SBISD CNS Accuclaim Onsite Monitoring Form

• Conducted On:

  Date

• Prepared By:

  Sign

• Location

  Select Memorial High School Spring Woods High School Northbrook High School Stratford High School Westchester AIS Cornerstone/SOC Landrum Middle School Memorial Middle School Spring Branch Middle School Spring Woods Middle School Spring Forest Middle School Spring Oaks Middle School Northbrook Middle School Bendwood Elementary Bunker Hill Elementary Edgewood Elementary Frostwood Elementary Holibrook Elementary Housman Elementary Hunters Creek Elementary Meadow Wood Elementary Memorial Drive Elementary Pine Shadows Elementary Ridgecrest Elementary Rummel Creek Elementary Shadow Oaks Elementary Spring Branch Elementary Valley Oaks Elementary Westwood Elementary Woodview Elementary Wilchester Elementary Sherwood Elementary Spring Shadows Elementary Nottingham Elementary Terrace Elementary Thornwood Elementary Cedar Brook Elementary Treasure Forest Elementary Buffalo Creek Elementary Wildcat Way School Panda Path School Lion Lane School Bear Blvd. School Tiger Trail School

  • Memorial High School
  • Spring Woods High School
  • Northbrook High School
  • Stratford High School
  • Westchester AIS
  • Cornerstone/SOC
  • Landrum Middle School
  • Memorial Middle School
  • Spring Branch Middle School
  • Spring Woods Middle School
  • Spring Forest Middle School
  • Spring Oaks Middle School
  • Northbrook Middle School
  • Bendwood Elementary
  • Bunker Hill Elementary
  • Edgewood Elementary
  • Frostwood Elementary
  • Holibrook Elementary
  • Housman Elementary
  • Hunters Creek Elementary
  • Meadow Wood Elementary
  • Memorial Drive Elementary
  • Pine Shadows Elementary
  • Ridgecrest Elementary
  • Rummel Creek Elementary
  • Shadow Oaks Elementary
  • Spring Branch Elementary
  • Valley Oaks Elementary
  • Westwood Elementary
  • Woodview Elementary
  • Wilchester Elementary
  • Sherwood Elementary
  • Spring Shadows Elementary
  • Nottingham Elementary
  • Terrace Elementary
  • Thornwood Elementary
  • Cedar Brook Elementary
  • Treasure Forest Elementary
  • Buffalo Creek Elementary
  • Wildcat Way School
  • Panda Path School
  • Lion Lane School
  • Bear Blvd. School
  • Tiger Trail School
Attendance Factor .95

I. Application Approval

• 1. Are applications approved at this school?

  Yes

  No

  N/A

• Responsible Party?

• 2. Are applications on file correctly approved?

  Yes

  No

  N/A

II. Direct Certification

• 1. Is direct certification correctly utilized by the school?

  Yes

  No

  N/A

• 2. If Yes, is required documentation maintained at the CE Level?

  Yes

  No

  N/A

III. Master List

• 1. Is a master list used in the meal system?

  Yes

  No

  N/A

• 2. Do names listed on the master list match approved applications on file and on the direct certification list?

  Yes

  No

  N/A

• 3. If more than one list is used (e.g. POS and classroom roster, cashier down form, teachers list), then are all lists the same?

  Yes

  No

  N/A

• 4. Are all lists updated as needed?

  Yes

  No

  N/A

IV. Meal Count System

• 1. Does the meal count system produce an accurate count of reimbursable meals (free/reduced-price/paid) served to eligible children?

  Yes

  No

  N/A

• a. Is the implemented collection procedure the approved collection procedure?

  Yes

  No

  N/A

• b. Is the method used for counting reimbursable meals in compliance with the approved point of service requirement?(Meal counts must be taken at the location where complete meals are served to children)

  Yes

  No

  N/A

• c. Is the meal count is not taken at the end of the foodservice line does the school have a system to account for reimbursable meals? (ex. PK centers and Breakfast in the classroom)

  Yes

  No

  N/A

• d. Is the point-of-service meals count used to determine the school's claim for for reimbursement

  Yes

  No

  N/A

• e. Is the person responsible for monitoring meals correctly identifying reimbursable meas? (cashier or teacher in classroom)

  Yes

  No

  N/A

• f. Is there a method of identifying non-reimbursable meals (i.e. non meeting meal pattern requirements, seconds, adult meals, etc.), distinguishing them from reimbursable meals?

  Yes

  No

  N/A

• g. Is someone trained as a backup for the monitor and the meal counter?

  Yes

  No

  N/A

• h. Does the collection procedure in use ensure that only one meal per child per day is claimed for reimbursement? (is the manager checking the student participation/ students from other schools report daily?)

  Yes

  No

  N/A

• 2. Does the meal count system prevent overt identification?

  Yes

  No

  N/A

• a. Is the medium of exchange made available to all students at the same location? ( can all students use their Id number or name to identify themselves?)

  Yes

  No

  N/A

• b. Does the medium of exchange use accepted codes for identifying students as free, reduced price or paid? (111, 112, 113 when seen on the POS)

  Yes

  No

  N/A

• 3. Does the school have a back-up counting system in case of mechanical failure of the automated system and do staff know when and how to implement it? (look for the updated roster or the cashier down form at the register)

  Yes

  No

  N/A

• 4. Is the school correctly implementing policies for handling the following issues?

• a. Incomplete Meals? (is the cashier making suggestions or charging ala carte prices)

  Yes

  No

  N/A

• b. Second Meals? (is the cashier writing down the number of any student who rings up "2nd meal" is the manager checking the duplicate meals report)

  Yes

  No

  N/A

• c. Lost, stolen, misused, forgotten or destroyed tickets, tokens, IDs, PINs (are students who don't know their ID's being looked up or written down for later input?)

  Yes

  No

  N/A

• d. Adult and non-student meals (and identifying program vs. non program) (i.e. child care is being rung up correctly)

  Yes

  No

  N/A

• e. A la carte (extra items and snacks being entered at the correct price?)

  Yes

  No

  N/A

• f. Student worker meals (N/A)

  Yes

  No

  N/A

• g. Field Trips (are rosters being marked correctly?)

  Yes

  No

  N/A

• h. Charged and/or prepaid meals (are account balances available and updated properly)

  Yes

  No

  N/A

• i. Offer vs. Serve (are students allowed to refuse 2 items?)

  Yes

  No

  N/A

V. Meal Count Recording and Edit Checks

• 1. Does the school use proper procedures for counting and recording meals? (can you ensure 1 meal per student?)

  Yes

  No

  N/A

• 2. For any day during the review month, does the number claimed for free and reduced-price meals exceed the number of free and reduced-price eligible students? (look at the edit check report after all meals are served for the day)

  Yes

  No

  N/A

• 3. For any day during the review month, does the number of meals claimed exceed the attendance factor? (look at the edit check after all meals are served for the day)

  Yes

  No

  N/A

• 4. Does the school have proper procedures to manage and safeguard cash? (is the school equipped to accept cash if necessary for any menu item and all patron types?)

  Yes

  No

  N/A

• 5. Are daily counts correctly totaled and recorded? (do the number of meals on the edit check match the meals on the food production record?)

  Yes

  No

  N/A

• 6. If claims are aggregated, are the meal counts correctly totaled and consolidated? (if bulk free, reduced, paid meals are entered)

  Yes

  No

  N/A

• 7. Are internal controls (edits, monitoring, etc.) established to ensure that daily meal counts do not exceed the number of students eligible or in attendance and that an accurate claim for reimbursement is made? (manager checks daily edit checks, make and report problems as needed)

  Yes

  No

  N/A

• 8. Record today's meal counts by category and compare to the number of students eligible by category

• Free: Approved/Claimed

• Reduced: Approved/Claimed

• Paid: Approved/Claimed

Note: The following two questions are or all CEs except for CEs on Provision 2 in non-base years or RCCIs with only residential children.

• 9. Is the current eligibility list kept up-to-date and used by the meal count system to provide an accurate daily count of reimbursable meals by category (free,reduced-price, paid)? (are the POS computers working properly and updating students eligibilities and being left on overnight and restarted in the mornings?)

  Yes

  No

  N/A

• 10. If applicable, are edit checks completed and documented which compare the daily counts of free, reduced-price and paid lunches against the product of the number of children currently eligible for free, reduced-price and paid lunches respectively, times an attendance factor (and any discrepancies accounted for)? (if new student key is used are students names listed on report? are an students from other schools entered verified?)

  Yes

  No

  N/A

VI. Results of Review

• 1. Is corrective action plan required?

  Yes

  No

  N/A

• 2. Is a follow-up review required?

  Yes

  No

  N/A

VII. Comments, Notes and Observations During the Review

VIII. Suggest Corrective Action (follow-up in 45 days)

Signatures

• Reviewer Signature

  Sign

• Manager Signature

  Sign