Checklist for Improvement at Residential Child Care Institutions Area 1 Support and Commitment Does facility desire to make improvements to increase the health and wellness of staff and residents? Does the facility have a local wellness council in place with various members? Facility administrators support the development of healthy lifestyle changes for all residents and staff? Are there policies in place that establish and enforce the improvement of the facility to support a health and wellness environment? Are nutrition and physical activity programs included in the daily program for all residents? Does the facility’s local wellness policy address nutrition and physical activity? Area 2 Do all residents receive nutrition education that teaches the skills needed to adopt healthy eating behaviors? Is nutrition education offered in the cafeteria, staff and resident lounges, hallways, or other areas of the facility? Do residents receive consistent nutrition messages throughout the facility? Do residents and staff receive positive, motivating messages about healthy eating throughout the 1 Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Nutrition Education and Promotion Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Checklist for Improvement at Residential Child Care Institutions facility? Is nutrition integrated into the core curriculum or daily programs offered to residents? Are there opportunities for nutrition education for residents using various free nutrition websites? Area 3 2 N Explain: Improvement Plan Y N Explain: Improvement Plan Physical Activity Are daily structured physical activity programs available for all residents? Are various physical activities in place for all resident activity levels including disabled or injured residents? Are tracking logs available for residents to record daily physical activities and measure progress? Is safe and adequate exercise equipment available for residents’ daily use? Are surveys used to obtain input from residents on physical activity programs that support positive resident attitude toward physical activity? Are a variety of sports programs in place at least once a week? Are health assessments conducted to obtain residents fitness and health levels? Is physical activity used as punishment (extra or restricted)? Are facility schedules revised to allow adequate time (30 min or more) of structured physical activity? Area 4 Y Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Nutrition Guidelines for All Foods and Beverages Checklist for Improvement at Residential Child Care Institutions Do all foods and beverages available on facility premises contribute to residents’ health? Are all foods and beverages available on facility premises to meet the recommendations of the current Dietary Guidelines for Americans? Are specific nutrient guidelines in place for foods or beverages offered to residents and staff? Are healthy options included in all vending areas, site stores, reward programs, celebrations or other events? Are appropriate restrictions in place to avoid excessive access to unhealthy options to residents? Are restrictions in place to limit the portion sizes of unhealthy options? Area 5 Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Quality Nutritious Meals Is all food service staff properly qualified to prepare and serve meals? Does all food service staff receive adequate training and regularly participate in professional development activities? Are all meals planned to meet the Dietary Guidelines recommendations? Are all meals planned to ensure adequate calories and necessary nutrients for each age level? Does food service staff use food preparation techniques to reduce total fat, saturated fat, trans fat, sodium and sugar? Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Does the facility have a Food Safety Plan written with standard operating procedures, site specific and used by Y N Explain: Improvement Plan 3 Checklist for Improvement at Residential Child Care Institutions all food service staff? Has all food service staff received adequate food safety training that meets USDA, state and local health regulations? Do planned and served menus offer whole grains daily, fresh fruits and vegetables and low-fat or non-fat dairy products? Are hand washing facilities available prior to meal service for all residents? Is adequate time allowed for residents to consume meals in a quiet, clean and appropriate environment? Are tables, counters, chairs, etc. properly sanitized between each scheduled meal service? Area 6 N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Other Facility-Based Activities That Promote Wellness Does facility sponsor health/wellness fairs to educate residents and staff on healthy lifestyle behaviors? Does facility offer an on-site smoking cessation program? Does facility offer stress management workshops? Does facility staff serve as role models for residents on healthy lifestyle behaviors? Does the facility sponsor an on-site gardening or landscaping program for residents and staff? Does facility offer health/wellness presentations or workshops on a variety of topics for residents and staff? Are nutrition guidelines in place for all foods and beverages available on facility premises? 4 Y Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan Y N Explain: Improvement Plan