Run CACFP Menu Production and Meal Pattern Compliance Record — Free

Inspection Details

Service date recorded critical (required)

Site or center name recorded critical (required)

Meal type identified critical (required)

Record reviewed matches the meal service date critical (required)

Yes No N/A

Reviewer name and role recorded critical (required)

Planned Menu and Meal Pattern

Menu lists all required meal components for the selected meal type critical (required)

Yes No N/A

Menu identifies the food item serving each component critical (required)

Yes No N/A

Planned portion sizes are documented in measurable units critical (required)

Yes No N/A

Menu supports age-appropriate meal pattern requirements critical (required)

Yes No N/A

Milk type and quantity documented when required critical (required)

Yes No N/A

Food Components Served

Milk component served as documented critical (required)

Yes No N/A

Fruit and/or vegetable component served as documented critical (required)

Yes No N/A

Grain or bread component served as documented when required critical (required)

Yes No N/A

Meat/meat alternate component served as documented when required critical (required)

Yes No N/A

Any substitutions meet CACFP meal pattern requirements and are documented critical (required)

Yes No N/A

Production Quantities and Meal Counts

Number of meals planned is recorded critical (required)

Number of meals prepared is recorded critical (required)

Number of meals served is recorded critical (required)

Production quantities are reasonable for projected participation

Yes No N/A

Leftovers, shortages, or waste are documented when applicable

Yes No N/A

Record Accuracy and Retention

Record is complete with no missing required fields critical (required)

Yes No N/A

Entries are legible and consistent across menu, production, and meal count fields

Yes No N/A

Supporting documentation is attached or referenced when needed

Yes No N/A

Record retention process is identified according to program requirements

Yes No N/A

Corrective Actions and Sign-Off

Deficiencies or non-conformances documented

Corrective action assigned with due date

Inspector signature completed critical (required)

Date of review recorded critical (required)

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Run: CACFP Menu Production and Meal Pattern Compliance Record

Inspection Details

Planned Menu and Meal Pattern

Food Components Served

Production Quantities and Meal Counts

Record Accuracy and Retention

Corrective Actions and Sign-Off

Get your results