When it comes to ensuring that child and adult care facilities across South Carolina adhere to the highest standards, the Dss 1613 5 form plays a pivotal role. Provided by the South Carolina Department of Social Services, this document serves as a crucial tool in the administration of the Child and Adult Care Food Program (CACFP), a program designed to promote the health and nutrition of children and vulnerable adults in care settings. The form assists institutions in organizing their monitoring responsibilities, requiring them to list the centers they sponsor, the staff members assigned as monitors, their physical office addresses, and the duration of their tenure in this role. This straightforward approach ensures that each center receives proper oversight concerning its nutritional programs, emphasizing the importance of accountability and continuous supervision. By detailing the specific responsibilities and personnel involved, the form not only facilitates a structured monitoring process but also promotes transparency and efficiency in the maintenance of nutritional standards across the state's care centers.
| Question | Answer |
|---|---|
| Form Name | Dss Form 1613 5 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 1613 5 dss form 1613 5 |
South Carolina Department of Social Services
MONITOR RESPONSIBILITY
Page of
Instructions: List in column 1 the center(s) your institution sponsors or plans to sponsor. In column 2 indicate the staff person who will monitor this center for CACFP purposes and the staff person’s physical address. In column 3, indicate how long the staff person has been a monitor with your institution. Attach more sheets if necessary.
Center(s) Monitored
Name of Monitor and Physical Address of Monitor’s Office
Length of Time
Employed as a
Monitor
DSS Form
Center(s) Monitored
Name of Monitor and Physical Address of Monitor’s Office
Length of Time
Employed as a
Monitor
DSS Form |
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