SFSP - Health Department Notification Letter

Instructions:

  1. The sponsor is required to notify the local health department of:
  2. The planned summer meal service sites before site operations begin.
  3. New sites, closed sites, and meal service changes (dates, days, times, meals) as they occur throughout the summer.
  4. The sponsor is required to submit a copy of the initial health department notification letter with the Sponsor Application Packet.

Example of a completed notification letter:

June 1, 2017

Any County Health Department

1234 Main Street

Anytown, WA 98000

RE: Summer Food Service Program

Anytown Parks & Recreation would like to inform you of our intention to sponsor the Summer Food Service Program (SFSP). The program is administered in Washington State by the Office of Superintendent of Public Instruction (OSPI), Child Nutrition Services. The SFSP regulations require us to notify the local health department of our intention to operate a summer meal site, with the following information.Meal service will be at the following sites:

Site Name
Address / Dates of Operation
Days of Operation / Meal Service Type(s)
and Time(s) / Site Supervisor’s NamePhone #
Anytown Park
4320 College Street / June 26 – Sept 1
Monday - Friday / Breakfast 10:00-10:30
Lunch 2:00 – 3:00 / Sunny Smith
123.456.7890
Skate Park
9874 Main Street / June 26 – Sept 1
Mon, Wed, Fri / Lunch 12:00-1:00
Snack 3:30-4:00 / Sunny Smith
123.456.7890

Meals for the above site(s) are prepared at the following facility:

Food Preparation Center / Delivery Times
Anytown School District
5682 School Lane (Central kitchen address) / Daily, 30 minutes before meal service
Snack will be delivered at same time as lunch

Please feel free to visit the above locations any time during the SFSP operation. We will notify you if there are any changes to the site information.

Sincerely,

SunnySmith

AnytownParks & Recreation

4321CollegeStreet

Anytown,WA,98000

DATE

Local Health Department

Street Address

City, State Zip

RE: Summer Food Service Program

Sponsor Namewould like to inform you of our intention to sponsor the Summer Food Service Program (SFSP). The program is administered in Washington State by the Office of Superintendent of Public Instruction (OSPI), Child Nutrition Services. The SFSP regulations require us to notify the local health department of our intention to operate a summer meal site, with the following information. Meal service will be at the following sites:

Site Name
Address / Dates of Operation
Days of Operation / Meal Service Type(s) and Time(s) / Site Supervisor’s NamePhone #

Meals for the above site(s) are prepared at the following facility:

Food Preparation Center
Name and Address / Delivery Times & Comments

Please feel free to visit the above locations any time during the SFSP operation. We will notify you if there are any changes to the site information.

Sincerely,

Contact Name

Sponsor Name

Address

City, State, Zip

OSPIChild Nutrition ServicesApril 2017