Site Visit Quick Response Page – Akron-Canton Regional Foodbank

NPP Staff Name*

NPP Staff Email*

Network Partner Name*

Network Partner Number*

Site Visit Date*

Site Visit Date (old, hidden)

Main Contact Name*

Main Contact Email*

Network Partner is interested in participating in SNAP referrals

Yes
No

Items being purchased elsewhere on a regular basis and where are they being purchased?*

Account Changes*

List changes made to account in bullet-point format, including main contact information, distribution days/times, adding/removing contacts, addresses, etc. If needed, please fill out the Network Partner Account Change Form.

Menu Feedback

Would it be okay if someone follows up with you on your menu feedback?*

Account to be Updated

Send changes to Cody

**This will NOT appear on the communique to the network partner**

Opportunities for Improvement*

List opportunities for improvement in bullet-point format.

PantryTrak Issues

Yes

Follow-up to correct PantryTrak issue with Network Partner

Overall Site Visit Assessment Percentage*

SecA: Paperwork Compliance Score

Please enter a number less than or equal to 18.

Sec B1: USDA & Ohio Guidelines Score

Please enter a number less than or equal to 6.

Sec B2: PantryTrak Score

Please enter a number less than or equal to 14.

Sec B3: Paper TEFAP Form Score

Please enter a number less than or equal to 12.

Sec C1: Dry Storage Score

Please enter a number less than or equal to 22.

Sec C2: Refrigeration/Freezer Score

Please enter a number less than or equal to 11.

Sec C3: Food Prep & Service Area Score

Please enter a number less than or equal to 11.

Note for Network Partner*

Personal note of gratitude for partner. Please write in complete sentences. This is the last section in the email sent to Network Partners.

Food from other sources (optional)

Use this field to log significant non-foodbank sources of food. **This will NOT appear on the communique to the network partner, but will send the info to the OPS department**

Based on the site visit form currently being used, how would you rate the clarity of whether a network partner is in compliance or out of compliance (1-5)?*

On a scale of 1-5 with 5 being the highest, how would you rate the clarity of corrective action steps if the network partner is determined to be out of compliance (1-5)?*

During this site visit, approximately what % of time did you spend on CAPACITY BUILDING?*

Please enter a number from 0 to 100.

The Marketing Team is always looking for unique network partner stories for their newsletters, emails, press releases, and social media. Do you recommend this partner for a Foodbank story (use the filters below the text box to help you decide)? If yes, please provide a brief description below.*

What would be the interesting angle of the story (new project, innovative practice, impactful client story, etc.)? Is the partner in compliance and in general good standing with the Foodbank? Do they speak positively of the Foodbank? Is the story “photographable”? List the county where the partner operates.

Please provide a brief description.

Did the partner mention a program offering food assistance not connected to the Foodbank? If yes, please provide details below.*

Please provide details (name of organization/church, program(s) offered, contact information, address, etc.)