Validation Review Documents
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1 Validation Review Documents
2
3 Validation Review Checklist Please Place Copy of Certification Menu Approval (USDA form or approved software form for the one week of planned menus) Behind This Page Sample Behind This Page
4
5 Validation Review Checklist Please Place Copy of Completed Validation Review Checklist Behind This Page
6 Sample of Validation Review Checklist (Required Records)
7 Validation Review Checklist (Req uired Records) Does the CE have the required records available for a Validation review? One week of menus for each menu type for each age/grade group for the week of the onsite visit Production records, which include the portion sizes for each menu item, for each menu type for each age/grade group Standardized recipes for all applicable menu items Certification documentation submitted to TDA Nutrition Fact Labels and ingredients for menu or food items, as applicable Child Nutrition (CN) Labels for menu or food item, as applicable Whole Grain Statements/Labels for each whole grain menu or food item, as applicable Product Analysis Sheet/Manufacturer s Specification for Meat/ Meat Alternate (M/MA) Products, as applicable Product Analysis Sheet/Manufacturer s Statement to Provide for a Grains Product, as applicable USDA Foods Fact Sheets for all USDA Foods received through the TDA Commodity Operations section
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9 Validation Review Please Place Copies of One Week Cycle Planned Menus (for each menu type with the dates of service for each age/grade group) Behind This Page
10 Sample of Lunch Menu Menu Type: K-5 Dates: November 26-30, 2012
11 Validation Review Please Place Copies of All Milk Choice Nutrition Facts Labels Behind This Page Milk 1% White Skim White Skim Chocolate Skim Strawberry Nutrition Facts Label Sample Behind This Page
12 Sample of Milk Nutrition Facts Labels
13 Validation Review Please Place Copies of All Condiment Choices Nutrition Facts Labels In Order by Day Behind This Page Condiment Ketchup Mustard Mayo Ranch Dressing Nutrition Facts Label Sample Behind This Page
14 Sample of Condiments Nutrition Facts Labels
15 Validation Review Please Insert Copies of Monday s Lunch Food Production Records (which include the portion sizes for each menu item, for each menu type for each age/grade group) In This Page Protector Sample Behind This Page
16 Sample of Food Production Records
17 Validation Review Please Place Copies of All Monday s Lunch Menu Item Labels and Recipes Behind This Page in order of menu listing: Ex: Burger Label for Patty Label for Bun Pizza Label for Pizza Carne Guisada Recipe for Stew Meat Label for Meat Sample Behind This Section
18 Sample of Recipes
19 Sample of Labels
20
21 Validation Review Please Insert Copies of Tuesday s Lunch Food Production Records (which include the portion sizes for each menu item, for each menu type for each age/grade group) In This Page Protector Sample Behind This Page
22 Sample of Food Production Records
23 Validation Review Please Place Copies of All Tuesday s Lunch Menu Item Labels and Recipes Behind This Page in order of menu listing: Ex: Burger Label for Patty Label for Bun Pizza Label for Pizza Carne Guisada Recipe for Stew Meat Label for Meat Sample Behind This Section
24 Sample of Recipes
25 Sample of Labels
26
27 Validation Review Please Insert Copies of Wednesday s Lunch Food Production Records (which include the portion sizes for each menu item, for each menu type for each age/grade group) In This Page Protector Sample Behind This Page
28 Sample of Food Production Records
29 Validation Review Please Place Copies of All Wednesday s Lunch Menu Item Labels and Recipes Behind This Page in order listing: Burger Label for Patty Label for Bun Pizza Label for Pizza Carne Guisada Recipe for Stew Meat Label for Meat of menu Ex: Sample Behind This Section
30 Sample of Recipes
31 Sample of Labels
32
33 Validation Review Please Insert Copies of Thursday s Lunch Food Production Records (which include the portion sizes for each menu item, for each menu type for each age/grade group) In This Page Protector Sample Behind This Page
34 Sample of Food Production Records
35 Validation Review Please Place Copies of All Thursday s Lunch Menu Item Labels and Recipes Behind This Page in order of menu listing: Ex: Burger Label for Patty Label for Bun Pizza Label for Pizza Carne Guisada Recipe for Stew Meat Label for Meat Sample Behind This Section
36 Sample of Recipes
37 Sample of Labels
38
39 Validation Review Please Insert Copies of Friday s Lunch Food Production Records (which include the portion sizes for each menu item, for each menu type for each age/grade group) In This Page Protector Sample Behind This Page
40 Sample of Food Production Records
41 Validation Review Please Place Copies of All Friday s Lunch Menu Item Labels and Recipes Behind This Page in order of menu listing: Ex: Burger Label for Patty Label for Bun Pizza Label for Pizza Carne Guisada Recipe for Stew Meat Label for Meat Sample Behind This Section
42 Sample of Recipes
43 Sample of Labels
Carb. Pepperoni Pizza g 6g 0g 570mg 35g 6g. Carb. BBQ Beef g 5g 0g 240mg 2g
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Food Component: Grains & Whole Grain-Rich. Objectives. Objectives 4/20/2012. Healthy, Hungry Free Kids Act of 2010 New Meal Patterns SY
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$0.06 CERTIFICATION 3 E S OF HEALTHY LIVING EDUCATION, EXERCISE AND EATING RIGHT. National School Lunch Program (NSLP)
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Planned Menu Spreadsheet
Menu Name: Rigby Middle School Include Cost: No Site: All Sites Report Style: Detailed Monday - 02/04/2019 ursable Meal Total 700 000876 Chicken, Mandarin Orange 3.6 oz 250 153 19.39 11.23 001125 Rice,
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Planned Menu Spreadsheet
Values Menu Name: ELEM. LUNCH, 1-5 Include Cost: No Site: All Sites Report Style: Detailed Tuesday - 05/01/2018 ursable Meal Total 1450 000957 Chicken 8 piece bbq 000235 POTATOES- IDAHOAN REAL 001204 Gravy,
Planned Menu Spreadsheet
Values Menu Name: Summer Lunch Include : Yes Site: All Sites Report Style: Detailed Tuesday - 06/05/2018 ursable Meal Total 300 000983 Chicken, Popcorn 10 piece 000235 POTATOES- IDAHOAN REAL 000994 Gravy,
Planned Menu Spreadsheet
Values Menu Name: Rigby Middle School Include Cost: No Site: All Sites Report Style: Detailed Tuesday - 05/01/2018 ursable Meal Total 700 001234 Chicken nuggets, Tyson 000235 POTATOES- IDAHOAN REAL 990074
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Values Menu Name: Rigby High School Include Cost: No Site: All Sites Report Style: Detailed Tuesday - 05/01/2018 ursable Meal Total 520 000881 Chicken Fried Beef Patty 4 oz 000235 POTATOES- IDAHOAN REAL
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Values Menu Name: Junior High Theme Bar Include Cost: No Site: Report Style: Detailed Thursday - 11/01/2018 ursable Meal Total 100 001911 Potato, Baking Each 95 168 24 37.00 002222 Salad Bar, Baked Potato
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DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each Ham & Cheese/Bun 1 each Breakfast Bar - French Tst 1 each
DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each 280 48 Ham & Cheese/Bun 1 each 247 29.99 Breakfast Bar - French Tst 1 each 290 47 Turkey & Cheese/Bun 1 each 299 28.58 Breakfast
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DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each Ham & Cheese/Bun 1 each Breakfast Bar - French Tst 1 each
DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each 280 48 Ham & Cheese/Bun 1 each 247 29.99 Breakfast Bar - French Tst 1 each 290 47 Turkey & Cheese/Bun 1 each 299 28.58 Breakfast
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DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each 280 48 Ham & Cheese/Bun 1 each 247 29.99 Breakfast Bar - French Tst 1 each 290 47 Turkey & Cheese/Bun 1 each 299 28.58 Breakfast
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DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each Ham & Cheese/Bun 1 each Breakfast Bar - French Tst 1 each
DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each 280 48 Ham & Cheese/Bun 1 each 247 29.99 Breakfast Bar - French Tst 1 each 290 47 Turkey & Cheese/Bun 1 each 299 28.58 Breakfast
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DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each Ham & Cheese/Bun 1 each Breakfast Bar - French Tst 1 each
DESCRIPTION PORTION CALS CARBS SACK LUNCH Breakfast Bar-Ban Choc 1 each 280 48 Ham & Cheese/Bun 1 each 247 29.99 Breakfast Bar - French Tst 1 each 290 47 Turkey & Cheese/Bun 1 each 299 28.58 Breakfast
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