Get Cacfp 4118

The Cacfp 4118 form is essential for monitoring visits to Day Care Home Providers participating in the Child and Adult Care Food Program. This guide provides clear, step-by-step instructions on how to complete the form accurately online.

Follow the steps to successfully complete the Cacfp 4118 form.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter the Provider Information, including the name, physical address (city, state, zip code), and phone number. Ensure all details are accurate.
3. Input the Visit Information by entering the date and time of the visit. Select whether the visit is announced or unannounced, noting that two of the three required visits must be unannounced.
4. List the meal service observed. Indicate if the meal was breakfast, lunch, supper, or weekend meal, and specify if it was observed or reported.
5. Provide the Approval Year Begin Date which corresponds to the date the Continuous Application and Agreement was signed.
6. Record the License/Registration Information, including capacity. Check if the provider’s license/registration is current or in the renewal process.
7. Complete the Evaluation Checklist, assessing health and safety observations, cleanliness, meal counts, and record maintenance.
8. List all children present at the visit along with their ages and ensure enrollment information is verified.
9. Ask the Provider if additional children are expected for the meal/snack being observed, which may be vital for accuracy in attendance records.
10. Detail the provider’s own or resident children present, capturing their names and date of birth as necessary.
11. For enrolled providers, denote the number of non-resident children they care for, ensuring compliance with enrollment guidelines.
12. Outline any corrective actions or follow-up needed based on observations during the monitoring visit.
13. Verify that the provider's records match the observations made during the visit, noting any discrepancies.
14. Update the local homes system with any changes in the Provider's information including enrollment and capacity.
15. Once all fields are completed, you can save changes, download the form, print a copy, or share it as necessary.

Complete your forms online to ensure compliance and accurate record-keeping.