Information

  • Agency:

  • Site:

  • Site Staff Responsible for Meal Counts:

  • Conducted on

  • Meal Observed

  • Arrival Time:

  • Departure Time:

  • MONITOR THE ENTIRE MEAL COUNT PROCEDURE BY OBSERVATION AND INTERVIEW - FROM BENEFIT ISSUANCE UNTIL MEALS ARE COUNTED AND RECORDED ON THE REPORT TO THE DISTRICT OFFICE and ANSWER THE FOLLOWING QUESTIONS. DOCUMENT ANY ISSUES NEEDING CORRECTIVE ACTION.

  • ENTER TODAY'S MENU

  • 1. Does the meal count system at the site match what is described in the collection procedures for the site? Where is a copy of the procedures kept for easy reference?

  • 2. Menu planning approach Enhanced (EFBMP)

  • 3. How many menu items or components must a student select today?

  • 4. Do all meals served meet the menu pattern requirements?

  • 5. Does the count system insure that only complete meals are claimed for reimbursement?

  • 6. Are meal counts taken at the point of service or a School Program approved alternate? Describe:

  • 7. Does the count system prevent overt identification of the eligible needy?

  • 7 a. Explain coding system:

  • 8. Does the count system accurately capture the number of reimbursable free, reduced price, and pain meals served to eligible children on a daily basis?<br>Record today's meal counts

  • Free

  • Reduced

  • Paid

  • 9.​ Are daily meal counts accurately recorded and reported to the district office?

  • 10.​ Is a civil rights poster displayed in a prominent location at this site?

  • 11. ​Is the wellness policy posted in public view in the cafeteria or other central eating area?

  • 12.​ Is the most recent food safety inspection or notice advising the public of the availability of its review posted?

  • 13.​ Is staff following HACCP plan and standard operating procedures?

  • 14. ​Are thermometers located in all refrigerators and freezers and temperatures documented daily?

  • Any “NO” response to questions 1 through 14 requires sponsor corrective action and follow-up within 45 days.

  • 15.​ Make sure your system does not include any of the following incorrect/inaccurate practices?

  • a. One or more category counts are not "backed-out" (subtracting out meals from total meal counts to <br>determine free, reduced price, and/or paid category counts).

  • b. Pre-counts (morning counts, ordering counts) are not used for the meal count claim.

  • c. The count system does not rely on memory or visual identification for eligibility determination.

  • d. Special groups (i.e. pre-school, kindergarten, special education, field trips) are not counted using a different system that has not been approved and/or does not meet the criteria for an adequate count system.

  • e. Student cafeteria worker earned meals are not claimed as free regardless of the eligibility category in which the child qualifies (or are not claimed at all or are all claimed as paid).

  • f. All pre-paid and charged meals are not claimed on the day payment is received.

  • g. Second full meals are not claimed for reimbursement.

  • h. The counting and reporting system separates meals served to children, staff, and guests.

  • Any “NO” response to any part of question 15 requires sponsor corrective action and follow-up within 45 days.

  • CORRECTIVE ACTION REQUIRED: (Describe on Page 2 of the Site Monitoring Review) SUBMIT CORRECTIVE ACTION BY:

  • Comments:

  • Monitor's Signature:

  • Site Representative's Signature:

Corrective Action

  • Agency:

  • Site:

  • Site Review Date

  • Meal Observed:

  • Summary of Findings, Recommended Corrective Action, and Training:

  • Corrective Action Taken and Date Completed:

  • Monitor's Signature:

  • Site Representative's Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.