Child Nutrition Program Compliance Monitoring Checklist Form
Complete this checklist during on-site or periodic reviews to document meal service operations and program requirements for the Child Nutrition Program.
Site Name
*
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reviewer Name
*
Meal Service Observed
*
Breakfast
Lunch
Snack
Supper
Other
Compliance Checklist: Meal Service Operations
*
Meals served at scheduled times
Menu posted and followed
Meal components meet program requirements
Accurate meal count documentation
Sanitary food handling observed
Proper food storage and temperature
Staff trained in program requirements
Non-compliance observed (specify below)
Exceptions or Non-Compliance Observed (if any)
Corrective Actions or Follow-Up Needed
Additional Comments
Next Scheduled Review Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Checklist Completed By (Signature)
Submit Checklist
Submit Checklist
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