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CACFP Home Monitoring Form (Child Care Home) - North Carolina Mobile App

This form records information required for North Carolina CACFP Monitors who visit child care homes. This mobile form automatically populates review date, review times and can obtain GPS data. The reviewer has the option to capture a picture of the meal and perform a 5 day reconciliation (depending on the North Carolina Sponsor's requirements). Reviewer and Provider signatures are also included in this form. Easily capture this important data and store it securely in the cloud.

This and any other CACFP mobile forms can be easily customized using the GoCanvas service, with no programming or coding needed.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the CACFP Home Monitoring Form (Child Care Home) - North Carolina Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Monitor Name:

  • Ico textbox

    Provider Name:

  • Ico integer

    Provider Number

  • Ico dropdown

    Review Type:

  • Ico dropdown

    Review Type Continued:

  • Ico date

    Date of Visit:

  • Ico time

    Visit Start Time:

  • Ico dropdown

    The provider is currently?

  • Ico dropdown

    Is the provider currently DHS listed?

  • Ico integer

    Licensed capacity?

  • Ico dropdown

    Are all of the children present on the annually updated enrollment list?

  • Ico dropdown

    Are enrollment forms available for all children present?

  • Ico dropdown

    Do enrollment times on the children's enrollment forms correspond to the children present?

  • Ico dropdown

    Are enrollment forms available for new children?

  • Ico dropdown

    Are children being claimed for meals that they are not enrolled for?

  • Ico dropdown

    Is the provider keeping copies of all enrollment forms?

  • Ico multiline

    Additional comments regarding enrollment:

  • Ico dropdown

    Meal Observed

  • Ico dropdown

    Are Infants present at the meal?

  • Ico dropdown

    Are Non-Infants present at the meal?

  • Ico time

    Beginning time of meal observed:

  • Ico checkbox

    Will you be performing a 5 Day Meal Reconciliation?

  • Ico statictext

    Using your Master Food List, indicate what food items you observed the infants eating.

  • Ico integer

    Meat/Alternate or Infant Cereal 8-11 Months.

  • Ico integer

    Fruit or Vegetable, 8-11 Months.

  • Ico integer

    Iron Fortified Infant Cereal, 4-7 Months

  • Ico integer

    Fruit or Vegetable, 4-7 Months

  • Ico statictext

    Indicate if the infants had breast milk or formula.

  • ...and More!

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