FSD Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• Classroom # and Teachers Names

Breakfast Meal

• Parents dropping children off after breakfast has ended in the classroom, stay with their child while they eat? (Delegate specific)

  Yes

  No

  N/A

• Every child is offered breakfast no matter what time the arrive

  Yes

  No

  N/A

Required Paperwork/Documentation in classroom

• There are a special diet and substitution list in the classroom

  Yes

  No

  N/A

• The classroom has both a parent menu and cooks menu with portion sizes.

  Yes

  No

  N/A

• CACFP is marked off at the point of service. (As each child is serving themselves or being offered the food)

  Yes

  No

  N/A

At the Table

• A full set of utensils is served at breakfast and lunch

  Yes

  No

  N/A

• If a third table is being used, it has the same utensils, plates, etc.

  Yes

  No

  N/A

• Spoons have serving sizes on them. ( If not teachers should ask kitchen what size the spoons is)

  Yes

  No

  N/A

• Kitchen staff set the food on the table, and place the right serving spoodle on each bowl or plate.

  Yes

  No

  N/A

• Children are seated at the table and ready when the food arrives.

  Yes

  No

  N/A

• There is a separate serving utensil for each item

  Yes

  No

  N/A

• Children were observed setting the table

  Yes

  No

  N/A

• Teachers are on schedule (children are ready at meal time)

  Yes

  No

  N/A

• Gloves are not worn unless the teacher is touching the child's food. (single use only)

  Yes

  No

  N/A

• Teachers are aware of how many items a child should have. (ex. 4 chicken nuggets)

  Yes

  No

  N/A

• Teachers and children sit together to eat while engaging in conversation

  Yes

  No

  N/A

• Teachers are encouraging children to take a full serving of every item offered for the meal. If the child refuses did the teacher offer the item again?

  Yes

  No

  N/A

• All the food is served in the correct amount to all each child to receive a portion. Seconds on milk, fruit, and vegetables should be available.

  Yes

  No

  N/A

• Allergy substitutions are provided when the meal is served: including milk and food

  Yes

  No

  N/A

• Milk is delivered to the classroom and placed on the table, in quantities allowing for each child to take the full serving.

  Yes

  No

  N/A

• Teachers are modeling the correct amount of milk in their glass AND encouraging children to take a full portion.

  Yes

  No

  N/A

• The teacher is seated at the table and modeling for children. Did you observe the teacher serving herself first?

  Yes

  No

  N/A

• Children are allowed to eat as soon as they serve themselves any number of items. They are not told they must wait to have all items or until their friends have all items.

  Yes

  No

  N/A

• Children are encouraged to drink their milk

  Yes

  No

  N/A

• Snack is served, family style

  Yes

  No

  N/A

Kitchen Staff

• Food was not delivered more than 5 minutes before lunchtime, or allowed to sit out for more than 10 minutes before eating.

  Yes

  No

  N/A

• The kitchen notified teachers of any menu substitutions

  Yes

  No

  N/A

EHS

• Infants observed being bottle fed, were not laid down or propped up during feeding. They are to be held, or if developmentally ready may be in a highchair at the table, if it is meal time.

  Yes

  No

  N/A

• Toddler food is cut up into appropriate developmentally sized portions

  Yes

  No

  N/A

• Transitioning infant/toddlers are allowed to eat table food when ready

  Yes

  No

  N/A

• Yes

  No

  N/A

• Food is served in a bowl or plate, never directly on the table.

  Yes

  No

  N/A

• Yes

  No

  N/A

• The And Justice for All Poster is visible to all participants

• WIC information is posted on the parent board

• A current parent menu is posted

• Building for the future flyer is posted