Title Page
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Administrative Review (Compliance)
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Site
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Conducted on
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Supervisor
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Location
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Breakfast Service
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Lunch Service
Cashier- Counting and Claiming
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- A coded number for use on the key pad?
- A coded bar line card for scanning?
- A verbal Identifier is used on the serving line in exchange for the meal
Verify the point of sale- Cafeteria Service
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1. The cashier is stationed at the end of the serving line, determines the meal selection is reimbursable and counts the meal by category?
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2. The cashier is stationed at the beginning of the serving line and a monitor is stationed at the end of the serving line to verify that each selection is reimbursable?
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3. Is there a trained substitute or backup cashier ?
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4. Is there a system in place to ensure that second meals are not claimed for reimbursement?
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5. Is there more than one serving line; are the counts from all lines properly consolidated?
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6. Is the mater roster list current?
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7. Are attendance-adjusted eligible students by category compared to daily meal counts for each school? (Accuclaim Edit Check)
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8. When the daily meal counts by category exceed the Average Daily Attendance (ADA) is the validity of the count examined and documented?
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9. Special Diet reviewed by cashier at the register to confirm proper food was provided? if no, what corrective action was taken?
Verify the point of sale- Satellite and in the classroom services
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1. Is there a system in place to ensure the distribution and retrieval of classroom meal rosters?
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2. Are meal rosters accurately recorded at the point of sale?
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3. Are meal rosters accurately tallied and accounted for?
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4. If meals are entered into the register system, does roster tally agree with the system meal count reported?
Meal Rosters
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Cafeteria staff delivers tally sheet before every meal and retrieved after each meal for totaling and recording into the POS system?
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Meals are recorded on provided tally sheet after each individual student is served a reimbursable meal?
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Is a new tally sheet provided weekly?
Special Diets
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Red folder/ Binder with Special Diet forms and menus inside the Managers office and in the kitchen?
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Special diet forms and menus out of the view of the public?
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Special diet items properly labeled, stored, not past expiration date, etc?
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Special diet items properly handled during preparation with respect to food safety? If no, what was the issue:
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Special diet trays were properly prepared and labeled for each student (initials only)?
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Special Diet pink tags are on the BIC coolers/thermals and cambros (if applicable)?
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Special Diet items properly listed on Special Diet Food Production Record and stored with the other Food Production Record for that meal service.
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Manager Signature
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Supervisor Signature