147-H149)/H147","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H150<10%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[14,"Contract A.22.b \nTDOC 113.44.VI.C.2\n5-ACI-6A-12","Annually thereafter, all institutional employees shall receive a tuberculosis screening utilizing the Inmate/Employee Tuberculosis Screening Tool, CR-3628, and a TST",null,null,null,null,null,null,1,"Review CR-3628"]
[null,"# of staff reviewed for annual TB testing  (CR-3628)"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H154-H156","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(H154-H156)/H154","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H157<10%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[]
[15,"Contract A.22.c\nTDOC 113.24.VI.B.2\nTDOC 116.05.VI.B.2\n5-ACI-5C-11","If the inmate is suitable for assignment in food service, a Food Handler’s Permit, CR-2239, shall be prepared by the licensed health professional and submitted to the contract food service director with a copy to the inmate jobs coordinator. This permit shall be valid for one year unless the inmate has an intervening health condition that requires re-assessment of the inmate and subsequent revocation of the food handler’s permit.",null,null,null,null,null,null,1,"Review Food Handler Permits"]
[null,"# of inmates reviewed for current (Food Permit or Vendors form)"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H162-H164","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(+H162-H164)/H162","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H165<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[16,"Contract A.22.c\nTDOC 116.05.VI.B.2\nTDOC 116.11.VI.C\n5-ACI-5C-11","The contract food service director or designee shall visually check individual food service workers daily for any sign of communicable diseases, open wounds, sores, and respiratory infections. \nThe contract food service director or designee shall maintain daily documentation of approved inmate workers.",null,null,null,null,null,null,1,"Review Daily Hygiene Checks/Schedules"]
[null,"# of inmates reviewed for current (Food Permit or Vendors form)"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H169-H171","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(+H169-H171)/H169","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H172<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[17,"Contract A.11\nTDOC 116.05.VI.C.10.a\nTDOC 116.05.VI.C.10.b\n5-ACI-5C-14","Production\nThe temperature of food served to staff and inmates shall be: \na. 140 degrees F or above for hot food \nb. 41 degrees F or below for potentially hazardous cold food",null,null,null,null,null,null,1,"Review record of production sheets\nDirect Observation"]
[null,"a. # production temps reviewed for hot foods served"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H176-H178","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(+H176-H178)/H176","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H179<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"# production temps reviewed for cold food served"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H181-H183","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H182/H181","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H184<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[18,"Contract A.11\nTDOC 116.05.VI.C.10.a\nTDOC 116.05.VI.C.10.b\n5-ACI-5C-14","Holding Temps\nThe temperature of food served to staff and inmates shall be: \na. 140 degrees F or above for hot food \nb. 41 degrees F or below for potentially hazardous cold food",null,null,null,null,null,null,1,"Review Food holding temps\nDirect Observation"]
[null,"a. # of temperature records reviewed for hot foods served"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H188-H190","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(+H188-H190)/H188","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H191<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. # of temperature records reviewed for temperature of cold food served"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H193-H195","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"H194/H193","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H196<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[19,"TDOC 116.05.VI.F\n5-ACI-5C-13","Daily Dish Machine Log, CR-3278, shall be used to record the actual wash and rinse temperatures and sanitizer level on a daily basis.",null,null,null,null,null,null,0.9,"Review CR-3278"]
[null,"# days review on the Daily Dish Machine log, CR-3278 form"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H200-H202","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(H200-H202)/H200","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H203<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[20,"TDOC 116.05.VI.F\n5-ACI-5C-13","The Three Compartment Sink Log, CR-4191 shall be used",null,null,null,null,null,null,0.9,"Review CR4191"]
[null,"a. # of days reviewed for utilization of correct Three Compartment Sink Log CR-4191"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H207-H209","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(H207-H209)/H207","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H210<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
["Administration of Food Service"]
[21,"Contract A.38.C.3\nTDOC 116.06.VI.D.1\n5-ACI-5C-05","All menu substitutions shall be documented on the TDOC Substitution Log, CR-4118 by the contract vendor's food service director.\n",null,null,null,null,null,null,0.9,"Review CR-4118"]
[null,"# of Menu substitutions logs CR-4118 reviewed "]
[null,"# Compliant ",null,null,null,null,null,{"$f":"H214-H216","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(H214-H216)/H214","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H217<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[22,"Contract A.42.b\nTDOC 116.06.VI.D.3.a\n5-ACI-5C-02","The contract food service director shall develop and conduct surveys to determine food preferences, quality of food served on the various menus provided, and responsiveness to the menu which shall be approved by the TDOC Food Service Director. \nSurveys shall be offered monthly to 25% of the population and annually offered to all inmates.",null,null,null,null,null,null,0.9,"Review Surveys"]
[null,"Was monthly surveys given to 25% of inmate population?"]
[null," "]
["Emergency Food Service Plan"]
[23,"Contract A.36.b\nContract A.36.c\nContract A.36.d\nTDOC 116.07.VI.A.1.b\nTDOC 116.07.VI.A.1.d\n5-ACI-3B-14","A. The contractor shall always maintain a 72-hour shelf stable ready to eat contingency menu in inventory in the warehouse for maximum population counts and staff, including contract staff. The contract vendor shall provide potable water to reconstitute beverages planned on the contingency menu\n\nB. The contingency stock will be rotated and replaced every 12 months or upon the earliest expiration date of the shelf stable stock.",null,null,null,null,null,null,1,"Review ?"]
[null,"A. The contract vendor maintains a 72 hours shelf stable ready to eat contingency menu"]
[]
[null,"B. Is stock rotated?"]
["NOTES"," "]
["Food Service Tools"]
[24,"Contract A.26.b\nTDOC 506.03.VI.E.1.a\nTDOC 506.03.VI.G.2\n5-ACI-3A-23"," All tools must be accounted for, on the Record of Twice Daily Tool Check, CR-3551. ",null,null,null,null,null,null,1,"Review Twice Daily Tool Check, CR-3551"]
[null,"# of CR-3551 forms reviewed for twice daily check of ALL tools"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H231-H233","v":0}]
[null,"# Non-compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"+(H231-H233)/H231","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H234<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[25,"Contract A.26.b\nTDOC 506.03.VI.H.1\nTDOC 506.03.VI.H.3\n5-ACI-3A-23","a. All tools shall be issued by the tool control officer/employee designee and \nb. recorded on the Tool Control Issue and Turn-In, CR-2026.",null,null,null,null,null,null,1,"Review Twice Daily Tool Check, CR-2026"]
[null,"a. # of records reviewed for issuance of ALL tools by control officer/designee"]
[null,"a. # Compliant",null,null,null,null,null,{"$f":"H238-H240","v":0}]
[null,"a. # Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H238-H240)/H238","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H241<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. # of records reviewed for documentation and utilization of correct CR-2026 form"]
[null,"b. # Compliant",null,null,null,null,null,{"$f":"H243-H245","v":0}]
[null,"b. # Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H243-H245)/H243","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H246<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[26,"Contract A.26.b\nTDOC 506.03.VI.H.2\n5-ACI-3A-23"," All Tool Inventory forms, CR-2353s, will reflect an accurate and up-to-date listing of tools assigned to the area.",null,null,null,null,null,null,1,"Review CR-2353 forms"]
[null,"The Tool Inventory form, CR-2353 reflects accurate and up to date listing of tools in area"]
["NOTES"," "]
["Job Requirements"]
[27,"Contract A.21.b\nContract A.24.a\nContract A.24.b\nContract A.50\nTDOC 301.04.VI.B.4\nTDOC 301.04.VI.C\nTDOC 302.12.VI.E.1\n5-ACI-1C-14\n5ACI-1C-16","A. A National Crime Information Center (NCIC) criminal history record check shall be conducted on all prospective departmental, contract, and TRICOR employees and fingerprints shall be taken and processed on all new or prospective staff assigned to a safety sensitive position\n\nB. TDOC facility will be fingerprinted by the vendor contracted by the TBI for such services\n\nC. After a conditional offer of employment, applicants applying for safety sensitive positions will be required to submit to a pre-employment drug screen.",null,null,null,null,null,null,1,"Review NCIC check, fingerprints, drug screen"]
[null,"A. # of staff needed to have NCIC during audit period"]
[null," # Compliant",null,null,null,null,null,{"$f":"H254-H256","v":0}]
[null," # Non-Compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(+H254-H256)/H254","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H257<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"B. # of staff to have been finger printed during audit period"]
[null," # Compliant",null,null,null,null,null,{"$f":"H259-H261","v":0}]
[null," # Non-Compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(+H259-H261)/H259","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H262<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"C. # Drug screen",null,null,null,null,null,10]
[null," # Compliant",null,null,null,null,null,{"$f":"H264-H266","v":10}]
[null," # Non-Compliant"]
[null,"Percentage of Compliance",null,null,null,null,null,{"$f":"(+H264-H266)/H264","v":1},null,null,null,null,{"$f":"IF(H267<100%,\"NO\",\"YES\")","v":"YES"}]
["NOTES"," "]
[]
[28,"Contract A.17.a\nContract A.50\nTDOC 301.04.VI.F1\n5-ACI-1D-15","A. All contract employees who have been employed for at least a year will have their annual background check completed each July along with \n\nB. completion of the PREA Self-Declaration of Sexual Abuse/Sexual Harassment, CR-3819.",null,null,null,null,null,null,1,"Review Annual background check and CR-3819"]
[null,"a. # of staff reviewed required to have annual background check completed"]
[null,"a. # Compliant",null,null,null,null,null,{"$f":"H271-H273","v":0}]
[null,"a. # Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H271-H273)/H271","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H274<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
[]
[null,"b. # of staff reviewed required to have PREA Self-Declaration/Sexual Harassment completed"]
[null,"b. # Compliant",null,null,null,null,null,{"$f":"H276-H278","v":0}]
[null,"b. # Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H276-H278)/H276","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H279<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"]
[]
[29,"Contract A.34.b\n5-ACI-7B-03       \n5-ACI-7B-06","Contract vendor will develop and implement an offender vocational training program at all State facilities with fully equipped kitchens.",null,null,null,null,null,null,1,"Review Into work program"]
[null,"Contract vendor developed/implemented vocational program"]
["NOTES"," "]
[]
[30,"Contract A.12\n5-ACI-7B-03       \n5-ACI-7B-06","The Contractor shall provide sack lunches in accordance with the Standardized Menu and Sack Lunch Menu component for groups of inmates who require meals and cannot receive lunches as listed on the Standardized Menu.",null,null,null,null,null,null,1,"Review Sack Lunches"]
[null,"# of sack lunches reviewed for accordance with the Standardized Menu"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H287-H289","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H287-H289)/H287","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H290<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[31,"Contract A.15.b\n5-ACI-5C-01       ","All Food Service Directors and Assistant Food Service managers shall complete and pass SERV Safe training(s) by the National Restaurant Association.",null,null,null,null,null,null,1,"Review staff training records"]
[null,"# of Food Service Directors/Managers reviewed required to complete/pass SERV Safe training"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H294-H296","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H294-H296)/H294","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H297<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[32,"Contract A.42.a\nTDOC 116.01.VI.B.2\n5-ACI-5C-05","Conduct a review of Sample trays (coming off food line):\n100% meet quality and temperature standard.                                                                     \nStandardized Menu is followed     \nTray complete\nPortion sizes are correct",null,null,null,null,null,null,1," Review Sample Trays"]
[null,"# of sample trays"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H301-H303","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H301-H303)/H301","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H304<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[33,"TDOC 116.05.VI.H.1\nTDOC 116.05.VI.H.3\n5-ACI-5C-13","Daily inspection by an assigned supervisor from the food service department. These inspectors shall utilize the food service contract vendor form or TDOC Daily and Weekly Inspection Report, CR-2912, which lists all major areas of the food service department\n\nDeficiencies found on the daily inspections shall be corrected and documented on the original inspection form or attached to the inspection form. Documentation shall consist of date of corrective action and initials of responsible staff person.",null,null,null,null,null,null,0.9," Review CR-2912"]
[null,"# of CR-2912 reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H308-H310","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H308-H310)/H308","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H311<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[34,"TDOC 116.05.VI.H.2\n5-ACI-5C-13\n5-ACI-5D-01","A weekly inspection by the contract vendor’s food service director or designated food service designee. These inspections shall utilize TDOC/contract vendor form or TDOC Daily and Weekly Inspection Report, CR-2912, in guilds or housing units.",null,null,null,null,null,null,0.9," Review CR-2912"]
[null,"# of CR-2912 reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H315-H317","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H315-H317)/H315","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H318<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[35,"Contract A.29.b\nTDOC 116.05.VI.H.4.c\nTDOC 116.05.VI.5\n5-ACI-2A-02\n5-ACI-3B-01\n5-ACI-3B-03\n5-ACI-3B-09","Prepare a written report, using Food Service Monthly Inspection, CR-1873, of the findings and forward a copy of the report to the Warden/Superintendent for his/her information and action. The inspection will satisfy the requirements outlined in Policy #112.01 regarding monthly sanitary inspections for this area.\n\nDeficiencies found on the monthly inspection report shall be corrected and documented. Documentation of corrective action shall be forwarded to the Warden/Superintendent by the contract vendor food service director.",null,null,null,null,null,null,0.9," Review CR-1873"]
[null,"# of CR-1873 reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H322-H324","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H322-H324)/H322","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H325<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[36,"Contract A.28.e.1\n5-ACI-5C-09","A score of no less than 95% is expected on Health Department inspections.",null,null,null,null,null,null,0.95,"Review Health Department inspection"]
[null,"review Health Department inspection"]
["NOTES"," "]
[]
[37,"Contract A.29.c\nTDOC 112.09\nTDOC 116.04.VI.A.1\n5-ACI-5C-09","All cleaning supplies purchased by the Contractor shall meet approved Tennessee Occupational Safety Health Administration (TOSHA) standards. Written corrective action plans required if standards are not achieved. Safety Data Sheets (SDS) need to accompany all cleaning supplies purchased.",null,null,null,null,null,null,1," Review Chemical Inventory sheets (CR-3154) and SDS"]
[null,"# of CR-3154 reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H333-H335","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H333-H335)/H333","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H336<100%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[38,"Contract A.33.b\nContract A.33.c\n5-ACI-5C-10\n5-ACI-5C-11","A comprehensive training program must be developed and implemented by the Contractor prior to the commencement of food service delivery. The curriculum must be approved in writing by the State.  The Training Program must provide the following:                                                         \n1. Proper use and sanitation of food service equipment\n2. Sanitation\n3.Proper food preparation and handling             \n 4. Inmates who handle dirty/soiled laundry must be properly trained in laundry procedures\n5. Biohazard procedures\n6. Fire Safety",null,null,null,null,null,null,0.9," Review Inmate Training Packet"]
[null,"# of Inmate Training Packet(s) reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H340-H342","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H340-H342)/H340","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H343<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[39,"Contract A.38.c.4\n5-ACI-5C-05","The actual Diet Menu served, on a monthly basis, with identification of any menu item changes for the previous month and any substitutions. This documentation must be maintained by the Contractor, and in an accessible area.",null,null,null,null,null,null,0.9," Review Meal Patterns and Diet Load Sheets"]
[null,"# of Meal Patterns and Diet Load Sheets reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H347-H349","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H347-H349)/H347","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H350<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[40,"Contract A.40\nTDOC 116.11.VI.F\nTDOC 504.04.VI.D.1\nTDOC 504.04.VI.D.2\n5-ACI-7A-13\n5-ACI-7A-14\n5-ACI-7A-15","The Contractor shall maintain time records for each inmate participating in the food service work program.",null,null,null,null,null,null,0.9," Review Inmate Work Schedule and OMS"]
[null,"# of Inmate Work Schedules reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H354-H356","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H354-H356)/H354","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H357<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[41,"TDOC 116.01.VI.C.6.e","The contract food service director will compile the Inmate Special Meal Diet \nLog, CR-4057, monthly and submit to the fiscal officer listing each inmate name, \ninmate number, type of diet, meal type, and date not picked up",null,null,null,null,null,null,0.9,"Review CR-4057"]
[null,"# of CR-4057 reviewed"]
[null,"# Compliant",null,null,null,null,null,{"$f":"H361-H363","v":0}]
[null,"# Non-compliant"]
[null,"Percent Compliant",null,null,null,null,null,{"$f":"(+H361-H363)/H361","v":{"$error":"#DIV/0!"}},null,null,null,null,{"$f":"IF(H364<90%,\"NO\",\"YES\")","v":{"$error":"#DIV/0!"}}]
["NOTES"," "]
[]
[null,"revised 9/01/2022"]

{"sheet":"DO NOT CHANGE","index":1,"n_rows":38,"n_cols":1,"rows_kept":38,"cut":false,"hidden":true,"merged":[]}
["do not erase or alter"]
[]
["BLEDSOE COUNTY CORRECTIONAL COMPLEX"]
["CHARLES BASS CORRECTIONAL COMPLEX"]
["DeBERRY SPECIAL NEEDS FACILITY"]
["DEBRA JOHNSON REHABILITATION CENTER"]
["HARDEMAN COUNTY CORRECTIONAL FACILITY"]
["MORGAN COUNTY CORRECTIONAL COMPLEX"]
["MARK H. LUTTRELL TRANSITION CENTER"]
["NORTHEAST CORRECTIONAL COMPLEX"]
["NORTHWEST CORRECTIONAL COMPLEX"]
["RIVERBEND MAXIMUM SECURITY INSTITUTION"]
["SOUTH CENTRAL CORRECTIONAL FACILITY"]
["THE NEXT DOOR PROGRAM"]
["TROUSDALE TURNER CORRECTIONAL COMPLEX"]
["TURNEY CENTER INDUSTRIAL COMPLEX"]
["WHITEVILLE CORRECTIONAL FACILITY"]
["WEST TENNESSEE STATE PENITENTIARY "]
["WOMENS THERAPUTIC RESIDENTUAL CENTER"]
[]
[]
[]
["Brittany Benderman"]
["Deborah Barron"]
[]
[]
[]
[]
[]
[]
[]
["Aramark"]
[]
[]
[]
["YES"]
["NO"]
["N/A"]

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[null,null,null,"Line item 15",null,"Line item 39",null,"Line item 38",null,"Line item 12",null,null,null,"Line item 46","Line item 13",null,null,null,null,null,null,null,"Item 16","Line item 15"]
[null,"Staff Last Name","Position","TB Testing Staff","Form  Inmate/Employee TB Screening Tool, CR-3628, and a TST ","PREA/\nSexual Harrassment","Annual Background","NCIC ","Finger Prints","CPR\nTraining\n","CPR\nCurrent\n","First Aid\nTraining\n","First Aid Card\nCurrent\n\n","Hazard Analyses and Critical Control Points (HACCP) training","Trained in\nproper operation and\n routine care of power equipment\n","Trained in proper care, handling\n and use of sharp utensils\n"," proper care of floors and the condition in which they must be maintained,"," location and operation of all fire fighting/safety equipment","COMMENTS","Inmate Last Name","TDOC #","Position","Food Handler's Permit\nCurrent","TB Testing Inmate"," Inmate/Employee TB Screening Tool, CR-3628, and a TST ","COMMENTS"]
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[31,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[32,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[33,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[34,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[35,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
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[40,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[41,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[42,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[43,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[44,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
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[51,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[52,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[53,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[54,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[55,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[56,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[57,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[58,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[59,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[60,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[61,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[62,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[63,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[64,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[65,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[66,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[67,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[68,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[69,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[70,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[71,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[72,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[73,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[74,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]
[75,null,null,null,null,null,null,null,null,"N/A","N/A","N/A","N/A"]

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[" The Standardized Menu Program shall include 19 meals served per week per each\n "]
[]
["INSTITUTION: ",null,null,{"$f":"+'[2]QA Tool'!C1:H1","v":0}]
[null,null,null," ","% COMPLIANCE"]
[]
[null," "]
[null,"Main",null,null,null,null,null,null,null,null,null,null,null," ","N/P=Not Present"]
[null," ","# of Meals served per week\n1st month of audit","Compliant\n (Yes/No)","# of meals seved per week\n2nd month of audit","Compliant\n (Yes/No)","# of meals per week\n3rd month of audit","Compliant\n (Yes/No)","# of meals per week\n4th month of audit","Compliant\n (Yes/No)","# of meals served per week\n5th month of audit","Compliant\n (Yes/No)","# of meals served per week\n6th month of audit","Compliant\n (Yes/No)","# of meals",null,null,null,{"$f":"COUNTIF($D$9:$H$14,\"YES\")","v":0},"WEEKS"]
[null,"WEEK 1",null,null,null,null,null,null,null,null,null,null,null,null,"# of missed meals",null,null,null,{"$f":"COUNTIF($D$9:$H$14,\"NO\")","v":0}]
[null,"WEEK 2",null,null,null,null,null,null,null,null,null,null,null,null,"TOTAL",null,null,null,{"$f":"SUM(S8:S9)","v":0},"WEEKS"]
[null,"WEEK 3"]
[null,"WEEK 4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"+(S10-S9)/S10","v":{"$error":"#DIV/0!"}},"COMPLAINT"]
[null,"WEEK 5"]
[]
[]
[]
[]
[null," "]
[null,"Annex"]
[null," ","# of Meals served per week\n1st month of audit","Compliant\n (Yes/No)","# of meals seved per week\n2nd month of audit","Compliant\n (Yes/No)","# of meals per week\n3rd month of audit","Compliant\n (Yes/No)","# of meals per week\n4th month of audit","Compliant\n (Yes/No)","# of meals served per week\n5th month of audit","Compliant\n (Yes/No)","# of meals served per week\n6th month of audit","Compliant\n (Yes/No)","# of meals",null,null,null,{"$f":"COUNTIF($D$9:$H$14,\"YES\")","v":0},"WEEKS"]
[null,"WEEK 1",null,null,null,null,null,null,null,null,null,null,null,null,"# of meals:",null,null,null,{"$f":"COUNTIF($D$9:$H$14,\"NO\")","v":0}]
[null,"WEEK 2",null,null,null,null,null,null,null,null,null,null,null,null,"TOTAL OF WEEKS:",null,null,null,{"$f":"SUM(S20:S21)","v":0},"WEEKS"]
[null,"WEEK 3"]
[null,"WEEK 4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"+(S22-S21)/S22","v":{"$error":"#DIV/0!"}},"COMPLAINT"]
[null,"WEEK 5"]
[]
[]
[]
[" DSNF ONLY: 3 meals a day, (seven days a week) a meal will be served"]
[]
[" ",null,null,{"$f":"+'[2]QA Tool'!C29:H29","v":0}]
[null,null,null," ","% COMPLIANCE"]
[null," "]
[null," ",null,null,null,null,null,null,null,null,null,null,null," ","N/P=Not Present"]
[null," ","3 meals per day, 7 days a week\n1st month of audit","Compliant\n (Yes/No)","3 meals per day, 7 days a week\n2nd month of audit","Compliant\n (Yes/No)","3 meals per day, 7 days a week\n3rd month of audit","Compliant\n (Yes/No)","3 meals per day, 7 days a week\n4th month of audit","Compliant\n (Yes/No)","3 meals per day, 7 days a week\n5th month of audit","Compliant\n (Yes/No)","3 meals per day, 7 days a week\n6th month of audit","Compliant\n (Yes/No)","# of meals",null,null,null,{"$f":"COUNTIF($D$9:$H$14,\"YES\")","v":0},"WEEKS"]
[null,"WEEK 1",null,null,null,null,null,null,null,null,null,null,null,null,"# of missed meals",null,null,null,{"$f":"COUNTIF($D$9:$H$14,\"NO\")","v":0}]
[null,"WEEK 2",null,null,null,null,null,null,null,null,null,null,null,null,"TOTAL",null,null,null,{"$f":"SUM(S35:S36)","v":0},"WEEKS"]
[null,"WEEK 3"]
[null,"WEEK 4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"+(S37-S36)/S37","v":{"$error":"#DIV/0!"}},"COMPLAINT"]
[null,"WEEK 5"]

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["Refrigerator temperatures shall be maintained between 35 degrees F to 41 degrees F.\nNever above  36 degrees F\n "]
[]
["INSTITUTION: ",null,null,{"$f":"+'[2]QA Tool'!C1:H1","v":0}]
[null,null,null," ","% COMPLIANCE"]
[]
[null," "]
[" ","Main"]
[null,"Date","Temperature","Compliant\n (Yes/No)","Date","Temperature","Compliant\n (Yes/No)","# of Temperatures reviewed",null,null,null,{"$f":"COUNTIF($D$9:$G$15,\"YES\")","v":0}," "]
[null," ",null,null,null,null,null,"# of NC",null,null,null,{"$f":"COUNTIF($D$9:$G$15,\"NO\")","v":0}]
[null," ",null,null,null,null,null,"TOTAL",null,null,null,{"$f":"SUM(L8:L9)","v":0}," "]
[null," "]
[null," ",null,null,null,null,null,null,null,null,null,null,null,{"$f":"+(L10-L9)/L10","v":{"$error":"#DIV/0!"}},"COMPLAINT"]
[null," "]
[]
[null,null,null,null,null,null,null,null,null,"`"]
[]
[null," "]
[null," "]
[]
[]
[]
[]
[null," "]
[null,"Annex"]
[null,"Date","Temperature","Compliant\n (Yes/No)","Date","Temperature","Compliant\n (Yes/No)","# of Temperatures reveiwed",null,null,null,{"$f":"COUNTIF($D$9:$G$15,\"YES\")","v":0}," "]
[null," ",null,null,null,null,null,"# of NC",null,null,null,{"$f":"COUNTIF($D$9:$G$15,\"NO\")","v":0}]
[null," ",null,null,null,null,null,"TOTAL :",null,null,null,{"$f":"SUM(L25:L26)","v":0}," "]
[null," "]
[null," ",null,null,null,null,null,null,null,null,null,null,null,{"$f":"+(L27-L26)/L27","v":{"$error":"#DIV/0!"}},"COMPLAINT"]
[null," "]
[]
[]
[]
[" Freezer temperatures shall be maintained at 0 degrees F or below. \nFreezer units shall be set between -10 and 0 degrees F."]
[]
[null,"INSTITUTION: ",null,null,"  "]
[null," ","Main"]
[null,null,"Date","Temperature","Compliant\n (Yes/No)","Date","Temperature","Compliant\n (Yes/No)"]
[null,null," "]
[null,null," "]
[null,null," "]
[null,null," "]
[null,null," "]
[]
[]
[]
[null,null," "]
[null,null," "]
[]
[]
[]
[null,null,"Annex"]
[null,null,"Date","Temperature","Compliant\n (Yes/No)","Date","Temperature","Compliant\n (Yes/No)"]
[null,null," "]
[null,null," "]
[null,null," "]
[null,null," "]
[null,null," "]

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[null,"Item 1","Item 2","Item 3","Item 4","Item 5","Item 6","Item 7","Item 8","Item 9","Item 10","Item 11","Item 12","Item 13","Item 14","Item 15","Item 16","Item 17","Item 18","Item 19","Item 20","Item 21","Item 22","Item 23","Item 24","Item 25","Item 26","Item 27","Item 28","Item 29","Item 30","Item 31","Item 32","Item 33","Item 34","Item 35","Item 36","Item 37","Item 38","Item 39","Item 40","Item 41","Item 42","Item 43","Item 44","Item 45","Item 46","Item 47","Item 48","Item 49","Item 50","Item 51","Item 52","Item 53","Item 54","Item 55","Item 56","Item 57","Item 58","Item 59","Item 60","Item 61","Item 62","Item 63","Item 64","Item 65","Item 66"]
[]
["BCCX","yes","yes","yes","yes","DELETED","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","DELETED","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["DSNF","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["MCCX","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["MLTC","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["NDP","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["NECX","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["NWCX","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["RMSI","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["TCIX","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["TPFW","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["WTRC","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
["WTSP","yes","yes","yes","yes",null,"yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes"]
[]
["HCCF","yes","yes","yes","N/A",null,"yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes"]
["SCCF","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes"]
["TTCC","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes"]
["WCFA","yes","yes","yes","N/A",null,"yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes",null,"yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","yes","N/A","yes","yes"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 38: drug allergies not applicable to Core Civic Facility"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"***","Item 39, I, J,  and K not applicable to Core Civic facility"]

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["TDOC policy",113.01,"113.80; 113.10   ",113.11,113.8,"DELETED","113.88; 506.07",113.88,"113.11; 113.89",113.89,113.82,113.88,113.88,113.83,113.83,113.83,"113.82"," ",506.07,"113.84","113.84","113.81;113.83;113.87",113.89,113.89,113.84,113.89,513.07000000000005,513.07000000000005,"513.07.3","513.07.1","513.07.1","513.07.1","513.07.2","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1; 513.07.2","513.07.1; 513.07.2","513.07.1; 506.21",513.07000000000005,513.07000000000005,"DELETED","513.07.3","513.07.2","513.07.2","513.07.2","513.07.2","513.07.2","513.07.2","513.07.1","513.07.1","513.07.1","513.07.1","513.07.2","513.07.1","513.07.1;513.07.2","513.07.2","513.07.1; 506.21",113.84,null,113.88,113.88]
["Centurion Contact","A.22, A.22.h,\n& A.22.i"," A.35","A.11","A.28",null,"A.28.j",null,"A.26.g"," A.3.a","A.26.m. ","A.8.; A.10; 26.k.","A.26.c"," N/A   ","A.26.b; A.28.b ","A.26.b; A.28.b ","A.26.m  ","A.28.c; A.29","A.26.c    ","A.28.i","A.28.i","A.25","A.26.b"," N/A   "," N/A   "," N/A   ","A.31.b. and c; ","Centurion A.33.a","Centurion A.32.j.5","Key Performance Indicator         ","A.32.m.1","A.32.m.1","A.32.m.2. ","A.32.m.2","A.32.m.2","A.32.j","A.32.j","A.32.j","A.32.j","A.32.j","Key Performance Indicators            A.3.a; A.32.l; A.32.m.13","A.32.m.1","Key Performance Indicators            A.3.a; A.32.l; ","A.32.n.2   ","A.31.b. and c; ","Centurion A.33.a",null,"A.32.m.1","A.32.m.1","A.32.m.2. ","A.32.m.2","A.32.m.2","A.32.j","A.32.j","A.32.j","A.32.j","A.32.j","Key Performance Indicators            A.3.a; A.32.l; A.32.m.13","A.32.m.1","Key Performance Indicators            A.3.a; A.32.l; ","A.32.n.2   ","Key Performance Indicators            A.3.a; A.32.l; ","A.32.n.2   ","N/A","Performance Measure #21  ","N/A","N/A"]
["ACA",null,"4-4384",null,"4-4351",null,"4373-04-01",null,null,null,"4-4372","4-4352","4-4191; 4-4405","4-4350","4-4350;  4-4359","4-4350  ",null,null,null,null,"4-4256  "]
["HCCF",null,null,"A.",null,null,null,113.88,null,null,null,"A.3.b.11.G.2.g",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"A. 3.c. 10. G. 15","HCCF A. 3.c. 10. G. 15) ","A. 3.c. 10. G. 15; A.  10. G. 15. b. xxi. "," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)","A.  10. G. 15. b. xxi"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)","A. 3.c. 10. G. 15","HCCF A. 3.c. 10. G. 15) ",null," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)","A.  10. G. 15. b. xxi"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"," A. 3.c. 10. G. 15)"]
["SCCF",null,null,"A.5.g.1.g","A.5.g.1.a",null,null,113.88,"A. 5. g. 1. g","A. 5. g. 1. g. ",null,"A.5.g.1.a. & 4.a  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"A. 5. g. 11","SCCF                  A. 5. g. 11)  ","A. 5. g. 11)  ","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","SCCF                  A. 5. g. 11)  ",null,"A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11","A. 5. g. 11"]
["TTCC","A. 3.b. 11. G. 3",null,"A. 3.b. 11. G. 1. g and G. 3","A.3.b.G.1.a",null,"A. 3.b. 11. G. 11. b",null,"A. 3.b. 11.        G. 1. g","A. 3.b. 11.        G. 1. g",null,"A.3. 11. G. 1.a",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"A. 3.b. 11. G. 16","TTCC Contract A. 3.b. 11. G. 16. ","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","TTCC Contract A. 3.b. 11. G. 16. ",null,"A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16","A. 3.b. 11. G. 16"]
["WCFA",null,null,null,null,null,null,113.88,null,null,null,"A. b.11. G.2.a ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"A. 3. b. 11. 7. b. 10","WCFA A. 3. b. 11. 7. b. 10. ","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","WCFA A. 3. b. 11. 7. b. 10. ",null,"A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10","A. 3. b. 11. 7. b. 10"]
["HCCF",null,null,"A.",null,null,null,113.88,null,null,null,"A.3.b.11.G.2.g",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"A. 3.c. 10. G. 15","HCCF A. 3.c. 10. G. 15"]

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["TDOC policy",113.01,"113.80; 113.10   ",113.11,113.8,"DELETED","113.88; 506.07",113.88,"113.11; 113.89",113.89,113.82,113.88,113.88,113.83,113.83,113.83,"113.82"," ",506.07,"113.84","113.84","113.81;113.83;113.87",113.89,113.89,113.84,113.89,513.07000000000005,513.07000000000005,"513.07.3","513.07.1","513.07.1","513.07.1","513.07.2","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1","513.07.1; 513.07.2","513.07.1; 513.07.2","513.07.1; 506.21",513.07000000000005,513.07000000000005,"DELETED","513.07.3","513.07.2","513.07.2","513.07.2","513.07.2","513.07.2","513.07.2","513.07.1","513.07.1","513.07.1","513.07.1","513.07.2","513.07.1","513.07.1;513.07.2","513.07.2","513.07.1; 506.21",113.84,null,113.88,113.88]
["Corizon Contact","A.22, A.22.h,\n& A.22.i"," ","A.24.a","A.26.g ",null,"A.23 ",null,null," A.3.a","A.3.a","A.7","A.24.c"," A.26.b    ","A.26.b ","A.26.b","A.26.b  ","A.27  ","A.24.c    ","A.24.b;A.26.i","A.24.b; A.26.i","A.23"," A.24.e","A.3.a"," ","A.3.a",null,null,"A.30.i.11 ",null,null,"A.30.g",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"A.30.i.11",null,null,"A.30.g",null,null,null,null,null,null,null,null,null,null,null,null,null,"Performance Measure #21  "]
["ACA",null,"4-4384",null,"4-4351",null,"4373-04-01",null,null,null,"4-4372","4-4352","4-4191; 4-4405","4-4350","4-4350;  4-4359","4-4350  ",null,null,null,null,"4-4256  "]
["TTCC",null,null,"A.3.b.G.1.g","A.3.b.G.1.a",null,null,null,null,null,null,"G.1.a  "]
["SCCF",null,null,"A.5.g.1.g","A.5.g.1.a",null,null,null,null,null,null,"A.5.g.1.a. & 4.a  "]
["WCFA",null,null,null,null,null,null,null,null,null,null,"A. b.11. G.2.a "]
["HCCF",null,null,null,null,null,null,null,null,null,null,"A.3.b.11.G.2.g"]
["Clinical Solutions"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  "]

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["END DATE","BEG DATE","# OF DAYS",null,"7 DAYS/BEG",null,"14 DAYS/BEG"]
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