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Summary Report of Child Care Food Program Home Review

About this Form

Form number: 240-52

Audience: 

Last revised: February 2016

GENERAL INFORMATION: The following information is a summary of the visit and review conducted today. We will make an additional visit to homes which have evidence of problems. If problems are found, ineligible meals may be disallowed for reimbursement. A continuation of the problem will result in suspension or termination of participation in the Child Care Food Program.

Adobe PDF Summary Report of Child Care Food Program Home Review50 KEnglish

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