Filetype Excel XLSX | Posted on 15 Aug 2022 | 4 years ago
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268x Filetype XLSX File size 0.08 MB Source: doh.wa.gov
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 | |||||||||||
| 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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