Form 324 "Meal Review Form for Residential Child Care Institutions (Rccis) and Juvenile Detention Centers" - New Jersey

What Is Form 324?

This is a legal form that was released by the New Jersey Department of Agriculture - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2019;
  • The latest edition provided by the New Jersey Department of Agriculture;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 324 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Agriculture.

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Download Form 324 "Meal Review Form for Residential Child Care Institutions (Rccis) and Juvenile Detention Centers" - New Jersey

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Form # 324
Revised 3/19
Meal Review Form for Residential Child Care Institutions (RCCIs) and Juvenile Detention Centers
st
This Form Must be Completed by February 1
of Each Year
Meal Reviewed (Circle one of the following): NSLP
SBP
Name of School Food Authority (SFA):
Name of Site Reviewed:
Grades: __________
Review Date:___________________
# of Feeding Locations:_____
Time of Visit: In: _________
Out: _________
Name and Title of Reviewer(s):
Name and Title of Individual(s) Interviewed:
1.
2.
Offer vs. Serve:  Yes
 No
Meal Pattern Implemented:
 Pre-K
 K-5
 K-8
 6-8
 9-12  N/A: Site has Grade Grouping Exemption
YES
NO
Is the method used for counting reimbursable meals by category (free, reduced price, paid) in compliance with the
approved point of service requirement as indicated in SNEARS at all service stations? (Meal counts must be taken at
the location where complete meals are served to children.) Acceptable methods of accountability are: coded tickets,
coded rosters, or computerized point of sale (POS) systems. Head/Tally Count Sheets are only acceptable for
residential programs without an educational component.
1.
Circle Method of Accountability Used:
Coded Ticket/Token
Coded Roster
Computerized POS
Head/Tally Count Sheets
2. Are there back-up procedures for meal counting and claiming when the primary counting and claiming system
is NOT available?
How often are foodservice professionals trained on the meal counting and claiming system (including the
backup system)?
Date Trained: ____________________________________________________
Name of Staff Member(s) Taking Meal Counts: _______________________________________________
Name of Substitute Staff Member(s): ______________________________________
Are daily meal counting and claiming correctly totaled and recorded?
3. Is the site correctly implementing policies for handling the following as applicable:
YES
NO
N/A
A. Offer vs. Serve?
B. Incomplete/Non-Reimbursable Meals?
C. Second Meals?
D. Visiting Student/Resident Meals?
E.
Adult and non-student/resident Meals?
F.
Field Trips?
G. Lost, Stolen, Misused, Forgotten or Destroyed Tickets, Tokens, IDs, and
PINS?
H. New Students/Residents Without Approved Certification of Free or
Reduced-Price Benefits?
Form # 324
Revised 3/19
Meal Review Form for Residential Child Care Institutions (RCCIs) and Juvenile Detention Centers
st
This Form Must be Completed by February 1
of Each Year
Meal Reviewed (Circle one of the following): NSLP
SBP
Name of School Food Authority (SFA):
Name of Site Reviewed:
Grades: __________
Review Date:___________________
# of Feeding Locations:_____
Time of Visit: In: _________
Out: _________
Name and Title of Reviewer(s):
Name and Title of Individual(s) Interviewed:
1.
2.
Offer vs. Serve:  Yes
 No
Meal Pattern Implemented:
 Pre-K
 K-5
 K-8
 6-8
 9-12  N/A: Site has Grade Grouping Exemption
YES
NO
Is the method used for counting reimbursable meals by category (free, reduced price, paid) in compliance with the
approved point of service requirement as indicated in SNEARS at all service stations? (Meal counts must be taken at
the location where complete meals are served to children.) Acceptable methods of accountability are: coded tickets,
coded rosters, or computerized point of sale (POS) systems. Head/Tally Count Sheets are only acceptable for
residential programs without an educational component.
1.
Circle Method of Accountability Used:
Coded Ticket/Token
Coded Roster
Computerized POS
Head/Tally Count Sheets
2. Are there back-up procedures for meal counting and claiming when the primary counting and claiming system
is NOT available?
How often are foodservice professionals trained on the meal counting and claiming system (including the
backup system)?
Date Trained: ____________________________________________________
Name of Staff Member(s) Taking Meal Counts: _______________________________________________
Name of Substitute Staff Member(s): ______________________________________
Are daily meal counting and claiming correctly totaled and recorded?
3. Is the site correctly implementing policies for handling the following as applicable:
YES
NO
N/A
A. Offer vs. Serve?
B. Incomplete/Non-Reimbursable Meals?
C. Second Meals?
D. Visiting Student/Resident Meals?
E.
Adult and non-student/resident Meals?
F.
Field Trips?
G. Lost, Stolen, Misused, Forgotten or Destroyed Tickets, Tokens, IDs, and
PINS?
H. New Students/Residents Without Approved Certification of Free or
Reduced-Price Benefits?
Form # 324
Revised 3/19
4. What procedures are used as internal controls to ensure the meal counts do not exceed enrollment or attendance
adjusted enrollment?
Comments: ________________________________________________________________________________
5. If a school has more than one meal service line, how does the point of service system prevent duplicate or
 N/A
second meals from being claimed?
Comments: ________________________________________________________________________________
PROGRAMS WITH DAY STUDENTS ONLY: Please answer Questions 6 and 7
YES
NO
6. Does the meal counting system as implemented prevent overt identification of students receiving free and
reduced price benefits?
If NO, explain: _____________________________________________________________________________
7. Is a current eligibility list kept up-to-date and used by the meal count system to provide an accurate daily
count of reimbursable meals by category (free, reduced price, paid)?
If NO, explain: ______________________________________________________________________________
8. Are internal controls such as edit checks and monitoring used to ensure that daily counts do not exceed the
number of residents eligible or in attendance, and that an accurate claim for reimbursement is made?
Record today’s meal counts by category and compare to the number of residents eligible by category.
Attendance Factor _____%
Number of Residents Approved by
Today’s Meal Counts by Category
Category
Free:
Free:
Reduced:
Reduced:
Paid:
Paid:
9. Does today’s menu meet meal pattern requirements?
If NO, explain: ______________________________________________________________________________
10. If offer versus serve is implemented, does each meal contain a fruit or vegetable (at least ½ cup) and a
minimum of two additional full serving components?  N/A
11. Were all required food components available throughout the meal service on all serving lines?
12. Does the site have a completed Food Safety Plan based on the Hazard Analysis and Critical Control Point
(HACCP) procedures?
13. If yes, has the Food Safety Plan been reviewed/ revised for the current school year?
14. If yes, is the Food Safety Plan implemented? (For example: temperature logs, standard operating procedures
for hand washing, accepting food deliveries, etc.)
Form # 324
Revised 3/19
DOCUMENTATION OF COMPLETION OF ANNUAL ON-SITE MONITORING
_______________________________________________
_________________________________________
_________________
Signature of School/Site Food Service Manager
Title
Date
_______________________________________________
_________________________________________
_________________
Signature of SFA Reviewer
Title
Date
CORRECTIVE ACTION PLAN: (Complete for all “NO” answers above)
Date corrective action(s) will be implemented: _________________________ By Whom: _____________________________________
FOLLOW-UP VISIT (must be conducted within 45 days if corrective action was required):
School Name: ____________________________________
Review Date: ________________________________
SFA Reviewer: ____________________________________
Date follow-up visit conducted: ______________________
Observations of Corrective Action Implementation:
This institution is an equal opportunity provider.
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