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Conditions for Granting, Maintaining, Extending, Reducing, Suspending or Placing on Probation and Withdrawing Accreditation

PUBLIC PROCEDURE CFP-PR-819 Issued: 2014-10-24, Revision: 0

References ANSI-TP-002: Agreement of Accreditation and Monitoring of Conformity Assessment Bodies (CABs)
CFP-PL-802: Manual of Operations: ANSI-CFP Accreditation Program For Certifiers Of Food Protection Managers
CFP-PR-815: Application and Initial Assessment Process
CFP-PR-822: Fees - Accreditation of Personnel Certification Programs Utilizing the Conference for Food Protection (CFP) Standards
CFP-PR-827: Rules Governing the Use of the ANSI-CFP Accreditation Symbol or Reference to ANSI-CFP Accreditation
1.1Objective of this procedure is to document the process of granting of initial accreditation as well as maintaining, extending, reducing, suspending and withdrawing accreditation by ANSI-CFP Accreditation Committee (herein, ACAC) for the certification body (herein, CB).
2.1NCR: nonconformity
2.2ACAC: The ANSI-CFP Accreditation Committee
3The Initial Decision on Accreditation
3.1The ACAC is responsible for reviewing the assessment report to ensure the assessors’ findings on nonconformities (herein, NCRs) are substantiated and consistent.
3.2ACAC then votes on granting accreditation. ACAC may approve the assessment report with NCRs as well as corrective action plans for removing the NCRs. ACAC will request ANSI staff to inform the CB of the specific date for the completion of the corrective actions.
3.2.1Possible actions by ACAC to approve the accreditation status of the certification body are:
a)ACCREDITATION: certification body has successfully complied with all requirements of the Standards For Accreditation of Food Protection Manager Certification Program, and all NCRs found have been closed. Accreditation is for five years until the next scheduled reassessment has been completed.
b)ACCREDITATION DENIED: Action taken regarding a certification body that has applied for initial accreditation with ANSI and has not been able to close NCRs over the period of time granted by ACAC, and the certification body has not voluntarily withdrawn from the process.
c)SUSPENSION OF ACCREDITATION: Action for temporary invalidation of the statement of conformity, for all or part of the specified scope of accreditation of the certification body. A specific statement shall be issued indicating the specific scope of accreditation that is not being fulfilled. This is not an accredited category and the ANSI accreditation symbol cannot be used during this period of time in association with the specified scope.
d)PROBATIONARY ACCREDITATION: Probationary action is taken when a currently accredited certification Body has one or more NCRs regarding the requirements of the Standards For Accreditation of Food Protection Manager Certification Program and has not been able to close these NCRs over a period of time granted by ACAC. The terms of the probation will designate an additional agreed upon period of time for the NCRs to be closed. Failure to close NCRs within the period of probation may result in accreditation being suspended or withdrawn. This category is considered an accredited category and does not affect the issuance of certificates.
e)ACCREDITATION WITHDRAWN: Removal of accreditation status from a certification body due to inability to close NCRs or meet accreditation requirements.
f)MAINTAINING ACCREDITATION: Successfully demonstrates through an annual surveillance process that all of the accreditation requirements have been met over the past twelve months. ACAC will provide oversight of the assessors regarding the review of NCRs identified to see if the actions appear to be sufficient and effective.
3.3Following the approval by ACAC, ANSI staff shall promptly notify the applicant in writing of the accreditation action. No verbal notification will occur.
3.4In cases where applicants have failed to address NCRs within the agreed-upon timeframes that are determined by the assessors and ACAC, ACAC may vote to deny accreditation. ANSI staff shall promptly notify the applicant in writing and include the basis for the Committee's decision along with information on any additional steps to be taken by the applicant. Even when the decision is denial of accreditation, all fees associated with this review process must be paid. The applicant may appeal this ACAC decision in accordance with ANSI’s appeals procedures.
3.4.1The applicant may choose to re-apply for ANSI for accreditation at any time after accreditation has been denied. The applicant must begin the ANSI process from the beginning, including the preliminary application to enter the accreditation process and payment of all relevant fees.
4Maintenance of Accreditation during Surveillance and Reassessment
4.1Results of surveillance or reassessment, including reports, NCRs along with corrective actions, opportunities for improvement (herein, OFIs) and commendations, are reviewed by ACAC.
4.2ACAC shall either vote to grant continued accreditation, in those cases when there have been no NCRs identified or all have been closed, or to request further corrective actions, providing the CB with the due date. Depending on the severity of NCRs and the length of time taken by the CB to provide corrective actions, ACAC may vote to suspend or withdraw accreditation or place the CB on probation.
5Extension and Reduction of Scope of Accreditation
5.1Extension of scope
5.1.1Decisions on scope extension are reviewed by ACAC in a manner similar to the review of initial accreditation decisions. In many cases scope extension is sought by the accredited CB during their regular surveillance and reassessment cycle. In such case, the regular annual assessment shall include an assessment of the scopes (certificate additional programs) submitted for scope extension. However, ANSI shall also review stand-alone scope extension requests and shall conduct (as a minimum) a document review and, if necessary, an onsite assessment.
5.1.2Scope extension fee as documented in the fee schedule procedure is payable upon submission of the request by the accredited CB.
5.1.3NCRs identified during a scope extension assessment may apply to all accredited programs.
5.2Reduction of scope
5.2.1ACAC may decide to vote to reduce the scope of accreditation of a CB if some of its accredited programs have been found not to conform to the requirements. A vote to reduce the scope of accreditation does not signify suspension of the CB or withdrawal of accreditation.
5.2.2Accredited CB may choose to voluntarily request reduction in the scope of its accreditation at any time by submitting a written notice to ANSI.
6Probationary Accreditation, Suspension and Withdrawal of Accreditation
6.1If a CB has failed to correct one or more NCRs within a designated timeframe, ACAC may place it on probationary accreditation. Once placed on probationary accreditation, the CB shall be given a reasonable period of time to correct the NCRs with a warning that failure to do so may result in a ACAC vote to suspend or withdraw accreditation.
6.2ACAC shall hold a vote to withdraw ANSI accreditation from a CB if any of the following occurs:
a)filing of any voluntary or involuntary petition of bankruptcy;
b)liquidation of the business or the organization;
c)discontinuance of the accredited certification program;
d)CB’s failure to correct a NCR in its program that has been requested by ANSI;
e)misuse of the ANSI accreditation symbol;
f)it is revealed that the information contained in the original application or subsequent reports is fraudulent;
g)failure to comply with ANSI policies and procedures, including the failure to pay the accreditation fees.
6.3If at any time during the term of the Accreditation Agreement the CB defaults in any way on its obligations to ANSI, ANSI shall call this administrative infraction to the attention of the organization for immediate correction. ANSI communication to the CB shall include a notice that if the administrative matter is not corrected within a specified timeframe, it will be brought to the attention of ACAC, which may vote to place the organization on probationary accreditation. If the matter remains unresolved, ACAC shall be notified and may vote to withdraw accreditation of the CB.
6.4An accredited CB has the right to voluntarily withdraw its ANSI accreditation at any time for any reason. Request for withdrawal must be submitted in writing by an authorized representative of the organization.
6.5ACAC may vote to suspend accreditation of one or more accredited certification programs belonging to the accredited CB. Reasons of suspension may include lack of resolution of NCRs or violation of ANSI policies or procedures, including the terms of the Accreditation Agreement. Suspension decision must be accompanied by a defined timeframe during which the CB must address the underlying problems or face the further ACAC decision on withdrawal of accreditation.
6.6Upon withdrawal or suspension of its accreditation, a CB must discontinue use of the ANSI accreditation symbol, all advertising material which references the ANSI-CFP Accreditation Program and return any accreditation documents deemed appropriate including its accreditation certificate to ANSI.

How is accreditation like an onion?