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State Plan Checklist - MONITORING AND AUDITS 8/14/2026 Page 3

Specify last annual period, from: 2025-10-01 to 2026-09-30

Specify current annual period, from: 2026-10-01 to 2027-09-30

b. Number of local agencies/clinics required to submit Corrective Action Plans (CAPs) to address deficiencies identified during monitoring last year: on This is not applicable for my state agency

c. The State agency uses a tracking device, such as a chart or spreadsheet, which summarizes the reviews of all local agencies. Yes No

If the State agency uses a tracking device, it shows (check all that apply): [ ] N/A [X] Date of most recent review for each local agency/clinic [X] Number of clinics reviewed in most recent review for each local agency/clinic [ ] Listing of findings for most recent review of each local agency/clinic [X] Date of State agency notice of findings in most recent review for each local agency/clinic [X] Date of local agency/clinic corrective action plan in most recent review for each local agency and/or clinics [X] Outcome of corrective action plan [X] Whether the review was conducted virtually or onsite d. In preparing to conduct a local agency review, the State agency reviews data reports on: [ ] No-shows by category [ ] Administrative costs claimed [ ] Financial reports [ ] Priorities served [X] Caseload [ ] Racial/ethnicity [X] Staff/participant ratios [ ] Participant nutrition surveillance data for participants in that local agency/clinic 12