TE_CYS-34_MDTI_Dietitian_CY15_Checklist_V1_20140224.xls

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BASE OPERATIONS SUPPORT SERVICES, U. S. ARMY GARRISON KWAJALEIN ATOLL (USAG-KA)
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TE_CYS-34_MDTI Dietitian CY15 Checklist V1 20140224.xls

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Instructions

CY15 CHILD, YOUTH & SCHOOL (CYS) SERVICES GARRISON MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CHECKLIST INSTRUCTIONS
1. The instructions below are intended to briefly explain the checklists found on the Excel spreadsheets for this MDTI Checklist for Dietitian. These checklists should be used by the inspector to ensure all criteria are inspected as Met or Not Met. Use of N/A or Not Observed should only be used in extenuating circumstances for that facility or program.
2. The following is an explanation of the structure of the CY15 inspection criteria

A. Section level – The highest level of the criteria are the “Sections”. Child Development Centers (CDC), Family Child Care (FCC), School Age Centers (SAC) and Youth Program (YP) criteria are divided into three sections, 1) General Management (Section A), 2) Facilities, Health, Safety and Risk Management (Section B) and 3) Programming (Section C).

B. Subsection level – The sections are further categorized into “Subsections.” Example: A.1 Resource Management and Administration is a Subsection under General Management Section A.

C. Criteria level – Each subsection has multiple “Criteria.” The number varies from one subsection to the next. The criteria represent the overall program standards which have been determined by Office of the Secretary of Defense (OSD) to demonstrate “quality” across programs.

Example A.1.a. The program has implemented the fee policy in accordance with current DoD guidance.

There is at least one criteria under each sub-section and as many as 8. Each criteria is followed by the intent statement.

D. Component level – The “Component” level is new for CY15 and is the new term for the compliance item being inspected. The component level compliance items show how the program meets the criteria. The following is an example of one component under Criteria A.1.a. shown above:

Example A.1.a.1 Fees are determined by total family income (TFI).

There is at least one component under each criteria and up to twenty-six, depending on the number of components needed to demonstrate compliance with the criteria. Each component is followed by Guidance, which explains what is observed, reviewed or done by the inspector in order to determine if the program is in compliance with that component. There will also be some Components which have a Notes section that explain the percentage of files, or additional information needed to be consistent in determining compliance with the Component.

3. The MDTI Checklist for the inspector is divided into four checklists -- Family Child Care (FCC), Child Development Center (CDC), School Age Center (SAC) and Youth Program (YP). Each component should be evaluated as to whether it is met or not met. If not met, it will go on the Corrective Action Report (CAR) as a finding. The Guidance section will assist the inspector to know what to look for in determining compliance. The Notes section will also assist if there are records to review.
4. Until an electronic version of the CAR is developed based on the new criteria, a CAR form is found on AKO at https://www.us.army.mil/suite/files/44298680 and can be filled in by the inspector until one is developed which will be more automatic.
5. Items identified with a red background in the number cell are the immediate fix deficiencies that must be corrected as soon as identified. The remaining items are a 45 day fix time. Items which are repeats from previous inspections should be designated as repeats.
6. The other inspector checklists are uploaded onto the AKO site under 01 Inspections folder/MDTI folder: https://www.us.army.mil/suite/files/44298680
NOTE: The term "personnel" refers to staff, FCC providers, contractors, volunteers and others identified in the Secretary of the Army Directive.

FCC Dietitian

CY15 DIETITIAN FAMILY CHILD CARE (FCC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA
CRITERIA NUMBERFCC CRITERIA HOME INSPECTED_______________________ DATE INSPECTED_________ INSPECTOR________________METNOT METN/ANOT OBS.
B.6NUTRITION AND FOOD SERVICE
B.6.aDoDI 6060.02 (DRAFT),
10. CDC AND SAC STANDARDS OF OPERATION, FCC STANDARDS OF OPERATION, AND THE ERISG. Nutrition and Food Service
Unless documented circumstances approved by the DoD Component prevent enrollment, all programs must enroll in the USDA CACFP (United States Department of Agriculture Child and Adult Care Food Program).The FCC program/facility administers the food program in accordance with United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) and DoD requirements.DoDI 6060.2 E3.3.2; E3.6.2

DoDI 6060.3 E3.6.1

Intent: To ensure nutritious meals and snacks are provided in the programs.
B.6.a.15.A.02Programs participate in the USDA CACFP, if it is available, or follow guidance when not available.
Guidance: Review evidence of participation in USDA CACFP program, which should be a certificate. Program not available overseas.DoDI 6060.2 E3.3.2; E3.6.2

DoDI 6060.3 E3.6.1

B.6.a.25.A.02Meals and snacks are served every 2-3 hours.
Guidance: Meal/snacks should not be provided too early or too late. Garrison should have state requirements for the time between meals available for review by inspector if there is a more stringent requirement. The length of time between start of one meal and beginning of the next meal can be no more than 3 hours.AR 608-10, 4-4 & 4-35a
B.6.a.4Substitutions are recorded on the menu posted for parents prior to opening.
Guidance: Review menus to ensure proper recording of substitutions is taking place. Changes to the menu should be already posted for parents to view when facility opens and first parent arrives.AR 608-10, 4-35g
B.6.a.5NoneCore or cyclical menus, approved by a nutritionist or registered dietician, are posted.
Guidance: Review menus for proper posting and approval.AR 608-10, 2-3d(1) & 4-35f&h

&LCY15 Dietitian FCC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14

CDC Dietitian

CY15 DIETITIAN CHILD DEVELOPMENT CENTER (CDC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA
CRITERIA NUMBERCDC CRITERIA CDC NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________METNOT METN/ANOT OBS.
B.6NUTRITION AND FOOD SERVICE
B.6.aDoDI 6060.02 (DRAFT),
10. CDC AND SAC STANDARDS OF OPERATION, FCC STANDARDS OF OPERATION, AND THE ERISG. Nutrition and Food Service
Unless documented circumstances approved by the DoD Component prevent enrollment, all programs must enroll in the USDA CACFP (United States Department of Agriculture Child and Adult Care Food Program).The FCC program/facility administers the food program in accordance with United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) and DoD requirements.DoDI 6060.2 E3.3.2; E3.6.2
Intent: To ensure nutritious meals and snacks are provided in the programs.
B.6.a.15.A.02Programs participate in the USDA CACFP, if it is available, or follow guidance when not available.
Guidance: Review evidence of participation in USDA CACFP program, which should be a certificate. Program not available overseas.DoDI 6060.2 E3.3.2; E3.6.2
B.6.a.25.A.02Meals and snacks are served every 2-3 hours.
Guidance: Meal/snacks should not be provided too early or too late. Garrison should have state requirements for the time between meals available for review by inspector if there is a more stringent requirement. The length of time between start of one meal and beginning of the next meal can be no more than 3 hours.AR 608-10 , 4-4 & 4-35a
B.6.a.4Substitutions are recorded on the menu posted for parents prior to opening.
Guidance: Review menus to ensure proper recording of substitutions is taking place. Changes to the menu should be already posted for parents to view when facility opens and first parent arrives.AR 608-10, 4-35g

CYS Operations Guidance (2/2014)

B.6.a.5NoneCore or cyclical menus, approved by a nutritionist or registered dietician, are posted.
Guidance: Review menus for proper posting and approval.AR 608-10, 2-3d(1) & 4-35f&h

&LCY15 Dietitian CDC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14

SAC Dietitian

CY15 DIETITIAN SCHOOL AGE CENTER (SAC) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA
CRITERIA NUMBERSAC CRITERIA SAC NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________METNOT METN/ANOT OBS.
B.6NUTRITION AND FOOD SERVICE
B.6.aDoDI 6060.02 (DRAFT),
10. CDC AND SAC STANDARDS OF OPERATION, FCC STANDARDS OF OPERATION, AND THE ERISG. Nutrition and Food Service
Unless documented circumstances approved by the DoD Component prevent enrollment, all programs must enroll in the USDA CACFP (United States Department of Agriculture Child and Adult Care Food Program).The FCC program/facility administers the food program in accordance with United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) and DoD requirements.DoDI 6060.2 E3.3.2; E3.6.2

DoDI 6060.3 E3.6.1

Intent: To ensure nutritious meals and snacks are provided in the programs.
B.6.a.15.A.02Programs participate in the USDA CACFP, if it is available, or follow guidance when not available.
Guidance: Review evidence of participation in USDA CACFP program, which should be a certificate. Program not available overseas.DoDI 6060.2 E3.3.2; E3.6.2

DoDI 6060.3 E3.6.1

B.6.a.25.A.02Meals and snacks are served every 2-3 hours.
Guidance: Meal/snacks should not be provided too early or too late. Garrison should have state requirements for the time between meals available for review by inspector if there is a more stringent requirement. The length of time between start of one meal and beginning of the next meal can be no more than 3 hours.AR 608-10, 4-4 &4-35a
B.6.a.4Substitutions are recorded on the menu posted for parents prior to opening.
Guidance: Review menus to ensure proper recording of substitutions is taking place. Changes to the menu should be already posted for parents to view when facility opens and first parent arrives.AR 608-10 4-35g

CYS Operations Guidance (2/2014)

B.6.a.5NoneCore or cyclical menus, approved by a nutritionist or registered dietician, are posted.
Guidance: Review menus for proper posting and approval.AR 608-10, 2-3d(1) & 4-35f&h

&LCY15 Dietitian SAC MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14

YP Dietitian

CY15 DIETITIAN YOIUTH PROGRAM (YP) CHILD, YOUTH & SCHOOL (CYS) SERVICES MULTI-DISCIPLINARY TEAM INSPECTION (MDTI) CRITERIA
CRITERIA NUMBERYP CRITERIA YP NAME/BLDG #________________________ DATE INSPECTED_____________ INSPECTOR________________METNOT METN/ANOT OBS.
B.6NUTRITION AND FOOD SERVICE
B.6.aDoDI 6060.02 (DRAFT),
10. CDC AND SAC STANDARDS OF OPERATION, FCC STANDARDS OF OPERATION, AND THE ERISG. Nutrition and Food Service
Unless documented circumstances approved by the DoD Component prevent enrollment, all programs must enroll in the USDA CACFP (United States Department of Agriculture Child and Adult Care Food Program).The FCC program/facility administers the food program in accordance with United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) and DoD requirements.DoDI 6060.4 E4.13.1
Intent: To ensure nutritious meals and snacks are provided in the programs.
B.6.a.15.A.02Programs participate in the USDA CACFP, if it is available, or follow guidance when not available.
Guidance: Review evidence of participation in USDA CACFP program, which should be a certificate. Program not available overseas.DoDI 6060.4 E4.13.1
B.6.a.25.A.02Meals and snacks are served every 2-3 hours.
Guidance: Meal/snacks should not be provided too early or too late. Garrison should have state requirements for the time between meals available for review by inspector if there is a more stringent requirement. The length of time between start of one meal and beginning of the next meal can be no more than 3 hours.AR 608-10 4-35a, 5-6(3)

Youth Program Handbook, Ch. 3

B.6.a.4Substitutions are recorded on the menu posted for parents prior to opening.
Guidance: Review menus to ensure proper recording of substitutions is taking place. Changes to the menu should be already posted for parents to view when facility opens and first parent arrives.Youth Program Handbook, Ch 3

CYS Operational Guidance (2/2014)

B.6.a.5NoneCore or cyclical menus, approved by a nutritionist or registered dietician, are posted.
Guidance: Review menus for proper posting and approval.Youth Program Handbook, Ch 3

&LCY15 Dietitian YP MDTI Checklist&CPage &P of &N&RVersion 1 2/24/14

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