APPENDIX A1.5
AT-RISK SPONSORS
At-Risk CACFP Sponsor Survey Instrument
General Characteristics of Your Organization as a CACFP Sponsor
This section asks about your organization and your relationship with the Child and Adult Care Food Program (CACFP) as well as other programs.
1. Is your organization a private not-for-profit, private for-profit, or is it a public agency, school, or school district?
Private, not-for-profit 
Private, for-profit 
Public agency, school, or school district 
2. Which of the following best describes your organization? (Check one box)
Social service agency 
Child care agency 
Charitable organization 
Local education agency/school district 
School 
College or university 
Religious organization 
Tribal organization 
U.S. Military 
YMCA or YWCA 
Other 
(Please specify)
3. Which of the following best describes the geographic area served by your CACFP sponsorship? (Check one box)
Part of a town or city 
One or more towns or cities, but not an entire
county 
An entire county 
A group of counties 
Entire state 
Other 
(Please specify)
4. In what year did your organization first become a CACFP sponsor?
|___|___|___|___|
Don’t know 
5. In what year did your organization first sponsor any sites for the At-Risk CACFP?
|___|___|___|___|
Don’t know 
6. In October 2014, how many total sites did your organization sponsor for CACFP (not including adult care CACFP sites)?
Total sites sponsored |___|___|___|
6a. In October 2014, for how many of these sites did you claim only At-Risk meals and/or snacks?
Number of sites |___|___|___|
6b. In October 2014, for how many of these sites did you claim only non-At-Risk child care meals and/or snacks?
Number of sites |___|___|___|
6c. In October 2014, for how many of these sites did you claim both At-Risk and non-At-Risk child care meals and/or snacks?
Number of sites |___|___|___|
7. What types of organizations are your sites that participate in the At-Risk CACFP? (Check all that apply)
Child care centers 
Head Start centers 
Public schools 
Private schools 
Housing Authority sites 
Homeless centers 
Parks and recreation sites 
Multi-purpose community centers 
YMCA or YWCA 
Boys & Girls Clubs 
Salvation Army 
United Way 
Faith-based organizations 
21st Century Community Learning Centers 
Police Athletic Leagues 
Tribal organizations 
Food banks 
Other 
(Please specify)
8. Is your organization also a sponsor for the Summer Food Service Program?
Yes 
No   GO TO QUESTION 9
8a. How many of the sites that you sponsored for At-Risk CACFP in October 2014 also participated in the Summer Food Service Program that year (Summer 2014)?
Number of sites |___|___|___|
Don’t know 
9. Does your organization manage or administer any other USDA food and nutrition programs?
Yes 
No   GO TO QUESTION 10
9a. Which of the following USDA food and nutrition programs does your organization manage or administer? (Check all that apply)
National School Lunch Program 
School Breakfast Program 
Special Milk Program 
Fresh Fruits and Vegetables Program 
Special Supplemental Nutrition Program for
Women, Infants, and Children (WIC) 
Commodity Supplemental Food Program 
USDA Commodities Program 
The Emergency Food Assistance Program
(TEFAP) 
Supplemental Nutrition Assistance Program
(SNAP) Nutrition Education 
Other program 
(Please specify)
10. Does your organization administer or provide any services that are not funded by the USDA?
Yes 
No   GO TO QUESTION 11
10a. Which of the following types of non-USDA funded services does your organization administer or provide? (Check all that apply)
Child care locator/finder 
Child care subsidies 
Child care staff training and professional
development 
Technical assistance/coaching/mentoring for
child care quality improvement 
Outside school hours program 
Head Start 
Early Head Start 
Home visiting 
Parent support and education 
Nutrition and/or health education 
Early intervention services (Part C for children
with or at risk of developmental disabilities) 
Community recreation program 
Adult day care program 
Housing or homeless shelter 
Domestic violence shelter 
Food pantry or soup kitchen 
Other 
(Please specify)
Training and Assistance Provided by Your State CACFP Agency
In this section, we are interested in the training and assistance provided to your organization by your State CACFP Agency and on what topics it would be helpful to receive more training or assistance.
11. During the past 12 months, did your State CACFP Agency provide a mandatory annual training to you or anyone else on your staff?
Yes 
No   GO TO QUESTION 12
11a. What was the format of this training? (Check one box)
Web-based 
In-person group classes or workshops 
Self-study 
One-on-one 
Other 
(Please specify)
11b. Did the mandatory annual training include any topics specific to At-Risk CACFP?
Yes 
No   GO TO QUESTION 12
11c. What topics related to At-Risk CACFP were covered in this training? (Check all that apply)
At-Risk site applications 
At-Risk area eligibility 
CACFP meal requirements 
CACFP recordkeeping requirements 
Preparing and filing monthly reimbursement
claims 
Coordination of recordkeeping for sites
claiming both At-Risk and non-At-Risk meals
and/or snacks 
Administrative reimbursement 
CACFP monitoring requirements 
Serious deficiencies 
Assessing health and safety standards 
Maintaining confidentiality 
USDA civil rights requirements 
Food purchasing 
Menu planning 
Food preparation 
Food safety/food service operations 
Nutrition 
Physical activity 
Obesity prevention 
Best practices in afterschool programs 
Staff wellness 
Parent relations 
Recognizing abuse and neglect 
Other 
(Please specify)
11c. How satisfied are you with this training related to At-Risk CACFP?
Very satisfied 
Satisfied 
Neither satisfied nor dissatisfied 
Dissatisfied 
Very dissatisfied 
12. During the past 12 months, has your State CACFP Agency offered you or your staff any additional training related to At-Risk CACFP (i.e., training in addition to the one mandatory training)?
Yes 
No   GO TO QUESTION 13
12a. What was the most common format of this additional training? (Check one box)
Web-based 
In-person group classes or workshops 
Self-study 
One-on-one 
Other 
(Please specify)
12b. What topics related to At-Risk CACFP were covered in this additional training? (Check all that apply)
At-Risk site applications 
At-Risk area eligibility 
CACFP meal requirements 
CACFP recordkeeping requirements 
Preparing and filing monthly reimbursement
claims 
Coordination of recordkeeping for sites
claiming At-Risk and non-At-Risk meals
and/or snacks 
Administrative reimbursement 
CACFP monitoring requirements 
Serious deficiencies 
Assessing health and safety standards 
Maintaining confidentiality 
USDA civil rights requirements 
Food purchasing 
Menu planning 
Food preparation 
Food safety/food service operations 
Nutrition 
Physical activity 
Obesity prevention 
Best practices in afterschool programs 
Staff wellness 
Parent relations 
Recognizing abuse and neglect 
Other 
(Please specify)
12c. How satisfied are you with this additional training related to At-Risk CACFP?
Very satisfied 
Satisfied 
Neither satisfied nor dissatisfied 
Dissatisfied 
Very dissatisfied 
13. During the past 12 months, have you received any technical assistance from your State CACFP Agency to help you sponsor At-Risk CACFP sites?
Yes 
No   GO TO QUESTION 14
13a. On what topics related to At-Risk CACFP did you receive technical assistance from your State CACFP Agency? (Check all that apply)
Menu planning/sample menus 
Determining area eligibility 
Food vendor contracts 
Staff training 
Recruitment and retention of sites 
Budgeting 
Computer support 
Other 
(Please specify)
13b. How satisfied are you with the technical assistance available from your State CACFP Agency for the At-Risk CACFP?
Very satisfied 
Satisfied 
Neither satisfied nor dissatisfied 
Dissatisfied 
Very dissatisfied 
14. Has your State CACFP Agency provided your organization with any tools or materials that have made it easier to administer the At-Risk CACFP?
Yes 
No 
14a. Has your State CACFP Agency provided your organization with any tools or materials that have made it easier for your sites to meet the requirements of the At-Risk CACFP?
Yes 
No 
IF YOUR ANSWER TO BOTH Q14 AND Q14a = NO, THEN GO TO QUESTION 15. OTHERWISE, CONTINUE TO QUESTION 14b.
14b. Please briefly describe these tools or materials.
15. Are there any topics related to At-Risk CACFP on which you would like to receive more training or assistance?
Yes 
No   GO TO QUESTION 16
15a. On what topics would you like to receive more training or assistance?
Training and Support Your Organization Provided to Sites Serving At-Risk Meals
In the following questions, we’re interested in the training your organization supplied to sites that provided At-Risk meals and/or snacks during the past 12 months. In your responses, do not include any informal training you or your staff provided during monitoring visits or in response to individual requests for assistance.
16. During the past 12 months, did your organization provide any CACFP-related training to staff at sites who participate in At-Risk CACFP?
Yes 
No   GO TO QUESTION 17
16a. Which of the following topics were covered in your CACFP training for sites that participate in At-Risk CACFP? (Check all that apply)
At-Risk site applications 
At-Risk area eligibility 
Other requirements specific to At-Risk CACFP 
CACFP meal requirements 
CACFP recordkeeping requirements 
Preparing and filing monthly reimbursement
claims 
Coordination of recordkeeping for sites
claiming both At-Risk and non-At-Risk meals
and/or snacks 
CACFP monitoring requirements 
Serious deficiencies 
Health and safety standards 
Maintaining confidentiality 
USDA civil rights requirements 
Food purchasing 
Menu planning 
Food preparation 
Food safety/food service operations 
Nutrition 
Physical activity 
Obesity prevention 
Best practices in afterschool programs 
Staff wellness 
Parent relations 
Recognizing abuse and neglect 
Other 
(Please specify)
17. Has your own organization developed any tools or materials designed to make it easier for your sites to participate in At-Risk CACFP?
Yes 
No   GO TO QUESTION 18
17a. Please briefly describe these tools or materials.
| Outreach Your Organization Uses to Recruit At-Risk CACFP Sites | 
This section asks about outreach activities you have used to recruit sites for the At-Risk CACFP and what kind of help you may want in this aspect of the program.
18. Not including word of mouth, which of the following outreach methods have you used to recruit eligible sites for the At-Risk CACFP? (Check all that apply)
Press releases 
Flyers or brochures 
Partnering with advocacy organizations 
Partnering with local schools 
Social media 
Hosting webinars 
Community meetings 
Other 
(Please specify)
We did not do any outreach for the At-Risk
CACFP   GO TO QUESTION 19
18a. Of the outreach methods you used, which one do you think has been the most effective in recruiting eligible sites into the At-Risk CACFP? (Check one box)
Press releases 
Flyers or brochures 
Partnering with advocacy organizations 
Partnering with local schools 
Social media 
Hosting webinars 
Community meetings 
Other 
(Please specify)
19. What kinds of At-Risk CACFP outreach help, if any, would you like from your CACFP sponsoring organization or State CACFP Agency? (Check all that apply)
Sample templates for outreach materials 
General marketing of the program to
increase community awareness 
Links to websites 
Webinars 
Links to social media 
Other 
(Please specify)
Don’t need any help 
| Perceptions of Opportunities and Challenges Facing At-Risk CACFP Sites | 
In this section, we are interested in your opinions about the opportunities and challenges facing sites as they participate in the At-Risk CACFP.
20. Did any of your sites serve only afterschool snacks (not afterschool meals) to school-age children before they started claiming afterschool meals in the At-Risk CACFP?
Yes 
 
 
GO TO QUESTION 21
No 
Don’t know 
20a. Among those sites that made this change, what do you think are the two most common reasons for doing so? (Check 2 boxes)
To serve a full meal to children who are at risk
of hunger 
To attract more children to afterschool
activities 
To streamline operations by providing
afterschool snacks and meals through one
program 
To obtain higher reimbursement than available
for afterschool snacks 
To offer more flexibility in meal scheduling 
Other 
(Please specify)
20b. What do you think are the two biggest challenges these sites faced when they started serving CACFP’s At-Risk afterschool meals? (Check 2 boxes)
Inadequate kitchen space 
Not enough cooking staff 
Limited food storage 
No experience planning or preparing meals 
No experience letting food service contracts
(vended meals) 
Additional recordkeeping requirements when
serving meals, such as for food production 
Not enough reimbursement to cover meals 
No place to serve meals 
No experience providing required enrichment
activities for school-age children 
Other 
(Please specify)
Don’t know 
21. Did any of your sites only begin serving afterschool meals or snacks to school-age children when they began participation in At-Risk CACFP?
Yes 
 
 
GO TO QUESTION 22
No 
Don’t know 
21a. What do you think are the two most common reasons these sites enrolled in At-Risk CACFP? (Check 2 boxes)
To serve a full meal to children who are at risk
of hunger 
To attract more children to afterschool activities 
The service area’s eligibility 
Less paperwork than the traditional program 
Higher CACFP reimbursement (at the free rate) 
Programs serve older children, up to age 19 
Individual enrollment is not required 
A license is not required 
Other 
(Please specify)
Don’t know 
21b. What do you think are the two biggest challenges these sites faced as new participants in CACFP? (Check 2 boxes)
Inadequate kitchen space 
Difficulty complying with local and state
regulations 
Not enough cooking staff 
Limited food storage 
No experience planning or preparing CACFP
meals 
No experience letting food service contracts
(vended meals) 
Not enough reimbursement to cover meals 
Difficulty complying with CACFP recordkeeping
requirements 
Difficulty meeting state and local health and
safety requirements 
Difficulty meeting program enrichment
activities requirement 
Being approved to participate in CACFP 
Documenting licensing/registration status 
Documenting funding, and staffing 
Other 
(Please specify)
Don’t know 
22. Did any of your sites first participate in the non-At-Risk child care component of CACFP and then expand to At-Risk CACFP?
Yes 
 
 
GO TO QUESTION 22
No 
Don’t know 
22a. Among those sites that made this change, what do you think are the two most common reasons for expanding? (Check 2 boxes)
To serve older children who are at risk of
hunger and weren’t eligible for meals under
the child care component of CACFP 
To attract more children to afterschool activities 
To offer more flexibility in meal scheduling 
No individual enrollment 
Less paperwork requirements than traditional
CACFP 
To obtain higher reimbursement than available
from the child care component of CACFP 
Other 
(Please specify)
Don’t know 
22b. What do you think are the two biggest challenges these sites face participating in both the At-Risk and non-At-Risk child care CACFP? (Check 2 boxes)
Maintaining separate meal counts for both
parts of CACFP 
Maintaining two systems of eligibility 
Training staff on differences in recordkeeping
for both parts of CACFP 
Claiming under At-Risk and non-At-Risk parts
of CACFP during the school year and only
non-At-Risk child care CACFP during the
summer 
Budgeting when some meals are paid at the
free rate and others at a mix of free, reduced
and paid rates 
Other 
(Please specify)
Don’t know 
23. Are you aware of sites that provide afterschool programming that are eligible for but do not participate in At-Risk CACFP?
Yes 
No   GO TO QUESTION 24
23a. What do you think are the three main reasons eligible sites do not participate in At-Risk CACFP? (Check 3 boxes)
Is it that sites…
Perceive a high paperwork burden 
Perceive that it takes too much time for sites
to apply and be approved 
Are uncomfortable with the unannounced site
monitoring visits 
Are uncomfortable with the serious deficiency
process 
Are reluctant to participate in government
programs 
Do not meet area eligibility requirements 
Do not meet state and local health and safety
requirements 
Do not provide required enrichment activities 
Do not meet the definition of a program under
the At-Risk rules 
Have difficulty documenting their licensing/
registration status 
Do not have adequate funding to support
required services
Do not have adequate resources to hire or pay
needed staff 
Have no place to serve meals to students 
Other 
(Please specify)
Don’t know 
24. What challenges, if any, have you faced in sponsoring sites for the At-Risk CACFP? (Check all that apply)
No challenges   GO TO QUESTION 25
Identifying programs that are eligible for
At-Risk CACFP 
Having the time required to assist sites in
applying to participate in At-Risk CACFP 
Having the time to conduct required Pre-
Approval visits 
Having the time to train staff to understand
At-Risk requirements 
Administering the serious deficiency process 
Having no dedicated administrative funds to
support At-Risk sites 
Having limited resources to hire staff to support
At-Risk CACFP sites 
Helping sites hire qualified food service staff
to work during after school hours 
Assisting sites to understand how to claim both
At-Risk and child care (non-At-Risk) CACFP
meals and/or snacks 
Other 
(Please specify)
| Recommendations for Program Improvement | 
25. Do you have any suggestions for additional ways that USDA or State CACFP agencies can help support sponsors with At-Risk CACFP sites?
Yes 
No   GO TO QUESTION 26
25a. What suggestions do you have?
26. Based on your experience, do you have any other suggestions for ways to get more eligible sites to participate in the At-Risk CACFP?
Yes 
No   GO TO QUESTION 27
26a. What suggestions do you have?
27. Overall, do you think any other areas of the At-Risk CACFP need to be improved?
Yes 
No   Thank you!
27a. What suggestions do you have for improving At-Risk CACFP?
Thank you for completing the questionnaire. Please return it in the enclosed postage-paid envelope to:
CACFP Sponsor and Provider Study
Westat
1600 Research Blvd.
Rm. _____
Rockville, MD 20850
	A1.5-
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Annmarie Winkler | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-26 |