SUMMER FOOD SERVICE PROGRAM SITE REVIEW FORM - ISBE 67-42 - Completion and monitoring within first 4 weeks of operation

Oct 10, 2026

Uploaded by Mia

Summer Food Service Program (SFSP) Site Review Form for conducting required monitoring of program sites. It defines monitoring objectives, including determining whether each site meets all SFSP requirements and ensuring immediate correction of operational issues. Instructions specify timing for site review completion within the first 4 weeks of operation and note when a Site Visit Form is not required. The form includes meal service classification, approved versus actual meal service times, meal counts, meal service documentation, and program operation questions covering training, staffing, record accuracy, food safety, and eligibility/payment tracking.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages5

Reading Time13 min

AccessFree to download

Site Monitoring Directions

Site Visit Form ISBE 67-44

Site Review Form ISBE 67-42

Site Information

Meal Service

Meal Service Type and Preparation

Approved vs Actual Times

Participation and Attendance

Meal Count – Day of Visit

First and Second Meals

Program and Non-Program Adults

Leftovers

Meal Counts for Previous Five Days of Claimed Service

Questions (Meal Counts)

Program Operation Questions

SUMMER FOOD SERVICE PROGRAM SITE REVIEW FORM 100 North First Street, W-270 Springfield, Illinois 62777 NUTRITION DEPARTMENT Directions: During the operation of the SFSP, sites must be monitored according to the following table: | Monitoring Form | Objective | Sites Required | When | | --- | --- | --- | --- | | Site VISIT
Form ISBE 67-44 | To ensure the food service is operating smoothly and apparent problems are immediately corrected. Observation of meal is not required. | New sites, sites identified as having operational problems the prior year, and sites new to noncongregate meal service. | Within the first 2 weeks of operation.
If the monitor meets the objective of the Site Review during the first 2 weeks of operation, the Site Review Form may be completed in lieu of the Site Visit Form. | | Site REVIEW Form ISBE 67-42 | To determine if the site is meeting all Program requirements. Monitor must observe a complete meal service from beginning to end, including delivery or preparation of meals, the meal service, and cleanup after the meal service. | ALL sites. | Within the first 4 weeks of operation.
The Site Visit Form is not required IF observing a meal service and completing the Site Review Form during the first 2 weeks of operation. | | SPONSOR NAME | | | | | AGREEMENT NUMBER | | SITE NAME | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | SITE ADDRESS (City, State, ZIP Code) | | | | | | SITE NUMBER | | SITE PHONE NUMBER | | SITE SUPERVISOR | | | | | | MONITOR NAME | | | | TYPE OF SITE VISIT? | | | | DATE OF REVIEW | | ARRIVAL TIME | | DEPATURE TIME | | | REVIEW | | FOLLOW UP | | | | | | | | | | | | | | | | Meal Service IS THE SITE SERVING CONGREGATE AND NON-CONGREGATE MEALS? YES NO MEAL SERVICE TYPE: Congregate Non-Congregate Home Delivery Non-Congregate Pick Up Hybrid APPROVED MEAL SERVICE: Breakfast AM Snack MEAL PREPARATION: On-site Lunch PM Snack Central Kitchen (specify address): Supper APPROVED FOR OVS? YES NO Vendor (specify): APPROVED DATES OF OPERATION: Start: End: APPROVED MEAL SERVICE TIMES: Start: End: ACTUAL MEAL SERVICE TIMES: Start: End: TIME MEALS DELIVERED OR PREPARED: TIME MEALS SERVED: APPROVED LEVEL OF PARTICIPATION: TODAY’S ATTENDANCE: Meal(s) Reviewed Directions: Select Congregate or Non-Congregate, as applicable, for each meal type. | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | Congregate
Non-Congregate | | Congregate
Non-Congregate | | | Congregate
Non-Congregate | | Congregate
Non-Congregate | | Congregate
Non-Congregate | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Meal Count – Day of Visit ______ ______ ______ ______ 7. FIRST MEALS SERVED 8. SECOND MEALS SERVED (only allowable in congregate meal service) 9. SERVED TO PROGRAM ADULTS 10. SERVED TO NON-PROGRAM ADULTS 11. TOTAL MEALS SERVED (7-10) 12. LEFTOVERS (entire meal) Meal Counts for Previous Five Days of Claimed Service | | DATE | DATE | DATE | DATE | DATE | | --- | --- | --- | --- | --- | --- | | Firsts | | | | | | | Seconds | | | | | | | QUESTIONS | | | | | | YES | NO | | --- | --- | --- | --- | --- | --- | --- | --- | | 1. | Did the site serve meals in excess of the approved participation level? | | | | | | | | 2. | What does the site supervisor do with excess meals? | | | | | | | | 3. | Are accurate meal count records completed at meal service time? If no, indicate deficiency: | | | | | | | | | Inaccurate meal counts taken | | Meal counts not taken at meal service time | | | | | | 4. | Are the number of first meals served on the day of the review consistent with the current average daily participation (ADP)? | | | | | | | | | If no:
Is an acceptable explanation available? | | | YES | NO |

FAQs

When must the Site Review Form ISBE 67-42 be completed during SFSP operation?

It must be completed within the first 4 weeks of operation. The Site Visit Form is not required if a meal service is observed and the Site Review Form is completed during the first 2 weeks of operation.

What is the objective of the Site Review Form ISBE 67-42?

To determine if the site is meeting all Program requirements. The monitor must observe a complete meal service from beginning to end, including delivery or preparation, meal service, and cleanup.

What types of meal service information and comparisons are captured on the form?

The form records whether congregate and non-congregate meals are served, meal service type and preparation (on-site, central kitchen, home delivery/pick up/hybrid), approved versus actual meal service times, approved dates of operation, and approved levels of participation with today’s attendance.

Oct 10, 2026

Uploaded by Mia