Snack program on site monitoring checklist

• Spring Branch ISD After School Snack Review

• Location
  Address

• Prepared by

• Document No.

• Client / Site

• Conducted on

  Date

• Personnel

1.0 Snack Program On-Site Checklist

• 1.1 Do the snacks served meet the minimum requirements?

  Yes

  No

  N/A

• 1.2 Are production records kept on snacks claimed for reimbursement?

  Yes

  No

  N/A

• 1.3 Is the snack priced as a unit?

  Yes

  No

  N/A

• 1.4 Is the charge for reduced-price snack 15 cents or less?

  Yes

  No

  N/A

• 1.5 Is there a collection procedure for non area-eligible students?

  Yes

  No

  N/A

• 1.6 Are there roster/sign-in sheets to document student participation on a daily basis?

  Yes

  No

  N/A

• 1.7 Are records kept showing actual meal counts on a daily basis?

  Yes

  No

  N/A

• 1.8 Is reimbursement claimed for no more than one snack, per child, per day?<br><br>

  Yes

  No

  N/A

• 1.9 Are snacks claimed according to the school's eligibility (I.e. Area eligibles--all free;non /area eligibles --by category)

  Yes

  No

  N/A

• 1.10 Are attendance boundaries available (I.e, maps) that show area eligible sites?

  Yes

  No

  N/A

• 1.11. Does the after school snack program include educational enrichment/enrichment activities?

  Yes

  No

  N/A

• 1.12. Was the first monitoring review conducted within the first four weeks of the start up date?

  Yes

  No

  N/A

• Name of Program Facilitator

Signature

• Monitor Signature

  Sign

Notes

• Enter any Notes or Comments