Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

CLASSROOM

  • Classroom

CACFP

  • Point of service meal counts are taken for all meals

SPECIAL DIETS

  • Current special diet list is located in the classroom binder

  • Teacher is aware of the SD children in their classroom

ACTIVE SUPERVISION

  • Daily tracker is complete, children are signed in/out by parent/guardian

  • Name to face counts are taken

  • Tracker codes are properly used, i.e. P-Playground, B-Bathroom, etc.

DAILY SCHEDULE

  • Daily schedule is posted

  • Daily schedule is followed

LESSON PLAN

  • Lesson plan is posted

CHECKLISTS

  • Classroom Daily H&S Checklist is complete

  • Center Director Daily H&S Checklist is complete

PLAYGROUND ZONES

  • Playground zone map is posted

  • Staff are located in the correct playground zone(s).

CLASSROOM

CACFP

  • Point of service meal counts are taken for all meals

SPECIAL DIETS

  • Current special diet list is located in the classroom binder

  • Teacher is aware of the SD children in their classroom

ACTIVE SUPERVISION

  • Daily tracker is complete, children are signed in/out by parent/guardian

  • Name to face counts are taken

  • Tracker codes are properly used, i.e. P-Playground, B-Bathroom, etc.

DAILY SCHEDULE

  • Daily schedule is posted

  • Daily schedule is followed

LESSON PLAN

  • Lesson plan is posted

CHECKLISTS

  • Classroom Daily H&S checklist is complete

  • Center Director Daily H&S checklist is complete

PLAYGROUND ZONES

  • Playground zone map is posted

  • Staff are located in the correct playground zone(s).

CLASSROOM

CACFP

  • Point of service meal counts are taken for all meals

SPECIAL DIETS

  • Current special diet list is located in the classroom binder

  • Teacher is aware of the SD children in their classroom

ACTIVE SUPERVISION

  • Daily tracker is complete, children are signed in/out by parent/guardian

  • Name to face counts are taken

  • Tracker codes are properly used, i.e. P-Playground, B-Bathroom, etc.

DAILY SCHEDULE

  • Daily schedule is posted

  • Daily schedule is followed

LESSON PLAN

  • Lesson plan is posted

CHECKLISTS

  • Classroom Daily H&S checklist is complete

  • Center Director Daily H&S Checklist is complete

PLAYGROUND ZONES

  • Playground zone map is posted

  • Staff are located in the correct playground zone(s).

CLASSROOM

CACFP

  • Point of service meal counts are taken for all meals

SPECIAL DIETS

  • Current special diet list is located in the classroom binder

  • Teacher is aware of the SF children in their classroom

ACTIVE SUPERVISION

  • Daily tracker is complete, children are signed in/out by parent/guardian

  • Name to face counts are taken

  • Tracker codes are properly used, i.e. P-Playground, B-Bathroom, etc.

DAILY SCHEDULE

  • Daily schedule is posteed

  • Daily schedule is followed

LESSON PLAN

  • Lesson plan is posted

CHECKLISTS

  • Classroom Daily H&S Checklist is complete

  • Center Director Daily H&S Checklist is complete

PLAYGROUND ZONES

  • Playground zone map is posted

  • Staff are located in the correct playground zone(s).

CLASSROOM

CACFP

  • Point of service counts are taken for all meals

SPECIAL DIETS

  • Current special diet list is located in the classroom binder

  • Teacher is aware of their SD children in their classroom

ACTIVE SUPERVISION

  • Daily tracker is complete, children are signed in/out by parent/guardian

  • Name to face counts are taken

  • Tracker codes are properly used, i.e. P-Playground, B-Bathroom, etc.

DAILY SCHEDULE

  • Daily schedule is posted

  • Daily schedule is followed

LESSON PLAN

  • Lesson plan is posted

CHECKLISTS

  • Classroom Daily H&S Checklist is complete

  • Center Director Daily H&S Checklist is complete

PLAYGROUND ZONES

  • Playground zone map is posted

  • Staff are located in the correct playground zone(s).

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