Attachment N25. Infant and Pre-K Meal Pattern On-Site Validation Checklist

7 CFR Part 210 National School Lunch Program

Attachment N25. Infant and Pre-K Meal Pattern On-Site Validation Checklist

OMB: 0584-0006

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Attachment N.25. Infant and Pre-K Meal Pattern On-Site
Validation Checklist

This information is being collected from State agencies, school food authorities, schools. This
is a revision of a currently approved information collection. The Richard B. Russell National
School Lunch Act (NSLA) 42 U.S.C. § 1758, as amended, authorizes the National School
Lunch Program (NSLP). This information is required to administer and operate this program
in accordance with the NSLA. Under the Privacy Act of 1974, any personally identifying
information obtained will be kept private to the extent of the law. According to the
Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a valid OMB control
number. The valid OMB control number for this information collection is 0584-0006. The
time required to complete this information collection is estimated to average 47.5 hours of
reporting burden per response. The burden consists of the time it takes for the State agency to
conduct the off-site portion of the review which includes scheduling of the review and the
completion of the Off-site Assessment, Resource Management Risk Indicator, and Site
Selection Tools. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to: U.S. Department
of Agriculture, Food and Nutrition Services, Office of Policy Support, 3101 Park Center Drive,
Room 1014, Alexandria, VA 22302, ATTN: PRA (0584-0006). Do not return the completed
form to this address.

Infant and Pre-K Meal Pattern On-Site Validation Checklist
SY 2018-2019

OMB
#0584-0006
Expiration Date
xx/xx/20xx

Completion of this checklist is only required when the School reviewed offers meals through a
preschool and/or infant meal program. If all three, breakfast, lunch and snack were observed,
complete a separate checklist for each meal service.
Date:
SFA/School:
Meal Observed:

BREAKFAST



LUNCH



Does the School reviewed offer infant meals? If YES, proceed to question
# 1. If NO, proceed to question #2.
YES
1. Are infants served all components as
required in the new infant meal
pattern? If NO, explain technical
assistance provided.
2. Is the SFA using the meal pattern
flexibility and offering one menu when
Pre-K students are co-mingled in the
meal service area? If YES, please
describe grades that are co-mingled and
include Pre-K with regular review
questions and do not complete checklist
further. If NO, this checklist must be
completed.
3. During the meal service, did you
observe that all required meal
components for Pre-K are available
throughout the entire meal service? If
NO, explain all errors identified and
the technical assistance provided.
4. Does all the cereal served to Pre-K
meet the Pre-K meal requirements (no
more than 6 grams of sugar per dry
ounce)? If NO, explain technical
assistance provided.
5. Does all the yogurt served to Pre-K
meet the Pre-K meal requirements? (no
more than 23 grams of sugar per 6
ounces) If NO, explain technical
assistance provided.

NO

SNACK
YES




NO



COMMENTS

 
 

 
 
 

Last updated School Year 2017-2018

YES
6. Were there any grain based desserts
served as part of the reimbursable
meal? e.g. cookies, sweet pie crusts,
doughnuts, cereal bars, breakfast bars,
granola bars, sweet rolls, toaster
pastries, cakes and brownies. If YES,
explain technical assistance provided–
refer to exhibit A. (Grain based
desserts are not creditable as part of the
reimbursable meal but may be served
as an extra meal item).
7. Was a whole grain-rich item served at
least one time at any of the 3 meals
(lunch, breakfast and/or snack)? If
NO, explain technical assistance
provided.
8. Was a meat/meat alternate used to meet
the entire grain requirements at
breakfast?
a. If YES, was it used more than
three times a week? If YES,
explain technical assistance
provided.
(A meat/meat alternate cannot be used
to substitute the grain requirements at
breakfast more than three times a
week)
9. Are fried foods prepared on site?
If YES, explained technical assistance
provided.
10. If a vegetable was served in place of a
fruit at lunch, were two different
vegetables served? If NO, explain
technical assistance.
11. Was the appropriate milk type served?

NO

COMMENTS

 

 
 
 

 
 
 

•

Unflavored whole milk for
children age one.
• Unflavored low-fat (1 percent)
or unflavored fat-free (skim)
milk for children 2-5 years of
age.
If NO, explain technical assistance
provided.

Last updated School Year 2017-2018

12. Was pasteurized full strength juice
served more than once per day?
Pasteurized full strength juice is limited
to once per day (including snack). If
juice was served more than once
explain technical assistance provided.
13. Was Offer versus Serve (OVS)
implemented during meal service? If
YES, explain technical assistance
provided.
(OVS is not an option for preschool age
kids).
14. Is family style meal service
implemented correctly?
• All components available
• Supervising adults actively
encouraging students to try
components, etc.
(According to procedures outlined in
FNS Memorandum SP 35-2011,
Clarification on the Use of Offer versus
Serve(OVS) and Family Style Meal
Service and FNS Instruction 783-9, rev
2, Family Style Meal Service in the
Child and Adult Care Food Program)

 
 
 

Resources
CACFP Meal Pattern Training Tools website: https://www.fns.usda.gov/tn/cacfp-mealpattern-training-tools

Last updated School Year 2017-2018


File Typeapplication/pdf
AuthorRoman, Ivette - FNS
File Modified2023-07-24
File Created2019-09-26

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