COORDINATED REVIEW
[ ] SFA LEVEL
[ ] SCHOOL LEVEL
GENERAL AREAS OF REVIEW
SFA:
School:
REVIEW AREAS
YES
NO
Free and Reduced Price Process
501.
Is the policy statement implemented as
approved?
502.
Does the system as implemented (reviewer
observation) prevent overt identification of
students receiving free and reduced price
benefits at meal service or at any other time?
503.
Was the verification process completed
according to regulations?
504.
Were letters of a potential reduction in benefits
sent to families with students in this school as
required?
505.
Were any applications denied incorrectly?
Record errors on the Certification and Benefit
Issuance Error Worksheet, S-5.
Programs using other information to determine eligibility
506.
What method has school or SFA used to
document eligibility?
(Describe how resident personal income in RCCI’s is
documented and updated and how eligibility of day
students is determined, if applicable)
Meal Patterns
601.
Check the menu planning method used
during the review period:
________ Traditional
________ Food-based
________ NuMenus
________ Assisted NuMenus
602.
Is this the method indicated in the
renewal packet?
603a.
b.
Do the portion sizes appear to meet the
minimum meal pattern requirements?
If NO, does a review of records and procedures
indicate that required amounts of food were
available for service for each day of the review
period?
604.
Are the types of milk offered consistent with the
types of milk consumed in the prior year?
605.
Is offer versus serve properly implemented?
606.
Did the number of servings of bread/bread
alternate meet the minimum weekly
requirement?
607.
Did the number of servings of fruit/vegetables
meet the daily (and, if applicable, weekly)
requirement?
G-1
N/A
COMMENTS
COORDINATED REVIEW
GENERAL AREAS OF REVIEW
SFA:
School:
REVIEW AREAS
YES
NO
Civil Rights
701.
Is a USDA/FNS approved poster displayed in a
prominent place and visible to recipients?
702.
Is the correct nondiscrimination statement
included on appropriate program materials?
703.
Has the SFA or State sent out a public release to
community/grassroots organizations?
704.
Are foreign language translations available
when a significant number of persons speaking
only a foreign language is in the population?
705a.
Are procedures established to receive
complaints alleging discrimination?
b.
Have there been any written or verbal
complaints alleging discrimination?
c.
If YES, have these complaints been reported to
the State agency?
706.
Do admission procedures used restrict
enrollment by minority persons?
707.
Are incorrectly denied free and reduced price
applications disproportionally composed of
minority applications?
708.
Are handicapped students provided program
benefits as prescribed by regulations (including
special dietary needs), as appropriate?
709.
Based on your observation of the meal service is
there any discrimination or separation by race,
sex, handicap, color, age, or national origin in
the eating areas, serving lines, seating
arrangements, eating periods, or activities of
instruction? If yes, describe.
G-2
N/A
COMMENTS
COORDINATED REVIEW
GENERAL AREAS OF REVIEW
SFA:
School:
REVIEW AREAS
YES
NO
Monitoring Responsibilities
801a.
Was the on-site review of the meal counting and
claiming procedure completed prior to February
1?
b.
Was corrective action of the meal counting and
claiming procedure required?
c.
If YES, was a follow-up review conducted within
45 days to ensure that the school implemented
corrective action?
d.
Does documentation indicate that corrective
action was successful?
802a.
b.
Prior to the submission of a claim, are
attendance adjusted eligibles (or an alternate
approved by the State agency) by category
compared to daily meal counts for each school?
Have daily counts that exceed the attendance
adjusted eligible edit check (or alternate
approved by the State agency) been evaluated
prior to consolidation? If NO, explain.
Reporting and Recordkeeping
901.
Were reports submitted as required to the State
agency?
902.
Are records maintained for 3 years after the
final claim for reimbursement for the fiscal year
or until resolution of any audits?
G-3
N/A
COMMENTS
COORDINATED REVIEW
GENERAL AREAS OF REVIEW
SFA:
School:
REVIEW AREAS
YES
NO
Financial Management
1001.
a. Does the SFA maintain a separate food
service account?
b. If NO, can the SFA identify food service
revenue and expenditures in its accounting
records?
1002.
1003.
1004.
Are food service funds used only for food
service activities?
Are costs included on the cost consolidation
worksheet directly related to food service?
(severe needs only)
Do net cash resources exceed three months’
average expenditure? (Complete the Net Cash
Resources form, attached)
Food Safety Inspection
1100.
a. Is this SFA required by a State or local
governmental agency to obtain periodic food
safety inspections.
b.
If NO, is the SFA having inspections
conducted by a State or Local government
agency responsible for such inspections
at lease once a year, as required by
PL105-336?
G-4
N/A
COMMENTS