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UNCLASSIFIEDILAW ENFORCEMENT SENS|T|VE (When Compteted) <br />FOOD SERVICE <br />Sanitation Requirements <br />Has the facility been inspected by an exte rnal party within the past 1 2 months to ensure that the food service and <br />equipment meets established health, sanitation, and safety protocols? <br />CYes CNo <br />lf 'Yes', Date of lnspection <br />Were any violations identified? <br />C Yes t^ No <br />Have those violations been corrected? <br />CYes CNo <br />Was the facility re-inspected to ensure the violations were corrected properly? <br />CYes CNo <br />Adequate and Varied Meals <br />Does the facility provide 3 meals per day? <br />CYes CNo <br />Does the facility provide a minimum of 2 hot meals per day? <br />CYes CNo <br />Does the facility provide meals that are nutritionally adequate and varied, as approved by a dietitian? <br />CYes CNo <br />Does the facility serve meals that match the approved meal menus? <br />CYes CNo <br />Does the facility provide special meals for prisoner religious or medical needs? <br />CYes CNo <br />SAFETY AND SANITATION <br />Fire Safety <br />Are annual fire safety inspections conducted by state or localfire officials? <br />CYes CNo <br />lf 'Yes', Date of lnspection <br />NOTICE: This document is intended FoR oFFlclAL usE oNLY and may contain LAW ENFoRCEMENT sENStTtvE oR coNFtDENTIAL information <br />which is for the sole use of the intended recipient(s). Any unauthorized revlew, use, disclosure, or distribution ls prohibited. lf you are not the iniended <br />recipient, please contact the sender and destroy all copies of this document. Any Protected Health lnformation conlained in this document is to be used <br />only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law and/or lhe privacy Act and will be <br />reported as such. <br />UNCLASSIFIED//LAW ENFORCEMENT SENStTtVE (When Compteted) <br />Page 15 ot22 <br />Form USM-218 <br />Rev. 07/21