Sponsor Site Monitoring Form For Centers (Page 2 of 2) in pdf

Sponsor Site Monitoring Form For Centers Page 2

23. * Insert /Complete a 5 - day reconciliation sheet here! *

24. Do the meal counts for the previous 5 days appear reasonable when compared to today’s count? ______________________

25. The last three monitoring visits were dated: _______________

_______________

and

_______________

26. Was training in CACFP related requirements completed in the past year for all applicable staff at this center? Y

Last training date for this Center: _________________

27. Was fat free or 1% milk served to children over 2 years of age?

28. Was potable water made available to children?

29. Are all meals, services and facilities available to all enrolled participants without regard to race, color, national origin, sex, age,

or handicap?

_________

CENTER BEST PRACTICE: COMPLETION OPTIONAL

30. Appropriate hand washing procedures followed by staff and children? _______

31. Sanitary procedures followed in all aspects of food service? ______________________

a. Kitchen kept clean at all times? ______

b. Garbage cans covered and emptied regularly? ______

c. Describe procedure for sanitizing dishes and utensils_____________________________________________________________

d. Cold storage 40 degrees or below? ______

e. Freezer storage 0 degrees or below? ______

f. Hot food checked for correct temperatures before serving? __________

g. Meal areas and surfaces cleaned and sanitized before the meals? _____

h. Are meals served proportioned or family style? _______

i. Did children assist in meal service? _________

j. Are leftovers properly stored or disposed of? _________

List any problems/findings found during this Center visit:

____________________________________________________________________

Based on these findings, is a follow-up visit warranted? Y

Sponsor/Monitor Signature

____________________________________________

Date: ____________

Center/Director Signature

____________________________________________

Date: ____________

Sponsor Site Monitoring Form For Centers Page 2