Cacfp Site Review (Page 4 of 4) in pdf

Cacfp Site Review Page 4

Exhibit 23.29

MEAL COUNTS (Continued)

Yes

N/A

E/IEAs or EFs were completed with the child’s name, birthdate, age, normal days and hours of care, meals

normally received, address and daytime phone number recorded. If no, have the parents complete the form(s).

___________________________________________________________________________________________

OTHER

Yes

N/A

Staff has attended CACFP sponsor training. If no, note when the training will be conducted: __________________

The “And Justice for All” poster was on display. If no, the poster was provided and was displayed in a prominent

location.

___________________________________________________________________________________________

CORRECTIVE ACTION

Yes

N/A

Corrective action is required. If yes, list as follows: __________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________.

Prior review findings were corrected. If no, list the follow-up that is required: _____________________________

___________________________________________________________________________________________

Signature of Monitor:

Date:

Signature of Site Director or Representative ________________________________________________________________________

FORM SPI CACFP 1207 (Rev. 7/08)

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Cacfp Site Review Page 4