Attachment N5. Meal Compliance Risk Assessment Tool

Attachment N.5. Meal Compliance Risk Assessment Tool

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.

OMB #0584-0006
Additional Information:

Expiration Date xx/xx/20xx

Question 1: Indicate which Child Nutrition Programs operate at the site.
Question 2: Select the response that best encompasses the age-grade groups served at the site being reviewed.
For example, a school serving grades 7-12 would be best represented by the 6-12 overlap response.
Question 3: Determine if previous Performance Standard 1 or Performance Standard 2 findings were identified
during an Administrative Review or any follow-up review activities. For Performance Standard 2, a yes response
is required for any previous findings related to meal components, quantities, calories, sodium, saturated fats,
Question 4: Indicate how many reimbursable meal service lines operate in the food service area. If the site does
not have traditional lines, indicate how many different locations students may select from vegetable subgroup
Question 5: Indicate if the food service area contains any self-service stations. A self-service station or selfservice food bar is any place in the food service operation where students serve themselves.
Question 6: Indicate if the site utilizes cycle menus. A cycle menu is a set of foods or food items that are
Question 7: Indicate if meals are served at alternate meal service locations, outside the cafeteria. An alternate
meal location is anywhere outside the typical food service area/cafeteria. Alternate meal locations include
Question 8: Indicate whether the school received a HealthierUS School Challenge award after January 1, 2010.
Question 9: Indicate if the site has a new kitchen manager, cook, or site manager. New means the person has
Question 10: If the site had a Targeted Menu Review in the previous Administrative Review cycle did the site
have any findings during the Targeted Menu Review? Only answer this question for sites that had a previous

Meal Compliance Risk Assessment Tool
This sheet indicates the total score for each site. Sort according to the total scored points to rank the sites. The site with
the highest score is most at-risk for non-compliance and must receive an in-depth menu review. If the SFA participates in
SBP, the SA must select the highest scoring school that participates in both NSLP and SBP.

School Name

Score

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

-5

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

10

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Insert School Name Here

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

No

-5

Score

-5

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECTYes

0
0
10

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

10

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0

Meal Compliance Assessment Tool
This tool is be completed at a minimum for each site that is selected for Administrative Review. After scoring each site, the
sites will be ranked according to the total scores. The site with the highest score is most at-risk for non-compliance and must
receive an in-depth menu review. If the SFA participates in SBP, the SA must select the highest scoring school that
participates in both NSLP and SBP.

School Name
Insert School Name Here
1.   In addition to the National School Lunch Program, which of the following Child Nutrition
Programs operate at the site?
  School Breakfast Program
  Seamless Summer Option
  Afterschool Snack Program
  Fresh Fruit and Vegetable Program
  Special Milk Program

Answer Score
-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0.0
0.0

-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-SELECT-

0
0
0
0
0
0
0

-SELECT-

0

4.   How many reimbursable meal service lines are in operation? If the site does not have traditional
lines, indicate how many different locations students may select from vegetable subgroup offerings.
  1
  2-3
  4+

-SELECT-SELECT-SELECT-

0
0
0

5.   Do students serve themselves foods via food bars, serving stations, and/or salad bars?

-SELECT-

0

6.   Does the site utilize cycle menus?

-SELECT-

0

7.   Are meals served at alternate meal service locations?

-SELECT-

0

8.   Is the school a HealthierUS Challenge award recipient certified January 1, 2010 or later?

-SELECT-

0

9.   Does the site have a new kitchen manager, cook, or site manager?

-SELECT-

0

2.   What are the age/grade groups served in the school?
  Pre-K
  K-5 only (or K-1, K-2, K-3, K-4)
  6-8 only ( or 6-7, 7-8)
  9-12 only (or 10-12)
  K-8 overlap
  6-12 overlap
  K-12 overlap
3.   Were Performance Standard 1 or Performance Standard 2 violations identified at the previous
administrative review or during follow-up activities?

10. If the site had a Targeted Menu Review in the previous Administrative Review cycle,
did the site have any findings during the Targeted Menu Review?
Total Points

-SELECT-

0

Score

0