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picture1_Excel Sample Sheet 42139 | 963 159 Monitorevaluationtool


 154x       Filetype XLSX       File size 0.08 MB       Source: doh.wa.gov


File: Excel Sample Sheet 42139 | 963 159 Monitorevaluationtool
sheet 1 cover page monitor evaluation toolsample 2021 doh 963159 june 2021 to request this document in another format call 18005250127 deaf or hard of hearing customers please call 711 ...

icon picture XLSX Filetype Excel XLSX | Posted on 15 Aug 2022 | 3 years ago
Partial file snippet.
Sheet 1: Cover Page
Monitor Evaluation Tool-sample 2021 (DOH 963-159 June 2021)
To request this document in another format, call 1-800-525-0127. Deaf or hard of hearing customers, please call 711 (Washington Relay) or email civil.rights@doh.wa.gov.










State Monitor Staff








Email








Local Program Consultant


















Date of Monitor








Agency








Site


















POLICY


VOLUME 1 SCORE Total Possible Points % SCORE
POSITIVE CLIENT RELATIONS - Chapter 1 0 6 0%
PROGRAM COMPLIANCE - Chapter 2 0 44 0%
APPLICATION AND PROCESSING STANDARDS - Chapter 3 0 24 0%
PRIORITY SYSTEM AND WAITING LISTS - Chapter 5 0 6 0%




INCOME - Chapter 6 0 122 0%




RIGHTS AND RESPONSIBILITIES - Chapter 7 0 42 0%




FARMER MARKET NUTRITION PROGRAM - Chapter 8 0 66 0%




ANTHROPOMETRICS - Chapter 9 0 50 0%




HEMATOLOGY - Chapter 10 0 82 0%




ASSESSMENT - Chapter 11 0 24 0%




REFERRALS - Chapter 12 0 34 0%




NUTRITION RISK CRITERIA - Chapter 14 0 6 0%




BREASTFEEDING - Chapter 15 0 170 0%




NUTRITION EDUCATION - Chapter 16 0 18 0%




WIC ELIGIBILITY PERIODS - Chapter 17 0 16 0%




CERTIFICATION - Chapter 18 0 116 0%




SPECIAL CLIENTS - Chapter 19 0 12 0%




NOTIFICATION, FAIR HEARING, CIVIL RIGHTS - Chapter 20 0 60 0%




TRANSFERS - Chapter 21 0 30 0%




WIC BENEFITS ISSUANCE - Chapter 22 0 96 0%




WIC FOODS - Chapter 23 0 38 0%




PRESCRIBED FOODS AND FORMULA - Chapter 24 0 52 0%




CONFIDENTIALITY AND LEGAL ISSUES - Chapter 25 0 124 0%














VOLUME 2







CONTRACT - Chapter 1 0 14 0%




BUDGETWORKBOOK AN DWIC EXPENSE REPORT - Chapter 3 0 16 0%




RECORD RETENTION - Chapter 7 0 4 0%




OUTREACH - Chapter 9 0 6 0%




STAFFING AND TRAINING - Chapter 11 0 18 0%




ANNUAL NUTRITION EDUCATION PLAN - Chapter 12 0 2 0%





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...Sheet cover page monitor evaluation toolsample doh june to request this document in another format call deaf or hard of hearing customers please washington relay email civilrights dohwagov state staff local program consultant date agency site policy volume score total possible points positive client relations chapter compliance application and processing standards priority system waiting lists income rights responsibilities farmer market nutrition anthropometrics hematology assessment referrals risk criteria breastfeeding education wic eligibility periods certification special clients notification fair civil transfers benefits issuance foods prescribed formula confidentiality legal issues contract budgetworkbook an dwic expense report record retention outreach staffing training annual plan...

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