The program provides nutritional Records of USDA Yes snacks/supper implementation snacks/supper during program No operation. In Progress The program emergency contact emergency contact Yes information information for students and staff is No Student emergency contact maintained in a central location. In Progress information Parental consent is required for student Teacher survey consent forms Yes Permission slips surveys, student records/ information, No Other consent forms pictures, Internet usage and field trips In Progress The program has established Parental release forms Yes Parent/student handbook procedures for authorized student No Registration form and communicated these to staff In Progress Sign-in/Sign out forms and families. Other, please explain The students, and parents are Emergency Exit Plan Yes Snow Closing Plan informed of the program’s emergency No meeting minutes readiness plan. In Progress Program handbook Parent/Student handbook Correspondence Handouts Evacuation and relocation plan Disaster plan Other, please explain Addendum Site Monitor’s Form INSTRUCTION DOCUMENTATION COMMENTS CORRECTIVE ACTIVE REQUIRED Purchased Professional & Contracts/Invoices, specific dates and rates Technical Services of product or service. Other Purchased Services Contracts/Invoices, specific and rates of product or services.
The program provides nutritional snacks/supper during program operation. Records of USDA snacks/supper implementation Yes No In Progress The program emergency contact information for students and staff is maintained in a central location. emergency contact information Student emergency contact information Yes No In Progress Parental consent is required for student surveys, student records/ information, pictures, Internet usage and field trips Teacher survey consent forms Permission slips Other consent forms Yes No In Progress The program has established procedures for authorized student and communicated these to staff and families. Parental release forms Parent/student handbook Registration form Sign-in/Sign out forms Other, please explain Yes No In Progress The students, and parents are informed of the program’s emergency readiness plan. Emergency Exit Plan Snow Closing Plan meeting minutes Program handbook Parent/Student handbook Correspondence Handouts Evacuation and relocation plan Disaster plan Other, please explain Yes No In Progress Addendum Site Monitor’s Form INSTRUCTION DOCUMENTATION COMMENTS CORRECTIVE ACTIVE REQUIRED Purchased Professional & Technical Services Contracts/Invoices, specific dates and rates of product or service. Other Purchased Services Contracts/Invoices, specific and rates of product or services.
2012-201321stCCLCMonitoringTool.docx