REPORTING: Funded Projects Pilot; Developing Standardized Forms

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Overview

Coversheet
1. General
2. Classification
3. Observations
4. Compliance
5. Sprouts

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Sheet 1: Coversheet

Standard Name

0

OPEI

0

Recipent Name (Select)

Select

State

Select Recipient Name

Federal Award Identification Number

Select Recipient Name

Program Path

Select Recipient Name

Report Frequency

Jul 1 - Oct 31

Report Author (if not PI)

Date Completed

Project Period Start Date

7/1/2021

Project End Date

6/30/2026

Budget Period Start Date

7/1/2022

Budget Period End Date

6/30/2023

Principal Investigator (PI)

PI Email

PI Phone

Is your contact and admin spreadsheet current in ORAPP?

Select

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Sheet 2: 1. General

1. General Inspection Data
	Reporting Period Dates Dec. 1 includes data for Jul 1 - Oct 31 Feb. 1 includes data for Jul 1 - Dec 31 May 1 includes data for Jul 1 - Mar 31 Sept. 1 includes data for Jul 1 - Jun 30		Total	Large Covered	Small Covered	Very Small Covered	Qualified Exempt (QE)	Commercial Processing Exempt (CPE)	Farms Not Covered based on Produce Sales (<$25k)
1.1	Verified produce farms		0
1.2	Total number of farms inspected under CAP (2018 through this reporting period)		0
1.3	Total number of inspections under CAP (2018 through this reporting period)		0
Current Reporting Period
1.4	Farms inspected this reporting period	Total Farms	0
1.5		Primary Production Farms	0
1.6		Secondary Activities Farms	0
1.7		Farm Mixed-Type Facilities	0
1.8	Inspections completed during this reporting period (for joint inspections, report only if your agency issued the 4056 or equivalent)		0
1.9	Inspections completed during this reporting period with observation(s) on the 4056 or state equivalent		0
1.10	Priority commodities observed during each inspection	#1 Leafy greens (kale, head lettuce, leaf lettuce, radicchio, spinach, watercress)	0
		#2 Cucumbers	0
		#3 Tomatoes	0
		#4 Peppers (sweet, bell, banana, pimiento)	0
		#5 Cantaloupe	0
		#6 Honeydew melon	0
		#7 Onion	0
		Other Priority Commodity 1	0
		Other Priority Commodity 2	0
1.11	Farms with an improved inspection classification from the previous inspection.	From OAI to VAI or NAI	0
1.12		No improvement from OAI	0
1.13		From VAI to NAI	0
1.14		No improvement from VAI	0
1.15	Inspections with egregious conditions observed	# of farms	0
1.16		# of inspections	0
1.17		# of egregious observations	0
1.18		# of egregious observations corrected during the inspection	0
1.19		# of egregious observations corrected after the inspection	0
1.20		# of egregious observations corrected after compliance action	0

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Sheet 3: 2. Classification

2. Inspection Classification – Current Reporting Period
				Total				Large Covered Farms			Small Covered Farms			Very Small Covered Farms			Qualified Exempt (QE)			Commercial Processing Exempt (CPE)			Under 25K
				Total	OAI	VAI	NAI	OAI	VAI	NAI	OAI	VAI	NAI	OAI	VAI	NAI	OAI	VAI	NAI	OAI	VAI	NAI	OAI	VAI	NAI
2.1	Inspection classification by farm size for each inspection completed this reporting period			0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
2.2	Inspections completed this reporting period by inspection type	Initial PSR Inspections	Initial-routine: surveillance inspection at normally scheduled frequency	0	0	0	0
2.3			Initial-for cause: an inspection to follow-up on a specific issue, such as an outbreak, consumer complaint, or positive sample, etc., where the inspection is also the farm's iniitial inspection	0	0	0	0
2.4		Non-initial PSR inspections	Routine: surveillance inspection at the farm's normally scheduled frequency	0	0	0	0
2.5			Follow-up: follow-up to a violative inspection; this would include an inspection of a farm completed after the state or FDA took a compliance or enforcement action at the farm	0	0	0	0
2.6			For-cause: a non-initial inspection to follow-up on a specific issue, such as an outbreak, consumer complaint, or positive sample, etc. This would include an inspection done at an expedited frequency due to possible conditions of concern	0	0	0	0
2.7			Other type (please discuss this if used)	0	0	0	0
2.8	OFRR conducted		Yes	0	0	0	0
2.9			No	0	0	0	0
2.10	Farm had a previous food safety audit		Yes	0	0	0	0
2.11			No	0	0	0	0
2.12	PSR Training source		PSA	0	0	0	0
			Alternate curricula	0	0	0	0
2.13			None	0	0	0	0

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Sheet 4: 3. Observations

3. Inspection Observations – Current Reporting Period
Regulation Category	FDA Form 4056 Item #	CFR Citation	All Observations	Large Covered Farms	Small Covered Farms	Very Small Covered Farms	Qualified Exempt (QE)	Commercial Processing Exempt (CPE)	Under 25K	# Observations reported on the 4056 that were corrected during the inspection
PSR Subpart C: Personnel Qualifications and Training	1	112.21 112.22	0
	2	112.23	0
	3	112.30	0
PSR Subpart D: Health and Hygiene	4	112.31	0
	5	112.32	0
	6	112.33	0
PSR Subpart E: Agricultural Water	7	112.41	0	N/A	N/A	N/A	N/A	N/A	N/A	N/A
	8	112.42	0	N/A	N/A	N/A	N/A	N/A	N/A	N/A	Note: The compliance dates for Subpart E were extended in a final rule dated 3/18/2019 (see 84 FR 9706).
	9	112.43	0	N/A	N/A	N/A	N/A	N/A	N/A	N/A
	10	112.44	0	N/A	N/A	N/A	N/A	N/A	N/A	N/A
	11	112.45	0	N/A	N/A	N/A	N/A	N/A	N/A	N/A
	12	112.46 112.47	0	N/A	N/A	N/A	N/A	N/A	N/A	N/A
	13	112.48	0	N/A	N/A	N/A	N/A	N/A	N/A	N/A
	14	112.50	0	N/A	N/A	N/A	N/A	N/A	N/A	N/A
PSR Subpart F: Biological Soil Amendments of Animal Origin and Human Waste	15	112.52	0
	16	112.53	0
	17	112.51 112.54 112.55 112.56	0
	18	112.60	0
PSR Subpart I: Domesticated and Wild Animals	19	112.83	0
PSR Subpart K: Growing, Harvesting, Packing, and Holding Activities	20	112.111	0
	21	112.112	0
	22	112.113	0
	23	112.114	0
	24	112.115	0
	25	112.116	0
PSR Subpart L: Equipment, Tools, Buildings, and Sanitation	26	112.123	0
	27	112.124	0
	28	112.125	0
	29	112.126	0
	30	112.127	0
	31	112.128	0
	32	112.129	0
	33	112.130	0
	34	112.131	0
	35	112.132	0
	36	112.133	0
	37	112.134	0
	38	112.140	0
PSR Subpart M: Sprouts	39	112.142	0
	40	112.143(a)	0
	41	112.143(b)	0
	42	112.144(a) 112.145 112.146	0
	43	112.144(b) 112.144(c) 112.147 112.148	0
	44	112.150	0
PSR Subpart O: Records	45	112.161-112.167	0
Other observations	46	N/A	0
Total observations			0	0	0	0	0	0	0	0

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Sheet 5: 4. Compliance

4. Compliance and Enforcement - Current Reporting Period
			Total	Large Covered Farms	Small Covered Farms	Very Small Covered Farms	Qualified Exempt (QE)	Commercial Processing Exempt (CPE)	Under 25K
4.1	Compliance and Enforcement actions completed this reporting period	Advisory actions (e.g. Regulatory letter, Regulatory meeting)	0
4.2		Administrative actions (e.g. Administrative detention, State embargo, State stop sale)	0
4.3		Fines/monetary penalties	0
4.4		Judicial actions (e.g. Seizure, Injuction, Prosecution)
4.5		Other (not inspection) (# and type)	0
4.6	Farms having compliance/enforcement action(s) completed this reporting period
4.7	Compliance follow-up inspections that were completed this reporting period. Compliance follow-up inspection: an inspection of a farm completed after the state or FDA took a compliance or enforcement action at the farm (see actions in rows 4.1-4.5 of this table).	Compliance follow-up inspections	0
4.8		Farms having a compliance follow-up inspection	0
4.9		Compliance follow-up inspections resulting in an improved inspection classification from the previous inspection	0
4.10		Farms having a compliance follow-up inspections resulting in an improved inspection classification from the previous inspection	0
4.11	Recalls resulting from a PSR inspection	Number of recalls	0
4.12		Total volume of products recalled	0

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Sheet 6: 5. Sprouts

5. Sprouts - Current Reporting Period
		Total	Large Farms	Small Farms	Very Small Farms	Qualified Exempt (QE)	Commercial Processing Exempt (CPE)	Under 25K
5.1	Farms conducting covered activities on Sprouts in state inventory	0
5.2	Joint with FDA subpart M sprout inspections this reporting period	0
5.3	Sprout compliance actions taken by the State during this reporting period	0