DA Form 7419 Army Community Service (Acs) Accreditation Checklist

DA Form 7419 - also known as the "Army Community Service (acs) Accreditation Checklist" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 7419 - was last revised on August 1, 2007. Download an up-to-date fillable PDF version of the DA 7419 below or request a copy through the chain of command.

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(NOTE: Pre-site
ARMY COMMUNITY SERVICE (ACS) ACCREDITATION CHECKLIST
materials are annotated
For use of this form, see AR 608-1; the proponent agency is ACSIM.
with an asterisk *)
10000 STRUCTURE
11000 CRITERIA FOR CENTER (PARA 1-6, AR 608-1)
11000.1 The ACS center has a staff in accordance with United States Army Manpower and Analysis Agency (USAMAA) staffing formula.
CAT 1 (Federal Managers' Financial Integrity Act of 1982)
*Review TDA/appointment orders (if under 500 military personnel), job description and USAMAA staffing formula.
Determine if ACS meets 90% of USAMAA staffing formula.
Determine if ACS director and program managers perform job 80% of the time.
Interview ACS director.
11000.2 An AFAP/AFTB program manager has been designated to manage these programs. CAT 1 (Federal Managers' Financial Integrity
Act of 1982)
*Review job description or statement of work.
Interview program manager.
Ensure AFTB program manager has attended, or is scheduled to attend, the AFTB Program Manager's Course within one year.
11000.3 The ACS center has a volunteer management program. CAT 1 (DODD 1342.17 and DODI 1342.22)
ACS has a volunteer manager and volunteer corps.
AFTB has a designated volunteer serving as the volunteer AFTB program manager.
Review volunteer AFTB program manager job description (includes detailed AFTB program manager responsibilities).
Interview volunteer AFTB program manager.
Verify volunteer AFTB program manager has attended the AFTB program manager course or is scheduled to attend within one year.
Verify volunteer AFTB program manager is a Master Trainer or is scheduled to attend a Master Training Course within one year.
Review roster of active ACS volunteers that includes the following information: name, telephone number, volunteer position and identification of
minors.
*Review appropriate volunteer standing operating procedure (SOP) that addresses volunteer operations.
12000 SERVICE DELIVERY MODEL (PARA 1-9, AR 608-1)
12000.1 A centralized intake is established to conduct initial interviews, assess individual and family needs, provide information and
make referrals within the center and to external agencies. CAT 1 (DODD 1342.17)
*Ensure the appropriate SOP addresses assessment of individual and family needs, provision of information and referrals.
Review reception sign-in sheets or alternative sign-in process.
Determine if case records are established IAW AR 608-1 and AR 25-400-2 and reflect assessment of individual and/or family needs, provision
of information and referrals.
DA FORM 7419, AUG 2007
Replaces DA Form 7419-R, OCT 2004.
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(NOTE: Pre-site
ARMY COMMUNITY SERVICE (ACS) ACCREDITATION CHECKLIST
materials are annotated
For use of this form, see AR 608-1; the proponent agency is ACSIM.
with an asterisk *)
10000 STRUCTURE
11000 CRITERIA FOR CENTER (PARA 1-6, AR 608-1)
11000.1 The ACS center has a staff in accordance with United States Army Manpower and Analysis Agency (USAMAA) staffing formula.
CAT 1 (Federal Managers' Financial Integrity Act of 1982)
*Review TDA/appointment orders (if under 500 military personnel), job description and USAMAA staffing formula.
Determine if ACS meets 90% of USAMAA staffing formula.
Determine if ACS director and program managers perform job 80% of the time.
Interview ACS director.
11000.2 An AFAP/AFTB program manager has been designated to manage these programs. CAT 1 (Federal Managers' Financial Integrity
Act of 1982)
*Review job description or statement of work.
Interview program manager.
Ensure AFTB program manager has attended, or is scheduled to attend, the AFTB Program Manager's Course within one year.
11000.3 The ACS center has a volunteer management program. CAT 1 (DODD 1342.17 and DODI 1342.22)
ACS has a volunteer manager and volunteer corps.
AFTB has a designated volunteer serving as the volunteer AFTB program manager.
Review volunteer AFTB program manager job description (includes detailed AFTB program manager responsibilities).
Interview volunteer AFTB program manager.
Verify volunteer AFTB program manager has attended the AFTB program manager course or is scheduled to attend within one year.
Verify volunteer AFTB program manager is a Master Trainer or is scheduled to attend a Master Training Course within one year.
Review roster of active ACS volunteers that includes the following information: name, telephone number, volunteer position and identification of
minors.
*Review appropriate volunteer standing operating procedure (SOP) that addresses volunteer operations.
12000 SERVICE DELIVERY MODEL (PARA 1-9, AR 608-1)
12000.1 A centralized intake is established to conduct initial interviews, assess individual and family needs, provide information and
make referrals within the center and to external agencies. CAT 1 (DODD 1342.17)
*Ensure the appropriate SOP addresses assessment of individual and family needs, provision of information and referrals.
Review reception sign-in sheets or alternative sign-in process.
Determine if case records are established IAW AR 608-1 and AR 25-400-2 and reflect assessment of individual and/or family needs, provision
of information and referrals.
DA FORM 7419, AUG 2007
Replaces DA Form 7419-R, OCT 2004.
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12000.2 A client tracking system is used to deliver services and help plan for the needs of the installation. CAT 2 (5 points)
Review the ACS client tracking system. (3 points)
*Ensure the appropriate SOP addresses client tracking system. (2 points)
12000.3 ACS has an information and referral resource file. CAT 1 (DODD 1342.17 and DODI 1342.22)
Ensure the resource file contains the following components:
An alphabetical index of all public, private and voluntary agencies and organizations with a reference to more detailed information
contained in each provider's file.
An alphabetical index of service headings with cross references.
Detailed information about agencies and organizations and services they provide.
Ensure service provider's file contains the information as stated in Appendix E, AR 608-1.
*Ensure the appropriate SOP addresses annual update of resource file and interim information changes.
12000.4 Center based services are supplemented with outreach to families identified as needing outreach services. CAT 1 (DODD
1342.17 and DODI 1342.22)
Review needs assessment data.
Review program activities to document services to identified families.
12000.5 An active Unit Service Coordinator (USC) Program has been established to provide the support units need. CAT 2 (5 points)
Review list of assigned USCs. (1 point)
Review monthly report of USC activities. (2 points)
Validate completion of unit needs assessment and follow on action plan. (2 points)
20000 OVERSIGHT
21000 ANNUAL REVIEW (PARA 2-12, AR 608-1)
21000.1 An annual review is conducted by the ACS director per paragraph 2-12, AR 608-1. A copy of the completed DA Form 7419 is
provided to the appropriate installation management control office and IMCOM Region. CAT 1 (Federal Managers' Financial Integrity
Act of 1982)
Review DA Form 7419 (ACS Accreditation Checklist) for those standards stated in paragraph 2-12, AR 608-1.
Ensure installation management control office and IMCOM Region have a copy of the latest DA Form 7419 on file.
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Review findings, recommendations and corrective actions.
21000.2 ACS conducts ACS Referrer Survey as part of ISR III. CAT 1 (Federal Manager's Financial Integrity Act)
Verify survey is completed by 4th Qtr of each fiscal year.
Review examples of survey and responses received.
Review current Installation Status Report III data to validate ACS achieved an overall score of at least 4.0 on the ACS Referrer Survey.
22000 STRATEGIC PLANNING (PARA 2-13, AR 608-1)
22000.1 ACS conducts a specialized needs assessment using a variety of methods to identify local demographics, target risk populations
and determine service emphasis. CAT 1 (DODI 1342.22)
Review surveys, customer feedback forms, training evaluations, minutes from customer focus groups and service request forms.
22000.2 Strategic planning session is convened at least annually with all ACS personnel to review and update five-year plan for ACS
services and resources. Needs assessments data is included in the strategic planning process. CAT 1 (Federal Managers' Financial
Integrity Act of 1982)
Review minutes to determine attendance at the annual meeting and if ACS five-year plan and needs assessment summary data are
updated.
Review five-year strategic plan.
Determine if ACS Strategic Plan is integrated into the Garrison Strategic Plan.
23000 RECORD KEEPING (PARAS 2-14 - 2-15, AR 608-1)
23000.1 All client data gathered is safeguarded per AR 340-21. CAT 1 (Federal Managers' Financial Integrity Act)
*Ensure appropriate SOP addresses security procedures.
Conduct onsite inspection.
23000.2 Case records are established per AR 25-400-2. CAT 1 (Federal Managers' Financial Integrity Act of 1982)
Review case records to determine compliance with AR 25-400-2.
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23000.3 DA Forms 5897 (ACS Client Case Record) and 5900 (ACS Group Sessions Log) are used to document client contacts. CAT 2 (5
points)
Review client contact logs. (2 points)
Review case records. (3 points)
23000.4 A personnel folder has been established for all paid staff. CAT 2 (5 points)
Ensure paid staff personnel files include, at a minimum, the individual development plan. performance standards, position description, awards
and latest personnel action. (5 points)
24000 REPORTING (PARA 2-17, AR 608-1)
24000.1 The DA Form 3063 (ACS Management Report), DA Form 7255 (AFAP Report) and DA Form 7497 (AFTB Report) are updated. CAT
1 (Federal Managers' Financial Integrity Act of 1982)
*Review DA Form 3063 for completeness and monthly update.
*Review DA Form 7255 and DA Form 7497 for completeness and quarterly update.
30000 MANAGEMENT
31000 FUNDING (PARAS 3-1 - 3-2, AR 608-1)
31000.1 ACS director prepares and tracks annual ACS budget and spending plans, POM submissions, shortfalls and unfunded
requirements. The OSD funds are tracked as separate line items on all installation and ACS budget and spending plans. CAT 1
(Federal Managers' Financial Integrity Act of 1982)
Review budget submission document.
Review spreadsheets for execution of dollars.
31000.2 OSD relocation and family advocacy funds are executed per DIMCOM guidance. CAT 1 (Federal Managers' Financial Integrity
Act of 1982)
Review interagency fiscal records.
Ensure DA Form 3063 accurately reflects that funds are executed according to budget guidance.
Interview installation comptroller DMWR budget person.
31000.3 Strategic planning is the basis for long-range ACS budget plans and current execution. CAT 2 (5 points)
Determine if the ACS strategic plan is integrated into the garrison strategic plan. (2 points)
Ensure ACS has a five-year budget plan. (2 points)
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Ensure spreadsheets reflect current execution. (1 point)
31000.4 ACS director follows proper procurement practices. CAT 1 (Federal Managers' Financial Integrity Act of 1982)
*Ensure appropriate SOP addresses procurement procedures.
Review procurement actions.
32000 PERSONNEL (PARA 3-5, AR 608-1)
32000.1 Performance expectations are clearly established and documented for military and civilian staff. Feedback is given throughout
the year. CAT 2 (5 points)
Review roster of paid staff. (1 point)
Review position descriptions. (2 points)
Interview paid staff. (2 points)
33000 TRAINING (PARAS 3-6 - 3-7, AR 608-1)
33000.1 ACS paid staff are provided on the job training, in-service training and the opportunity to attend appropriate military and
civilian professional conferences. CAT 2 (5 points)
Review roster of paid staff. (1 point)
Review paid staff training records. (1 point)
Validate that ACS director has attended the ACS Management Course within the past 5 years or is scheduled to attend. (3 points)
33000.2 ACS paid staff receives orientation training to include MWR Orientation Course online within 45 days of employment. CAT 1
(DODI 1342.22)
Review roster of paid staff.
Review staff training records.
34000 PHYSICAL PROPERTY (PARAS 3-8 - 3-9, AR 608-1)
34000.1 A procedure is in place that controls inventory of physical property such as, but not limited to furnishings, copy machines, fax
machines, audiovisual equipment, telephone systems and so forth as required by the installation. CAT 1 (Federal Managers' Financial
Integrity Act of 1982)
Review system of property accountability.
Review hand receipts.
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Download DA Form 7419 Army Community Service (Acs) Accreditation Checklist

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