SAISD ADMINISTRATIVE REVIEW

• Conducted on

  Date

• CAMPUS

• SUPERVISOR'S NAME

• PROGRAM (SBP, NSLP, ETC.)

MEAL COMPONENTS & QUANTITIES

• WERE ALL REQUIRED MEAL COMPONENTS AVAILABLE ON EVERY REIMBURSABLE MEAL LINE TO ALL PARTICIPATING STUDENTS PRIOR TO THE BEGINNING OF SERVICE AND DURING MEAL SERVICE?

  Yes

  No

  N/A

• DID ALL MEALS OBSERVED FOR THE DAY OF REVIEW COUNTED FOR REIMBURSEMENT CONTAIN ALL REQUIRED MEAL COMPONENTS?

  Yes

  No

  N/A

• DO PORTION SIZES MEET THE MIN AMTS PER MEAL PATTERN REQUIREMENTS AND PLANNED MENU FOR THE DAY OF REVIEW?

  Yes

  No

  N/A

• WAS FLUID MILK AVAILABLE IN AT LEAST 2 REQUIRED VARIETIES THROUGHOUT THE SERVING PERIOD ON ALL MEAL SERVICE LINES?

  Yes

  No

  N/A

• IF MILK SUBSTITUTIONS ARE MADE, ARE THEY ALLOWABLE?

  Yes

  No

  N/A

• IF THE SCHOOL HAS ELECTED TO SERVE MEALS USING THE FAMILY STYLE METHOD, ARE THEY USING THE METHOD SPECIFIED IN FNS INSTRUCTION 783-9?

  Yes

  No

  N/A

• HAS THE SCHOOL COMPLIED WITH THE PLANNED MENUS FOR THE DAY OF REVIEW?

  Yes

  No

  N/A

• DID ALL OBSERVED MEALS DURING THE REVIEW PERIOD (PRODUCTION RECORDS, ETC.) INDICATE THAT ALL OF THE REQUIRED MEAL COMPONENTS WERE OFFERED AND SERVED TO STUDENTS?

  Yes

  No

  N/A

• IF MENU CHANGES ARE BEING MADE FOR STUDENTS WITH DISABILITIES, IS THE PROPER SPECIAL DIET PAPERWORK ON FILE?

  Yes

  No

  N/A

OFFER VS. SERVE

• IS OVS BEING IMPLEMENTED PROPERLY BY THE REVIEWED SCHOOL?

  Yes

  No

  N/A

• IS THERE SIGNAGE EXPLAINING WHAT CONSTITUTES A REIMBURSABLE MEAL TO STUDENTS?

  Yes

  No

  N/A

• DO THE CASHIERS DEMONSTRATE A CLEAR UNDERSTANDING OF OVS AND THE REIMBURSABLE MEAL?

  Yes

  No

  N/A

CIVIL RIGHTS

• IS THE USDA "JUSTICE FOR ALL" POSTER DISPLAYED IN A PROMINENT LOCATION AND VISIBLE TO RECEIPIENTS OF BENEFITS?

  Yes

  No

  N/A

• PROGRAM BENEFITS MADE AVAILABLE TO ALL CHILDREN WITHOUT DISCRIMINATION?

  Yes

  No

  N/A

COMPETITIVE FOOD SERVICES

• ARE THERE FMNV AVAILABLE IN ANY FOOD SERVICE AREA DURING ANY OF THE MEAL PERIODS?

  Yes

  No

  N/A

WATER

• IS FREE POTABLE WATER AVAILABLE TO PROGRAM PARTICIPANTS IN EACH LUNCH MEAL SERVICE?

  Yes

  No

  N/A

FOOD SAFETY

• WERE TEMP LOGS AVAILABLE FOR REVIEW?

  Yes

  No

  N/A

• WERE STORAGE VIOLATIONS OBSERVED?

  Yes

  No

  N/A

• IS A COPY OF THE WRITTEN FOOD SAFETY PLAN AVAILABLE?

  Yes

  No

  N/A

• ARE THE 2 MOST RECENT FOOD SAFETY INSPECTIONS AVAILABLE?

  Yes

  No

  N/A

• IS THE MOST RECENT FOOD SAFETY INSPECTION REPORT POSTED IN A PUBLICLY VISIBLE LOCATION?

  Yes

  No

  N/A

• WERE HACCP VIOLATIONS OBSERVED?

  Yes

  No

  N/A