Handout G - Notice of Removal of Serious Deficiency and Proposed Termination/Disqualification (provider wins appeal)(Sample Letter)
Send this letter by certified mail/return receipt, or an equivalent private delivery.
Click Here to Download Handout G
Date
Provider Name
Street Address
City, State 00000
Dear [Provider]:
This letter concerns our [date of Notice of Proposed Termination & Proposed Disqualification] letter (Notice of Proposed Termination & Proposed Disqualification), which proposed to terminate your agreement to participate in the Child and Adult Care Food Program (CACFP) for cause. In that letter, we also proposed to disqualify you from further CACFP participation. These actions were based on the determination in our [date of Serious Deficiency Notice] letter (Serious Deficiency Notice) that you are seriously deficient in your operation of the CACFP.
You filed a timely appeal of the proposed termination and proposed disqualification. On [date of hearing official's decision], the hearing official issued a decision on the appeal. In that decision, the hearing official overturned both of our proposed actions.
As a result, we have removed our serious deficiency determination as of [date of hearing official's decision] (the date of the hearing official's decision). We are also removing the proposed termination of your agreement for cause and proposed disqualification as of the same date.
Sincerely,
Sponsor Employee Name & Title
cc: CACFP Homes Unit, NYSDOH


