Cacfp Site Review (Page 2 of 4) in pdf

Exhibit 23.29

Yes

N/A

Offer versus serve was properly implemented for adult participants (in adult care centers). If no, train the staff on

meal requirements.

Food safety and sanitation practices are being followed. If no, train the staff on best practices.

Medical statements were on file for all children/eligible adults (in adult care centers) allergic to milk. The note

indicated what to substitute in place of milk. If no, a medical excuse must be obtained for

_________________________________________________. If you are unable to obtain a medical excuse then

you may not claim meals, which require milk, that are served to this child(ren)/eligible adult(s). Meals are

disallowed for the observed meal as noted below.

Food handler’s permit(s) are on file. If no, obtain the food handler’s permit(s) needed.

__________________________________________________________________________________________.

_____________________________________________________________________________________________________,

MEAL COUNTS

Yes

N/A

Meal counts were taken at the time the meal was served to ensure only complete meals served to children/eligible

adults (in adult care centers) are claimed. Meal counts were not based on attendance. If no, meals are disallowed

as noted below.

___________________________________________________________________________________________

There were records to substantiate that no more than three feedings per child/eligible adult (in an adult care center)

per day were claimed. If no, meals are disallowed as noted below.

___________________________________________________________________________________________

Fourth meal was claimed for some children/eligible adults (in adult care centers). Only two meals and one snack or

two snacks and one meal may be claimed per child/eligible adult per day (except homeless centers). Meals are

disallowed as noted below.

___________________________________________________________________________________________

A current license or permit was in effect (except in adult care centers). If no, a copy must be obtained or meals are

disallowed as noted below.

___________________________________________________________________________________________

Meals claimed exceeded the license capacity (except adult care centers). If yes, the meals that exceed the license

capacity are disallowed as noted below.

___________________________________________________________________________________________

All or a total of ______ meals are disallowed due to __________________________________________

___________________________________________________________________________________.

These meals can not be included in the claim for reimbursement.

A block claim (where the meal counts were the same for 15 consecutive days for one or more meal type(s) during

the month) is noted. If yes, document the valid reason or the corrective action taken below.

___________________________________________________________________________________________

___________________________________________________________________________________________.

FORM SPI CACFP 1207 (Rev. 7/08)

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