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Sample Review Plan

Management Bulletin 06-209 attachment: Food for brilliant infants sample review plan.

Fiscal Year 2005-06

Home Number Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
1
UM
- -
UR
- -
A
- - -
UR
-
2
UR
- - - - -
UM
- - - - -
3
UM
- -
UR
- - -
UR
- - -
A
4 -
UR
- - - -
UM
- - - - -
5 - -
UM
- - -
UR
- - - - -
6
UM
- - -
UR
- -
UR
- - -
A
7 -
UM
- -
UR
- - - -
A
- -
8 -
UR
- -
A
- - -
UM
- - -
9 -
UR
- - -
UM
- - - -
A
-
10 - -
UR
- - -
UM
- - - - -
X - - - - - - - - - - -
UU
Total reviews, Month 4 4 2 2 3 1 5 2 1 1 2 3
& YTD
4
8
10
12
15
16
21
23
24
25
27

30

UR Month
4
4
2
2
2
1
4
2
1
0
1
1
& YTD
4
8
10
12
14
15
19
21
22
22
23
24
UM Month
3
1
1
0
0
1
3
0
1
0
0
0
& YTD
3
4
5
5
5
6
9
9
10
10
10
10

Key

YTD: Year-to-date total
A: Announced review
UR: Unannounced review (no meal service)
UM: Unannounced review including meal service
UU: Unannounced review, facility not designated

Return to Management Bulletin 06-209

Questions:   Nutrition Services Division | 800-952-5609
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