In the bustling world of child care facilities, meticulous records play a critical role in ensuring the health, safety, and well-being of children. The LDSS-4443 form, originating from the New York State Office of Children and Family Services, epitomizes this meticulous approach towards child care management. Designed to be utilized monthly, this form meticulously records each child's daily attendance, meal and snack participation, and crucially, the execution of daily health checks. Each section of the form allows for detailed entry of in and out times, marking absences, and specifying the types of meals provided—ranging from breakfast (B), AM and PM snacks, lunch (L), supper (S), to even evening snacks (EV). This structured documentation not only facilitates the smooth operation of child care programs but also ensures compliance with health standards and nutrition guidelines, particularly for participants of the Child and Adult Care Food Program (CACFP). In essence, the LDSS-4443 form serves as a comprehensive tool for child care providers to manage and monitor the essential aspects of child care that contribute to a nurturing and safe environment.
Question | Answer |
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Form Name | Ldss 4443 Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | ocfs child care attendance sheet, ldss 4443 pdf, ldss 4443, ocfs attendance sheet |
NEW YORK STATE
OFFICE OF CHILDREN AND FAMILY SERVICES
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CHILD CARE ATTENDANCE SHEET |
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INSTRUCTIONS: Actual times in and out must be recorded in the spaces below. Check box if child is absent. Daily health care check must be checked after conducted. If there are health care concerns, notes must be recorded elsewhere. CACFP participants may use this form to record each child’s food participation for each day.
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EV |
Health check |
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CHILD’S NAME |
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FOOD* |
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EV |
Health check |
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CHILD’S NAME |
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FOOD* |
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FOOD* |
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FOOD* |
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B |
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|
|
|
|
|
Absent |
|
|
|
|
|
Absent |
|
|
|
|
|
Absent |
|
|
|
|
|
|
Absent |
|
|
|
|
|
|
Absent |
|
|
|
|
|
||||||||||||||||||||||
|
|
DOB: |
/ |
/ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EV |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
||||||||||||||||||||||
|
|
|
|
|
|
|
|
EV |
Health check |
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
EV |
|
Health check |
|
|
|
|||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||
|
|
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|
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|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|||||||||||||
|
|
|
|
|
|
|
|
|
MONDAY |
|
|
|
|
|
|
TUESDAY |
|
|
|
|
|
WEDNESDAY |
|
|
|
|
THURSDAY |
|
|
|
|
|
|
|
|
FRIDAY |
|
|
|
|
|
Food |
|||||||||||||||||||
|
|
CHILD’S NAME |
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
Totals |
|||||||||
|
|
|
|
|
|
|
|
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|
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|
|
|
|
|
|
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|
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|
|
|
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|
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|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
B |
IN |
|
|
OUT |
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
|
OUT |
|
B |
|
IN |
|
|
OUT |
|
|
B |
||||||||||||||||||
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
|
AM |
|||
|
|
|
First Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
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|
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|
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|
|
|
|
|
|
|
|
|
|
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|
|
|
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|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
L |
|||||||||||
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PM |
||||||||
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
Last Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
S |
|||||||||||
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
Absent |
|
|
|
|
|
Absent |
|
|
|
|
|
Absent |
|
|
|
|
|
|
Absent |
|
|
|
|
|
|
Absent |
|
|
|
|
|
||||||||||||||||||||||
|
|
DOB: |
/ |
/ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EV |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||
|
|
|
|
|
|
|
|
EV |
Health check |
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
EV |
|
Health check |
|
|
|
|||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MONDAY |
|
|
|
|
|
|
TUESDAY |
|
|
|
|
|
WEDNESDAY |
|
|
|
|
THURSDAY |
|
|
|
|
|
|
|
|
FRIDAY |
|
|
|
|
|
Food |
|||||||||||||||||||
|
|
CHILD’S NAME |
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
Totals |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
B |
IN |
|
|
OUT |
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
|
OUT |
|
B |
|
IN |
|
|
OUT |
|
|
B |
||||||||||||||||||
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
|
AM |
|||
|
|
|
First Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
L |
|||||||||||
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PM |
||||||||
|
|
|
Last Name |
|
|
PM |
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
S |
|||||||||||
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
|
|
S |
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
Absent |
|
|
|
|
|
Absent |
|
|
|
|
|
Absent |
|
|
|
|
|
|
Absent |
|
|
|
|
|
|
Absent |
|
|
|
|
|
||||||||||||||||||||||
|
|
DOB: |
/ |
/ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EV |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||
|
|
|
|
|
|
|
|
EV |
Health check |
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
EV |
|
Health check |
|
|
|
|||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||
|
|
*B=Breakfast AM= AM snack L= Lunch PM= PM snack S= Supper |
EV= Night snack |
|
|
|
|
Page totals B |
|
|
|
AM |
|
|
L |
|
|
|
PM |
|
|
|
S |
|
|
|
EV |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MONDAY |
|
|
|
|
|
TUESDAY |
|
|
|
|
|
WEDNESDAY |
|
|
|
|
THURSDAY |
|
|
|
|
|
|
|
|
FRIDAY |
|
|
|
|
|
Food |
|||||||||||||||||||
|
|
CHILD’S NAME |
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
Totals |
|||||||||
|
|
|
|
|
|
|
|
B |
IN |
|
|
OUT |
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
|
OUT |
|
B |
|
IN |
|
|
OUT |
|
|
B |
|||||||||||||||||
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
|
AM |
|||
|
|
|
First Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
L |
|||||||||||
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PM |
||||||||
|
|
|
Last Name |
|
|
PM |
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
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PM |
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PM |
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||||||
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|||||||||||
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||||
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Absent |
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Absent |
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Absent |
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Absent |
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Absent |
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|
||||||||||||||||||||||
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DOB: |
/ |
/ |
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EV |
||||||||||||||||||||||||||
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||||||||||||||||||||||
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EV |
Health check |
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
EV |
|
Health check |
|
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||||||||||||||||||||||||||||||
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|||||||||||||
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MONDAY |
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TUESDAY |
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WEDNESDAY |
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THURSDAY |
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FRIDAY |
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Food |
|||||||||||||||||||
|
|
CHILD’S NAME |
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
FOOD* |
|
Date |
|
/ |
/ |
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|
FOOD* |
|
Date |
|
/ |
/ |
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|
FOOD* |
Date |
|
/ |
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/ |
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|
FOOD* |
Date |
|
/ |
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/ |
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|
Totals |
|||||||||
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||||
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B |
IN |
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OUT |
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B |
|
IN |
|
OUT |
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B |
|
IN |
|
OUT |
|
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B |
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IN |
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OUT |
|
B |
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IN |
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OUT |
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B |
|||||||||||||||||
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AM |
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AM |
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AM |
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AM |
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AM |
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AM |
|||
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|
First Name |
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L |
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L |
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L |
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L |
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L |
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L |
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PM |
||||||||
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Last Name |
|
|
PM |
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PM |
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PM |
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PM |
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PM |
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||||||
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S |
|||||||||||
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S |
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||||
|
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Absent |
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Absent |
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Absent |
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Absent |
|
|
|
|
|
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Absent |
|
|
|
|
|
||||||||||||||||||||||
|
|
DOB: |
/ |
/ |
|
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EV |
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||||||||||||||||||||||
|
|
|
|
|
|
|
|
EV |
Health check |
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
EV |
|
Health check |
|
|
|
||||||||||||||||||||||||||||||
|
|
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|
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|
|||||||||||||||
|
|
|
|
|
|
|
|
|
MONDAY |
|
|
|
|
|
TUESDAY |
|
|
|
|
|
WEDNESDAY |
|
|
|
|
THURSDAY |
|
|
|
|
|
|
|
|
FRIDAY |
|
|
|
|
|
Food |
|||||||||||||||||||
|
|
CHILD’S NAME |
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
Totals |
|||||||||
|
|
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|
||||||||||
|
|
|
|
|
|
|
|
B |
IN |
|
|
OUT |
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
|
OUT |
|
B |
|
IN |
|
|
OUT |
|
|
B |
|||||||||||||||||
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
AM |
|
|
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|
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|
|
|
AM |
|
|
|
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|
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|
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|
AM |
|
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|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
|
|
|
AM |
|||
|
|
|
First Name |
|
|
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|
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|||||||||||
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L |
|||||||||||
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L |
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L |
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L |
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L |
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L |
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||||
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|
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|
|
|
|
|
|
|
PM |
||||||||
|
|
|
Last Name |
|
|
PM |
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
PM |
|
|
|
|
|
|
|
|
|
PM |
|
|
|
|
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|
|
|
|
|
PM |
|
|
|
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|
|
|
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|
|
||||||
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S |
|||||||||||
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S |
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S |
|
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S |
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S |
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S |
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|
|
|
|
|
||||
|
|
|
|
|
|
|
|
Absent |
|
|
|
|
Absent |
|
|
|
|
|
Absent |
|
|
|
|
|
|
Absent |
|
|
|
|
|
|
Absent |
|
|
|
|
|
||||||||||||||||||||||
|
|
DOB: |
/ |
/ |
|
|
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|
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|
EV |
||||||||||||||||||||||||||
|
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|
||||||||||||||||||||||
|
|
|
|
|
|
|
|
EV |
Health check |
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
|
EV |
|
Health check |
|
EV |
|
Health check |
|
|
|
||||||||||||||||||||||||||||||
|
|
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|
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|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
MONDAY |
|
|
|
|
|
TUESDAY |
|
|
|
|
|
WEDNESDAY |
|
|
|
|
THURSDAY |
|
|
|
|
|
|
|
|
FRIDAY |
|
|
|
|
|
Food |
|||||||||||||||||||
|
|
CHILD’S NAME |
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
FOOD* |
|
Date |
|
/ |
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
|
FOOD* |
Date |
|
/ |
|
/ |
|
|
|
Totals |
|||||||||
|
|
|
|
|
|
|
|
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|
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|
|
|
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|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
B |
IN |
|
|
OUT |
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
OUT |
|
|
B |
|
IN |
|
|
OUT |
|
B |
|
IN |
|
|
OUT |
|
|
B |
|||||||||||||||||
|
|
|
|
|
|
|
|
AM |
|
|
|
|
|
|
|
AM |
|
|
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AM |
|
|
|
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AM |
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|
|
|
AM |
|
|
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|
|
|
|
|
|
|
AM |
|||
|
|
|
First Name |
|
|
|
|
|
|
|
|
|
|
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|
|
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|||||||||||
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L |
|||||||||||
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L |
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L |
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L |
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L |
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L |
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PM |
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Last Name |
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PM |
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PM |
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PM |
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PM |
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S |
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S |
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Absent |
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Absent |
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Absent |
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Absent |
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Absent |
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DOB: |
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EV |
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EV |
Health check |
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EV |
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Health check |
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EV |
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Health check |
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EV |
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Health check |
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EV |
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Health check |
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MONDAY |
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TUESDAY |
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WEDNESDAY |
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THURSDAY |
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FRIDAY |
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Food |
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CHILD’S NAME |
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FOOD* |
Date |
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FOOD* |
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Date |
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FOOD* |
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Date |
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FOOD* |
Date |
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FOOD* |
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Totals |
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B |
IN |
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OUT |
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B |
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IN |
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OUT |
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B |
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IN |
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OUT |
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B |
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IN |
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OUT |
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B |
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IN |
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OUT |
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B |
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AM |
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AM |
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AM |
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AM |
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AM |
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AM |
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First Name |
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L |
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L |
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L |
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L |
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L |
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L |
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PM |
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Last Name |
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PM |
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PM |
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PM |
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PM |
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PM |
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S |
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S |
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S |
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S |
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S |
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S |
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Absent |
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Absent |
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Absent |
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Absent |
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Absent |
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DOB: |
/ |
/ |
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EV |
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EV |
Health check |
|
EV |
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Health check |
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EV |
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Health check |
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EV |
|
Health check |
|
EV |
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Health check |
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*B=Breakfast AM= AM snack L= Lunch PM= PM snack S= Supper |
EV= Night snack |
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Page totals B |
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AM |
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L |
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PM |
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S |
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EV |
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