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* 1. Name (First & Last):

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* 2. Agency Name & Site Name:

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* 3. Email Address:

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* 4. What training did you complete?

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* 5. Which of the following must be maintained on file to support the record type “claims for reimbursement”?

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* 6. How often do enrollment forms need to be reviewed, updated (as needed), and then signed by the parents?

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* 7. For “documentation of eligibility to participate” in nonprofit agencies, what documentation must be maintained on file?

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* 8. Production records show:

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* 9. Which of the following is an example of the “basic CACFP information” that must be provided to all enrolled families and to the public upon request?

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* 10. True or False: Documentation of prior health and fire inspections is usually completed as part of the licensing study.

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* 11. For the CACFP which of the following are required on a child’s enrollment form?

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* 12. Which of the following is not required on a child’s enrollment form?

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* 13. True or False: "Household Contacts" must be completed by all institutions.

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* 14. Which of the following are examples of documentation that should be maintained on file to support CACFP costs?

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* 15. The State Agency provides WIC information to all institutions for what reason?

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* 16. Which of the following site types is an example of a site that does not need to be licensed or registered with the Department of Social Services?

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* 17. Which of the following is not required documentation to support annual CACFP training that is offered to staff by the local agency?

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* 18. Time in / time out records must include:

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* 19. True or False: Special diet forms must be on file if a child has a medical need or request that requires a substitution to the menu or meal pattern.

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* 20. How long must all CACFP records be maintained on file?

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* 21. Which of the following is not required as documentation of monitoring efforts (for sponsors of homes or more than one center)?

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* 22. Meal count records must:

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* 23. True or False: All menus must follow the required meal patterns for the age of the child(ren) and the meal being served.

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* 24. Which of the following site types is not required to have enrollment forms, time in/out records, or by-name meal counts?

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