Free Form 02AG025E (SUOA-S-74) - Oklahoma

*02AG025E-001*
OKLAHOMA DEPARTMENT OF HUMAN SERVICES Dietary Consultant's Report
Project name Project director Site/site manager Date Date Date

I. Summary of month's consultation activities:
Total monthly hours spent on site: Minimum of five hours a month per cooking site and three hours per satellite site. Conferences with: Project director Site manager(s) Outreach worker(s) Cook(s) Other Indicate joint conferences Visited/ate lunch with participants Attended Advisory Council Meeting Reviewed menus Observed meal preparation Observed meal service Number of reservations made: Number of meals prepared: Number of meals served: Number of full meals leftover: Checked dishwashing procedures Conducted inservice education Conducted nutrition education Consultation by telephone - explain under II *Worked at home - explain under II Other: II. Briefly explain I: III. Progress: IV. Recommendations: V. Comments: Topics covered: Policies Procedures Purchasing Cost control Storage Equipment procurement Equipment maintenance Food preparation Standardized recipes Job descriptions Job schedules Home delivered meals Sanitation Safety Nutrition Other**
* Written work done away from institution, such as writing policies, procedures, menus, preparation for education. ** For instance, dishwashing techniques, menu planning techniques, reviewed bacteria county reports. Explain under II.

Registered dietitian

Date

OKDHS revised 8-8-2003

02AG025E (SUOA-S-74)