Cacfp Site Review
ADVERTISEMENT
1
2
3
4Exhibit 23.29
CACFP SITE REVIEW
Site Name/No.:
Date of Review:
Unannounced review
Follow-up review
MEAL OBSERVATION
Meal Observed:
Breakfast
Lunch
Supper
A.M. Snack
P.M. Snack
Eve. Snack
At-Risk Snack
Type of Meal Service:
Pre-portioned
Family Style
Offer vs. Serve (only in adult care centers)
Children/Adults
care
Infants
(In adult
centers)
Meal
Food Items Served
Components
Food Items Served
Meal Components
Birth through
4 through 7
8 through 11
3 Months
Months
Months
Iron Fortified Formula
Milk
or Breast Milk
Meat or
Meat Alternate
Meat or Meat Alternate
Fruit or Vegetable
Fruit or Vegetable
Fruit or Vegetable
Infant Cereal
Grains/Breads
Other
Grains/Breads
(adult care centers)
Yes
No
N/A
The menu met the meal pattern requirements for children/eligible adults (in adult care centers). If no, meals are
disallowed as noted on page 2.
Only cereal with 9 grams of sugar or less was served. If no, meals are disallowed as noted on page 2.
Only 100% full strength juice was served. If no, meals are disallowed as noted on page 2.
Potatoes are considered a vegetable and were not served as a bread/grain item. If no, meals are disallowed as
noted on page 2.
Peanut butter and other nut butters were supplemented with another meat/meat alternate at lunch and supper.
If no, meals are disallowed as noted on page 2.
Two items from different food groups were served for snack. If no, meals are disallowed as noted on page 2.
The infant menu met the meal pattern requirements. If no, meals are disallowed as noted on page 2.
The infant formula offer forms were on file for all infants claimed. If no, obtain forms for infants that are not on file.
Food portion sizes met the meal pattern requirements based on the ages of the children served and/or based on
the amount required for eligible adults (in adult care centers). If no, train the staff on meal requirements.
All required food items were served at the same time during the observed meal. If no, train staff to serve items at
the same time.
When a child/eligible adult (in an adult care center) initially refuses or does not take the required portion of a food
item during family style meal service, the supervising adult(s) must offer the food item again to the child/eligible
adult for the meal to be reimbursable. This requirement was met before meal counts were recorded. If no, meals
are disallowed as noted on page 2.
During family style meal service, a sufficient amount of prepared food was placed on each table to provide the
required portion of each of the food items for all children/eligible adults (in adult care centers) served. If no, train
the staff on meal requirements.
FORM SPI CACFP 1207 (Rev. 7/08)
Page 1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Education