COORDINATED REVIEW EFFORT
GENERAL AREAS OF REVIEW – WV Addendum
SFA:
[ ] SCHOOL LEVEL
School:
REVIEW AREAS
Point of Service
YES
NO
N/A
COMMENTS
*
1004a. Does the system indentify nonnd
reimbursable meals, such as 2 meals to
students, program adult meals, teachers,
visitors, etc? (POOM '126-85-59)
1004b. Is a daily summary report (hard copy) of
the meal service and cash collections
maintained? (POOM '126-85-66)
*
1004c. Is the school performing the WVEIS
download daily?
r
Internal Control (Handbook for School Finance in WV)
Name
Position
1005b. Name and position of person(s)
responsible for totaling and documenting
money collected:
Name
Position
1005c. Name and position of person
responsible for (1) preparing the bank
deposit ticket and (2) making the bank
deposits of food service money
collected:
Name
Position
1005a. Name and position of person(s)
collecting food service money:
(Children’s payments, adult payments,
extra milk, reimbursement check, etc.)
1005d. Does there appear to be a proper
segregation of duties?
1.
2.
*
1005e. Are student payments made in the
classroom?
Are payments documented?
1005f. Are bank deposits made at least weekly
or when the deposit total reaches $500
and before any extended school holiday?
*
*
1005g. If money is not deposited daily, where
and how is it secured?
Cash Management
1006a. Is the food service account reconciled
with the periodic bank statement?
*
1006b. Does the bank reconciliation reflect two
signatures; the preparers and the
principals?
*
1006c. Does the school require dual signatures
on checks?
*
G-6
* = General Area Finding r = Recommendation Revised: 9/23/2009
COORDINATED REVIEW EFFORT
GENERAL AREAS OF REVIEW – WV Addendum
SFA:
[ ] SCHOOL LEVEL
School:
REVIEW AREAS
YES
Other Food Sales
1007a. If “other foods” are sold during the
instructional day, are the local
revenues from these sales being
accounted for properly?
1007b. If “Non-CNP healthy beverages” and
“soft drinks” are sold during the
instructional day, are the profits being
split 75%/25% between faculty senate
vote and for the purchase of necessary
supplies by the principal, respectively?
(WV Code '18-2-6a)
N/A
COMMENTS
*
*
YE
S
1007c. Do “other foods” available to students
on school premises contribute to
students’ nutrient requirements and don’t
add unnecessary calories, fat, and
sodium: (Policy 4321.1/5.1.1.a-f.)
*
1007d. If “other beverages” are served at all
grade levels, are only water, 100% fruit
and/or vegetable juice and non-fat and/or
1% low-fat milk, flavored or unflavored
being sold, served or distributed during
the school day? (Policy 4321.1/5.1.1.g)
1007e. Are candy, chewing gum or flavored
juice bars being sold? (Policy
4321.1/5.1.1.h.)
NO
NO
≤200 total calories per
product?
*
≤35% of calories per
product/package from total
fat? (excluding nuts, seed,
and cheese)
*
<10% of total calories from
saturated fat?
*
≤ 0.5 grams of trans fat per
product/package?
*
≤35% of total calories from
sugar? (excluding fruits
and yogurt)
*
≤200 mg of sodium per
product/package?
*
If yes:
YE
Does the school contain grades
PreK-8?
*
N/A
R
*
1007f. Are soft drink being sold during the
school day? (Policy 4321.1/5.1.1.h.)
Are healthy beverages equally
accessible to students? (location
and price)
* = General Area Finding r = Recommendation Revised: 9/23/2009
NO
*
1007g. Are fruit/vegetable juice portion sizes
limited to no more than 4oz. for
elementary students and no more that
8oz. for middle/high school students per
product/package? (Policy 4321.1/5.1.1.j.)
*
G-7
* = General Area Finding r = Recommendation Revised: 9/23/2009
COORDINATED REVIEW EFFORT
GENERAL AREAS OF REVIEW – WV Addendum
SFA:
[ ] SCHOOL LEVEL
School:
REVIEW AREAS
1007h. Is the sale, service or distribution of
coffee and coffee-based products to
students prohibited during the school
day? (Policy 4321.1/5.1.1.k.)
1007i. Is the sale, service or distribution of
caffeine containing beverages with the
exception of those containing trace
amounts of naturally occurring caffeine
substances prohibited? (Policy
4321.1/5.1.1.l.)
1007j. Is the sale, service or distribution of any
foods containing non-nutritive/artificial
sweeteners prohibited? (Policy
4321.1/5.1.1.m.)
1007k. Except for foods served in the school
nutrition programs, is the sale, service or
distribution of foods and beverages
prohibited to students in elementary
schools from the time the first child
arrives at school until 20 minutes after all
students are served lunch? (Policy
4321.1/5.1.2.)
1007l. Are foods and beverages being offered
as a reward or used as a means of
punishment or disciplinary action for any
student during the school day? (Policy
4321.1/5.1.3.)
1007m. Are foods and beverages being sold,
served or distributed in competition with
the federal child nutrition programs in
the food service areas during the meal
service periods? (Policy 4321.1/5.1.4.)
1007n. Are other foods and beverages being
sold, served or distributed in such a way
as to encourage the distribution or
purchase of these items as a ready
substitute for, or in addition to,
reimbursable meals? (Policy
4321.1/5.1.5.)
1007o. Due to special dietary needs and food
safety concerns, are foods and
beverages brought or delivered from
outside sources consumed only by
individual students for which they were
brought or delivered, and not by the
general student population? (Policy
4321.1/5.2.)
1008. On school premises, from the arrival of the first
child at school until the departure of the last
regularly scheduled school bus, do all fund
raising activities involving foods and
beverages comply with the standards set forth
in this policy 4321.1 section 5.1? (Policy
4321.1/6.1.)
YES
NO
*
*
*
*
*
*
*
*
*
G-8
* = General Area Finding r = Recommendation Revised: 9/23/2009
N/A
COMMENTS
COORDINATED REVIEW EFFORT
GENERAL AREAS OF REVIEW – WV Addendum
SFA:
[ ] SCHOOL LEVEL
School:
REVIEW AREAS
YES
Meal Service
1009. All meals must be priced and served as a
unit. Are only fluid milk, non-fat and/or
1% low-fat milkshakes and bottled water
sold as á la carte items for breakfast and
lunch at any grade level? (Policy
4321.1/7.1.)
1010. In addition to milk, is safe drinking water
offered with meals for student
consumption in all child nutrition
programs? Cups must be available with
any water dispenser for easy student
access. (Policy 4321.1/8.1.)
1011. Does the school make available plain,
unflavored water throughout the school
day at no charge? (Policy 4321.1/8.2.)
NO
COMMENTS
*
*
*
1012a. Adequate time shall be allowed for
student meal consumption. (Policy
4321.1/9.1.)
1012b. Are activities scheduled during meal
service times to distract or limit student
participation in the nutrition programs?
(Policy 4321.1/9.2.)
1013. Are portion sizes appropriate for
age/grade groups? (Policy 4321.1/4.4.)
N/A
Is each student allowed:
YES
NO
10 minutes to consume
breakfast?
*
20 minutes to consume lunch?
*
*
*
1014. Are pregnant or lactating students
provided additional foods so that
breakfast and lunch together, or in
combination with a snack, provide 5oz
M/MA (1oz of which is 1oz cheese, 1 cup
yogurt or 8oz fluid milk), 3 servings G/B,
1 ¼ c F/V, and 16oz milk? (Policy
4321.1/4.3.2.)
*
Meal Pattern Requirements (Option B)
(Policy 4321.1/4.4.4.)
1015a. Does the menu offer 1 G/B serving
daily?
*
1015b. Does the menu offer 7-11 G/B servings
weekly based on age/grade level?
*
1015c. Does the menu offer five G/B servings
per week that contain at least 33% whole
grain?
*
1015d. Does the menu offer 1 to 1 ¼ cup
serving F/V daily based on age/grade
level?
*
If applicable, what efforts are made to inform
pregnant or lactating students that additional
foods are available?
G-9
COORDINATED REVIEW EFFORT
* = General Area Finding r = Recommendation Revised: 9/23/2009
GENERAL AREAS OF REVIEW – WV Addendum
SFA:
[ ] SCHOOL LEVEL
School:
REVIEW AREAS
YES
NO
1015e. Does the menu offer at least ¼ to ½ cup
fresh F/V 5 times per week based on age
grade level?
*
1015f. Does the menu offer ¼ to ½ cup dried
beans, dried peas or lentils weekly?
*
Meal Pattern Requirements (Option A)
(Policy 4321.1/4.4.4.)
1016. Do school lunches meet current WVDE
Option A meal pattern requirements?
*
Record Keeping
1017. Do production records for the review
period indicate sound record-keeping
practices?
*
Product Information
1018a. Are product fact sheets or Child
Nutrition labels available for processed
creditable food items.
*
1018b. Are USDA and local recipes complete,
standardized, documented and include
the critical control points?
*
1018c. Are 1% and skim fluid milk available
throughout the serving period(s) on all
serving lines?
*
N/A
COMMENTS
Does the menu averaged over
one week:
YES
NO
a. provide at least one-third of
students’ Recommended
Dietary Allowances (RDAs) for
calories, protein, calcium, iron,
vitamins A and C?
*
b. limit calories from fat to no
more than 30%; saturated fat
to less than 10%, and trans fat
not to exceed 0.5 grams per
product?
*
c. limit sodium to no more than
1100 milligrams?
*
d. provide at least 6 grams of
naturally occurring dietary
fiber?
*
e. offer water?
*
f. omit any foods or beverages
containing nonnutritive/artificial sweeteners?
*
g. meet the current Dietary
Guidelines for Americans?
*
Are recipe #’s documented on
production records?
*
G-10
COORDINATED REVIEW EFFORT
GENERAL AREAS OF REVIEW – WV Addendum
* = General Area Finding r = Recommendation Revised: 9/23/2009
[ ] SCHOOL LEVEL
SFA:
School:
REVIEW AREAS
YES
Food Safety
NO
N/A
COMMENTS
*
1019a. Have all the critical violations on the
Local Food Safety Inspection been
corrected?
School Environment
1020a. Is there evidence of community
involvement in school nutrition policies
and practices, such as health fairs, etc?
1020b. Does the dining area encourage student
participation? (clean, well-maintained,
attractive, seating capacity)
R
1020c. Do administrative practices encourage
student participation? (other food sales,
# of lunch periods, wait time,
supervision, scheduling)
1020d. Are school participation rates below
average? (**=2007/08)
R
LOCAL
r
1020e Are school participation rates above
average?
1020f. If below average, have measures been
taken to improve participation rates?
Fresh Fruit and Vegetable Program
1021a. Does this school participate in the
FFVP?
1021b. Are FFV only being served to enrolled
children and school staff?
1021c. Is the FFVP being operated during
breakfast and/or lunch?
1022d. Is the school operating the FFVP in
accordance with USDA Guidance? Ie.
only FFV, dips with vegetables (1 to 2T)
*
*
*
G-11
* = General Area Finding r = Recommendation Revised: 9/23/2009
STATE**
Breakfast
ADP?
30.17%
Lunch ADP?
66.75%
COORDINATED REVIEW EFFORT
GENERAL AREAS OF REVIEW – WV Addendum
SFA:
School:
Critical Area Non-compliance:
General Area Non-compliance:
Recommendations:
Commendations:
G-14
* = General Area Finding r = Recommendation Revised: 9/23/2009
[ ] SCHOOL LEVEL