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BK: 00025 PG: 0490 Page 3 of 4 <br />Health Specialist by May 31, 2013. The Local Health Department agrees to incorporate the approved plan <br />into their Food and Lodging program. <br />TV. Performance Measures/Renortine Requirements <br />The Local Health Department shall ensure funds are used for food, lodging, and institution sanitation <br />programs and activities in accordance with GS 130A- 248(d) at all times. <br />V. Performance Monitoring and Quality Assurance <br />DPH will review annual required inspection data submitted electronically to the BETS data system to <br />assure required food, lodging and institutional inspections are completed at the frequency required. Failure <br />to complete required inspections or if deficiencies persist, will cause the Local Health Department to lose <br />funding. <br />During program monitoring activities Regional Environmental Health Specialist may review <br />documentation that the approved Quality Assurance plan is being implemented. <br />VL Fundine Guidelines or Restrictions (if applicable) <br />The Local Health Department is required to submit a signed and completed Food & Lodging Local Health <br />Department Request for Payment form (DPH EH 2948 (B)) to request funds. Reimbursement will not be <br />made until this Agreement Addendum and the attached Food & Lodging Local Health Department Budget <br />form (DPH EH 2948 (A)) are fully executed. Requests for Payment shall be requested during the period <br />April 1, 2013 through June 8, 2013. Requests received after June 8, 2013 will not be processed. <br />Revised 9/26/11 <br />