Cafeteria Operation After School Care (01/17)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

After School Care Program

• 1. Does this site offer an After School Care Program? If yes, when did the program begin and what type of enrichment program is offered?

  Yes

  No

  N/A

• 2. If yes, was the first onsite review conducted within the first four weeks of the program? Date of review? Is counting and claiming being conducted according to TDA?

  Yes

  No

  N/A

• Additional Comments:

• Scoring Exceeds Expectation 95-100 Meets Expectation 85-94 Needs Improvements 75-84 Unsatisfactory 74- or Less

• Manager Signature

  Sign

• Supervisor Signature

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