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pdfAttachment N.22. Supplemental Seamless Summer
Option Administrative Review Form
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
SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
Expiration
Date
[ ] 1ST REVIEW
xx/xx/20xx
[ ] FOLLOW-UP # _____
SFA LEVEL QUESTIONS
SFA NAME:
SFA Operations
1800.
Number of sites
approved and
operating under the
Seamless Summer
Option (SSO).
Approved
Operating
Area Eligible
Enrolled
Migrant
Camp
1801.
Is the SFA operating any sites that were not approved?
YES
NO
YES
NO
YES
NO
If YES, explain.
Comments:
1802.
Have there been any changes in the dates of operation from those
approved?
If YES, explain.
Comments:
1803.
During the time that the SFA is operating the SSO, are there any sites serving
meals under the:
a. NSLP?
b. SBP?
c. SFSP?
Comments:
1804.
Does the SFA have an adequate system for documenting the number of
meals served under the SSO separately from those served at non-SSO sites
during the same claim period?
Supplemental SSO Administrative Review Form
1
YES
NO
N/A
Effective School Year 2019-2020
SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
If NO, explain.
Comments:
1805.
Has the SFA reviewed all SSO sites at least once during each site’s operation?
YES
NO
YES
NO
YES
NO
YES
NO
If NO, explain.
Comments:
1806.
a. Did the SFA advertise the availability and location of free meals at all of its
area eligible sites to the community?
b. Did all advertising materials used contain the required non-discrimination
statement?
If NO, explain.
Comments:
1807.
Were reports submitted as required to the State agency?
Comments:
1808.
Are records retained for 3 years after the final claim for reimbursement for
the fiscal year or until resolution of any audits?
Comments:
Supplemental SSO Administrative Review Form
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
SITE NAME:
SITE LEVEL QUESTIONS
Site Agreement
1809. Is the site operating in accordance with provisions of the approved
agreement for:
a. Site Type?
b. Meals Offered?
YES
NO
c. Meal Service Times?
Comments:
Site Eligibility
1810.
Indicate which site type is being reviewed and answer the appropriate question in #1811.
Open, Restricted Open
Enrolled
Camp
Migrant
1811.
YES
NO
Open Site:
Is proper documentation for area eligibility kept on file?
Enrolled Site:
a. Do correctly approved applications indicate 50% or more of
enrollment is eligible for free and reduced price meals?
b. If 50% F/R requirement was satisfied through area eligibility, was
proper documentation kept on file?
Migrant Site:
Is proper documentation of migrant certification kept on file?
Camps:
Were all free and reduced price eligibility determinations made correctly?
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
For Camps and Enrolled Sites only:
Certification and Benefit Issuance Review Method:
____100% of students determined to be eligible for free and reduced price benefits; or
____Statistically Valid Sample of students determined eligible for free and reduced price benefits
Confidence Level: 95%____ 99%____
Universe:_________ Sample Size________
Record errors on the SSO S-2.
Comments:
Meal Components and Quantities
DAY OF REVIEW
1812.
Indicate which meal service is being observed.
Breakfast
1813.
Lunch
Snack
Supper
Were all meals served and claimed for reimbursement only for eligible
participants?
YES
NO
YES
NO
If NO, explain in the comments section and record the number of ineligible
meals on SSO S-1, line 6.
Comments:
1814.
Were all required meal components available on every reimbursable meal
service line to all participating students?
a.
b.
Prior to the beginning of meal service?
During the meal service?
If No to a or b, explain all errors identified and the technical assistance
provided in the comments section.
If the error was not corrected prior to the beginning of the meal service or if
the meal service line did not offer all required components throughout the
meal service, list the number of meal served in the applicable meal service
line missing required meal components in the comments section. Combine
this total with errors identified in #1815 and record on the SSO S-1, line 7.
Comments:
Supplemental SSO Administrative Review Form
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
1815.
YES
Did all observed meals counted for reimbursement contain all of the
required components?
NO
If NO, explain any errors identified and the technical assistance provided in
the comments section.
Record the number of meals observed missing required meal components in
the comments section. Combine this total with errors identified in #1814 and
record on the SSO S-1, line 7.
Comments:
1816.
For lunch/supper, are the minimum daily requirements of grains/breads,
meat/meat alternate, fruits and vegetables met for the age/grade group
being served?
YES
NO
N/A
YES
NO
N/A
If NO, list all the errors identified and the technical assistance provided.
Indicate if the violations were repeat violations in the SFA.
Record only the number of incomplete meals counted for reimbursement
that will be subject to fiscal action in the appropriate field on the SSO S-1,
line 8a.
Comments:
1817.
For breakfast, are minimum daily requirements of grains/breads, and
fruits/vegetables met for the age/grade group being served.
If NO, list all the errors identified and the technical assistance provided.
Indicate if the violations were repeat violations in the SFA.
Record only the number of incomplete meals counted for reimbursement
that will be subject to fiscal action in the appropriate field on the SSO S-1,
line 8a.
Comments:
Supplemental SSO Administrative Review Form
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
1818.
a. Was fluid milk available in at least the two required varieties throughout
the serving period on all meal service lines?
YES
NO
N/A
YES
NO
N/A
b. If milk substitutions are made, are they allowable?
If NO to a or b, list all the errors identified and the technical assistance
provided in the comments section. Indicate if the violations identified were
repeated violations for the SFA.
Record only the number of incomplete meals counted for reimbursement
that will be subject to fiscal action in the appropriate field on the SSO S-1,
line 8a.
Comments:
1819.
Is Offer vs. Serve properly implemented?
If NO, list all errors identified and the technical assistance provided. List the
number of meals observed missing required meal components on SSO S-1,
line 7. Record only the number of incomplete meals claimed for
reimbursement that will be subject to fiscal action in the appropriate field on
SSO S-1, line 8a.
Comments:
Meal Counting and Claiming
DAY OF REVIEW
1820.
Does each meal service line provide an accurate count at the point of service
(or approved alternate)?
YES
NO
If NO, describe the problem and indicate if the problem was non-systemic or
systemic. Record differences on the SSO S-1, line 9.
Site Count
SA Count
Difference +/-
Comments:
Supplemental SSO Administrative Review Form
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
1821.
YES
Is the meal count for the day of review comparable to the average meal
count from the most recent 5 days?
NO
If NO, obtain the site’s explanation and record in the comments section.
Is the explanation consistent with conditions at the site?
Day 1 Date:
822.
Day 2 Date:
Day 3 Date:
Day 4 Date:
Day 5 Date:
a. If the site has an academic summer school, do the children in academic
summer school participate in regular NSLP/SBP/ASCP?
Average Count
YES
NO
N/A
YES
NO
N/A
b. If YES, are SSO meals counted and maintained separately?
Comments:
1823.
a. If the site is a camp, are meals claimed only for children who have been
approved for free/reduced price meals?
b. If NO, explain and record the number of meals served to ineligibles in the
comments section. Combine this total with errors identified in #1813 and
record on SSO S-1, line 6.
Comments:
Meal Counting and Claiming
Review Period
Complete 1824 if counting and claiming problems are found in 1820 – 1823
1824.
a. For the review period, complete the chart on the SSO, S-1, line 13.
YES
NO
N/A
b. Were the counts correctly used in the Claim for Reimbursement?
c. If NO, explain and indicate if the problem was non-systemic or
systemic. Record differences on the SSO S-1, line 13.
Supplemental SSO Administrative Review Form
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
Media Release
1825.
Did the site provide a media release and/or promotional material to serviced
areas?
YES
NO
If NO, explain.
Comments:
Free and Reduced Price Process
[ ] N/A
Camp Sites Only
1826.
Does the system as implemented prevent overt identification of children
receiving free meal benefits at this camp during meal service or at any other
time?
YES
NO
YES
NO
If NO, explain.
Comments:
Menu Planning
Review Period
1827.
Do production records, nutrient analysis and/or other supporting meal
documentation for the last five operating days of the review period indicate
that required meal components were available?
Record the number of meals missing required meal components on the SSO
S-1, line 11.
Do production records, nutrient analysis and/or other supporting meal
documentation for the last five operating days of the review period indicate
that required quantities were offered?
Record the number of incomplete meals on the SSO S-1, line 12a or 12b. If
FA is assessed for Dietary Specifications and includes the day of review
indicate those meals in line 8b.
Comments:
Supplemental SSO Administrative Review Form
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
SFA Monitoring Responsibilities
1828.
a. Was an on-site review conducted by the SFA at least once during the site’s
operation?
YES
NO
N/A
b. Was corrective action of the meal counting, claiming, menu planning or
food safety procedures required?
c. If deficiencies were identified during the site review, were actions
implemented promptly to correct the deficiencies? If no deficiencies were
found, mark NA.
Comments:
Civil Rights
1829.
Is a USDA/FNS approved poster displayed in a prominent place and visible to
recipients?
YES
NO
1830.
Are bilingual services (translators and materials) available for the Limited
English Proficiency (LEP) populations?
YES
NO
YES
NO
YES
NO
1831.
a. Are procedures established to receive complaints alleging discrimination?
b. Have there been any written or verbal complaints alleging discrimination?
If no, proceed to question 1832.
c. If YES to b, have these complaints been reported to the State agency?
1832.
Are Program benefits made available and provided to all children without
discrimination on the basis of their race, color, national origin, sex, age, or
disability?
1833.
Camps and Enrolled Sites:
YES
NO
N/A
Are incorrectly denied free and reduced price applications disproportionally
composed of minority applications?
Supplemental SSO Administrative Review Form
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
1834.
Are children with special dietary needs provided program benefits as
prescribed by regulations?
YES
NO
YES
NO
Comments:
Food Safety
1835
a. Is a food safety program in place?
b. Does the program follow USDA guidance?
c. Do observations on the day of review indicate provisions of the food safety
program are being implemented?
If NO to a. b. and/or c., explain.
1836
If the site is a school, did it receive two food safety inspections during the
current school year?
YES
NO
N/A
YES
NO
N/A
If NO, were two food safety inspections conducted in the previous school
year?
1837
If the site is a school, is the most recent food safety inspection report posted
in a publicly visible location?
Comments:
Module: Water
1838.
Is free potable water available to all students for
lunch (in each location where lunches are served
during the meal service) and for breakfast (when
breakfast is served in the cafeteria)?
NSLP
YES
SBP
NO
N/A
YES
NO
N/A
Comments:
Supplemental SSO Administrative Review Form
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
Seamless Summer Option (SSO)
Administrative Review Form Instructions
LEA/SFA LEVEL
Check [] if initial/first review or follow-up review and number.
Interview the individual(s) responsible for the administration of the Seamless Summer Option
(SSO) and examine documents maintained by the SFA to answer the following questions.
1800. Determine and record the types and number of sites approved and operating the SSO
under the administration of this SFA.
1801. Compare the names and locations of approved sites to those operating the program.
Determine if any sites are operating that were not approved. If YES, record the site
name and location in the Comments section.
1802. Determine if there have been changes in the dates of operation for any sites from the
dates approved. If YES, explain in the Comments section.
1803. Determine if the SFA is serving meals under the NSLP, SBP, and/or SFSP, during the same
period as the operation of the SSO.
1804. Determine if the SFA has an adequate system for counting and claiming meals served
under the SSO separately from those served at non-SSO sites during the same claim
period. If the SFA is only operating SSO sites, indicate N/A in the Comments section. If
the system is not adequate, answer NO and explain in the Comments section.
1805. Determine if the SFA has conducted a review of each of its sites operating under the SSO
at least once during the site’s operation. If not all sites have been reviewed, answer NO
and record the SFA’s plans for conducting site visits in the Comments section.
1806. a. Determine if the SFA advertised the availability and location of free meals at area
eligible sites to the community.
b. Review the advertising materials used and determine if the required nondiscrimination statement was included.
If the answer to a and/or b was NO, explain in the Comments section.
1807. Determine if the SFA prepares and submits reports as required.
1808. Determine if the SFA is retaining the appropriate records regarding program management for 3
years after the final Claim for Reimbursement for the fiscal year or until resolution of any audits.
SSO Administrative Review Form Instructions SSO SFA-1
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
SITE AGREEMENT
1809. Observe site and confirm the site type, meals offered and meal service times that are approved.
Record any discrepancies in the Comments section.
SITE ELIGIBILITY
1810. Indicate which type of site is being reviewed.
1811. Open Site
If the site is operating based on area eligibility, obtain all of the eligibility documentation (e.g.,
school data or census data, as approved by the State agency). Review and evaluate eligibility
determination for completeness and accuracy. Answer YES if area eligibility was determined
correctly and kept on file. If determination of area eligibility was incorrect and/or not kept on
file, answer NO and explain in the Comments section.
Enrolled Site
a. If the site is an enrolled site, obtain all of the eligibility documentation (applications and
direct certification). Review and evaluate eligibility determination for completeness and
accuracy. Indicate if the application approval process is implemented correctly. Answer YES
if all eligibility determinations were made correctly. If any errors are noted, answer NO.
Record all discrepancies on the Certification Error Worksheet, SSO S-2.
b. Review and evaluate if the applications indicate that 50% or more of the enrolled
population, based on the reviewer’s count of correctly approved applications/direct
certification, is eligible for free or reduced priced meals. If 50% or more of the enrolled
population is eligible for free or reduced priced meals, answer YES. If the enrolled
population does not equal 50% or more eligible for free or reduced, answer NO.
If approval errors were identified in a, or the free and reduced enrollment did not equal 50% or
more in b, explain in the Comments section.
Record errors on the Certification Error Worksheet, SSO S-2. If the SSO review is conducted in
conjunction with the Administrative Review, do NOT include applications that are used
exclusively for the Seamless Summer Option on the School Certification and Benefits Issuance
Error Worksheet, SFA-1.
Migrant Site
If the site is a migrant site, obtain all of the eligibility documentation (i.e., migrant certification).
Review and evaluate eligibility determination for completeness and accuracy. Answer YES if the
site’s eligibility was determined correctly and kept on file. If site’s eligibility was determined
incorrectly and/or not kept on file, answer NO and explain in the Comments section.
Camp
If site is a camp, obtain all of the eligibility documentation (applications and direct certification).
Review and evaluate eligibility determination for completeness and accuracy. Indicate if the
application approval process is implemented correctly. Answer YES if all applications are
approved correctly. If any errors are noted, answer NO and explain in the Comments section.
Record all discrepancies on the Certification Error Worksheet, SSO S-2. Do NOT include
applications that are used exclusively for the Seamless Summer Option on the School
Certification and Benefits Issuance Error Worksheet, SFA-1.
SSO Administrative Review Form Instructions SSO SFA-1
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
For Camps and Enrolled Sites ONLY:
Indicate if all certifications or a statistically valid sample of certifications are reviewed. If using a
statistically valid sample, indicate the confidence level, the universe, and the sample.
DAY OF REVIEW MEAL OBSERVATION
1812. Indicate which meal service(s) is being observed.
1813. Observe the meal service and determine if all meals were served and claimed for eligible
participants only. Examples of ineligible participants include individuals over the age of 18
(except at migrant sites) and children who received and were claimed for a second meal.
If meals were served to ineligible participants and claimed for reimbursement, explain and
record the number of ineligible meals on SSO S-1, line 6.
1814. Evaluate prior to the meal service if all required meal component are creditable and available.
The site should be advised and given the opportunity to add any missing meal component
before the meal is served. If the missing meal component is added, check [ ] YES but record
the deficiency and technical assistance which was provided in the Comments section. The
reviewer must observe that meal components are creditable and available throughout the meal
service for each serving line, if applicable. If all meal components are available, answer YES. A
NO answer is required if a required meal component is not creditable or is not available.
If the site did not have all the required meal components available on each serving line, describe
the problem and record the number of non-reimbursable meals in the comments section.
Combine this total with errors identified in #1815 and record on SSO S-1, line 7.
1815. Observe and indicate if all meals counted for reimbursement contain the required number of
meal components based on the written menu and/or other supporting documentation such as
production records, standardized recipes, food labels, etc. If the reviewer observes one or more
meals counted as reimbursable which were missing one or more required meal components, a
NO answer is required. If a child did not take the number of items required for a reimbursable
meal, those meals must be recorded as non-reimbursable due to observation. Record the
number of meals counted as reimbursable which were missing one or more required
components in the comments section. Combine this total with errors identified in #1814 and
record on SSO S-1, line 7.
1816. Determine if the daily meal component requirements for grains/breads, meat/meat alternate,
fruits, and vegetables are met for the age/grade group being served for NSLP, per 7 CFR Part
210.10. If NO, explain all errors identified and the technical assistance provided. Indicate if the
violations identified were repeat violations for the SFA. Record only the number of incomplete
meals counted for reimbursement that will be subject to fiscal action in the appropriate field on
the SSO S-1, line 8a.
1817. If reviewed, determine if the daily meal component requirements for grains/breads, fruits, and
vegetables are met for the age/grade group being served for SBP, per 7 CFR Part 220.8. If NO,
explain all errors identified and the technical assistance provided. Indicate if the violations
identified were repeat violations for the SFA. Record only the number of incomplete meals
counted for reimbursement that will be subject to fiscal action in the appropriate field on the
SSO S-1, line 8a.
SSO Administrative Review Form Instructions SSO SFA-1
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
1818. a. Determine if at least two required milk varieties are available throughout the serving period
on all meal service lines.
b. If substitutions are made, evaluate whether the substitutions were allowable per 7 CFR Part
210.10. If NO, explain all errors identified and the technical assistance provided. Indicate if the
violations identified were repeat violations for the SFA.
Record only the number of incomplete meals counted for reimbursement that will be subject to
fiscal action in the appropriate field on the SSO S-1, line 8a.
1819. Evaluate whether the cashier demonstrates a clear understanding of OVS and its requirements.
For any instances where meals were claimed for reimbursement that were missing required
meal components, record the total in the comments section. This includes meals where the
required minimum amount of fruits or vegetables is not selected. Combine this total with errors
identified in #1814 and #1815 and record on the SSO S-1, line 7. For any instances where meals
were claimed for reimbursement that were incomplete due to required meal components being
selected in insufficient portion sizes (not including the required ½ cup F/V), record only those
meals claimed for reimbursement that will be subject to fiscal action in the appropriate field on
the SSO S-1, line 8a. For instances where a student has selected a reimbursable meal, but is
made to select an additional item(s), record the error(s) in the comments section and provide
technical assistance to ensure Offer vs. Serve is properly implemented in the future.
DAY OF REVIEW COUNTING AND CLAIMING
1820. Observe how the meal counts are obtained from each point of service, if applicable, and
combined for the site’s total meal count. Record the site’s counts. Validate the meal count and
record as the SA’s Count for Day of Review. Calculate the difference and determine if the
procedures used by the site were accurate. If there were differences between the site’s count
and the reviewer’s count, the question must be answered NO. Record any differences on the
SSO S-1, line 9.
1821. Obtain the average meal count for the meal service that was observed from the previous five (5)
operating days and compare it to the day of review count. Evaluate the counts and indicate if an
unreasonable shift occurred in the total count from the most recent five (5) serving days to the
day of review. Enter the date and the site’s count for the meal service observed from the
previous five (5) operating days in the Comments section. Enter the average meal count by
adding all five (5) operation days together and dividing by 5.
If the meal counts are not comparable, then obtain an explanation.
Determine and indicate if the explanation is consistent with conditions at the site.
1822. a. If the site operates an academic summer school, determine if the children participate in the
regular National School Lunch Program (NSLP), School Breakfast Program (SBP) or After School
Care Program (ASCP). If the site does not operate an academic summer school, indicate N/A in
the Comments section.
b. If the site does operate an academic summer school, determine and indicate whether the
site’s procedures for counting seamless summer meals are maintained separately from the
regular NSLP, SBP and ASCP meals. If the review of the meal counting system shows that meals
SSO Administrative Review Form Instructions SSO SFA-1
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SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
are not counted and maintained separately, answer NO and describe the problem in the
Comments section.
1823. a. If the site is a camp, determine and indicate whether the site only claims meals for enrolled
children that are eligible for free or reduced priced meals based on an approved application or
direct certification documentation kept on file. If the site claims meals for children that do not
qualify for free or reduced priced meals or do not have meal applications or direct certification
documentation to support their claims, answer NO.
b. If NO, explain and record the number of meals served to ineligibles in the comments section.
Combine this total with errors identified in #1813 and record on SSO S-1, line 6.
REVIEW PERIOD COUNTING AND CLAIMING
1824. Answer this question if counting and claiming problems were found in 1820-1823.
a. For the review period, complete the chart on the SSO S-1, line 13. Record the site’s counts by
meal type for the review period, the SFA’s count by meal type for the review period for the
Claim for reimbursement, and the State agency count for the review period in the grid provided.
If the validated count is different than the site reported count, investigate and determine if the
SFA correctly claimed meal counts for this site. If the validated count is different from the SFA
claim for this school, record the difference.
b. Answer YES if the validated count matches the SFA’s claims for this site. If the validated meal
counts did not match the SFA’s claimed counts, answer NO and describe the problem.
c. If NO, explain and determine if the causes are nonsystemic or systemic. Record differences on
the SSO S-1, line 13.
MEDIA RELEASE
1825. Review and describe the media release and/or promotional material provided by the LEA/site
for the serviced areas.
If the LEA/site did not supply a media release, explain in the Comments section.
FREE AND REDUCED PRICE PROCESS – CAMP SITES ONLY
Check [ ] N/A if this site is not a Camp.
1826. Observe and evaluate the meal count/collection system to ensure that there is no overt
identification of free meal recipients.
MENU PLANNING
1827. Review the school's documentation and procedures, such as production records and nutrient
analysis records for the last five operating days for the review period to determine if meals
contain all required meal components. Record the number of meals missing required meal
components on the SSO S-1, line 11.
Review the school's documentation and procedures, such as production records and nutrient
analysis records for the last five operating days for the review period to determine all required
meal quantities were offered.
SSO Administrative Review Form Instructions SSO SFA-1
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School Year 2018-2019
SUPPLEMENTAL SEAMLESS SUMMER OPTION (SSO) ADMINISTRATIVE REVIEW FORM
Record the number of meals incomplete meals on the SSO S-1, line 12a and 12b. If FA is assessed
for Dietary Specifications and includes the day of review indicate those meals in line 8b.
MONITORING RESPONSIBILITIES
1828. a. Examine the documentation for the site to determine if the SFA monitored the site’s
compliance with meal counting, claiming, menu planning, and food safety requirements at least
once during the site’s operation. If the SFA has not monitored the site during the current
summer, explain why the site has not been reviewed in the Comments section.
b. Determine if there were errors in the meal counting, claiming, menu planning or food safety
procedures for the reviewed site that required corrective action. Indicate N/A in the Comments
section if “a” is answered NO.
c. Examine documentation to determine if actions were implemented promptly to correct the
deficiencies. Indicate N/A in the Comments section if “a” is answered NO.
CIVIL RIGHTS
1829. – 1834.
Determine, based on the answers to the questions in this section, if program benefits are made
available and provided to all children without discrimination on the basis of their race, color,
national origin, sex, age, or disability, and that the SFA seeks to reach all portions of the
population.
FOOD SAFETY AND SANITATION
1835. a. Review documentation to determine if a food safety program is in place at the site.
b. Determine if the food safety program follows the USDA guidance.
c. Determine if observations on the day of review indicate the food safety program is being
implemented as planned at the site.
If NO to a. b. and/or c., explain in the Comments section.
1836. a. If the site being reviewed is a school, examine documentation from food safety inspections.
Answer NO if less than two food safety inspections are available for the current school year.
Answer YES if the site has received two food safety inspections in the current school year.
Record the dates of the inspections in the Comments section. If site is not a school, indicate N/A.
b. If the school site did not have two food safety inspections in the current school year,
determine if the site had two food safety inspections in the previous school year. Answer YES, if
the site has received two food safety inspections in the previous school year. Record the dates
of the inspections in the Comments section. Answer NO if less than two food safety inspections
were conducted in the previous school year. Document actions taken by the SFA to request
food safety inspections from the state or local food safety inspection authority.
1837. Determine if the most recent food safety inspection report is posted in a publicly visible
location.
WATER AVAILABILITY
1838. Determine if water is available to participants. N/A can only be checked for lunch if site is a nonschool site.
SSO Administrative Review Form Instructions SSO SFA-1
16
School Year 2018-2019
File Type | application/pdf |
File Title | Supplemental Seamless Summer Option Administrative Review Form SY 2017-2018 |
Author | jgallagher |
File Modified | 2023-07-24 |
File Created | 2019-09-26 |