Child and Adult Care Food Program (CACFP) Administrative Training Child Nutrition and Food...
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Child and Adult Care Food Program (CACFP) Administrative Training Child Nutrition and Food Distribution Programs North Dakota Department of Public Instruction Wayne G. Sanstead, State Superintendent
Child and Adult Care Food Program (CACFP) Administrative Training Child Nutrition and Food Distribution Programs North Dakota Department of Public Instruction
Child and Adult Care Food Program (CACFP) Administrative
Training Child Nutrition and Food Distribution Programs North
Dakota Department of Public Instruction Wayne G. Sanstead, State
Superintendent
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GOAL OF CACFP Helping to improve and maintain the health and
nutritional status of children and adults in care while promoting
the development of good eating habits
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UPDATES New & Updated Creditable food guide New
Reimbursement Rates Income Eligibility Guidelines
New Reimbursement Rates CHILD AND ADULT CARE CENTER
REIMBURSEMENT RATES July 1, 2012 June 30, 2013 FullReduced Price
Free Breakfast$.27 $1.25 $1.55 Lunch/Supper$.27 $2.46 $2.86
Snack$.07 $0.39 $0.78 Cash in Lieu $.2275 The new rates are posted
on the DPI/Child Nutrition website.
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Updated Income Guidelines
http://www.dpi.state.nd.us/child/new/income
_eligibility_guidelines12-13.pdf
http://www.dpi.state.nd.us/child/new/income
_eligibility_guidelines12-13.pdf
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Extended Eligibility Policy Children receiving SNAP, FDPIR, or
TANF benefits are always categorically eligible for free meals and
their eligibility extends to all household members participating in
CACFP.
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MILK F luid milk served to children 2 years and older must be:
Fat-free (skim) or low-fat (1%) Fat-free or low-fat lactose reduced
milk Fat-free or low-fat lactose free milk Fat-free or low-fat
acidified milk Fat-free or low-fat flavored milk (i.e. chocolate)
All milk must be pasteurized fluid milk that meets State and local
standards 8
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MILK It is recommended that whole milk be served to children
from age 1 to 2. However, meals are still reimbursable if reduced,
low or non-fat milk is served to these children. Whole milk or
reduced-fat (2%) milk may not be served to children age 2 and older
without a medical statement. Meals served with whole or 2% milk are
non- reimbursable. If whole or 2% are listed on menus or observed
during a review, meals will be disallowed. 9
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MILK Non-dairy Milk Substitutes: Non-dairy milk substitutes may
be served in lieu of fluid milk to children who cannot consume
fluid milk due to a medical or other special dietary needs, other
than a disability, Non-dairy milk substitutes must be nutritionally
equivalent to milk (8 grams of protein per serving). 10
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MILK Parents may request in writing non-dairy milk
substitutions without providing a medical statement. Example: if a
parent has a child that follows a vegan diet, the parent may submit
a written request asking that soy milk be served in lieu of cows
milk. The written request must identify the medical or other
special dietary need that restricts the diet of the child. 11
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MILK SUBSTITUTES Milk substitutions are at the option and the
expense of the facility. Parents may supply a creditable non-dairy
milk substitute and the center may claim the meal. If the non-dairy
milk substitute does not meet the USDA standards, the meals may not
be claimed for reimbursement.
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Creditable Non-Dairy Milk Substitutes Currently, the following
brands are known to fulfill the non-dairy milk substitute nutrient
requirements. Rice, almond, coconut, flax and other milks do not
meet the nutrient standards. Acceptable Non-Dairy Milk Substitute
Where to Purchase (based on information on brands websites) 8 th
Continent Soy Milk Original & Vanilla Target, Walmart, SunMart,
Hornbachers, Albertsons (Williston), Dans Supermarkets, check other
local stores Pacific Ultra Soy Milk*Walmart, Amazon.com, check
local stores Pearl (Kikkomen) Soy Milk * Unsweetened Walmart,
Hornbachers, Amazon.com, check local stores *Available in aseptic
cartons which are shelf-stable; often located near cereal sections
in grocery stores. These cartons keep the soy milk fresh without
refrigeration until they are opened.
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WATER Drinking water must be made available to children
throughout the day as nutritionally appropriate. Options for
compliance are: Simply provide water to a child when it is
requested. Having water pitchers and cups set out and offering
water. Water can be served at a meal but it cannot be served in
lieu of milk when milk is required in the meal pattern. 14
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SOCIAL SECURITY NUMBER Only the last four digits of the SSN is
required on the free and reduced price meal application. 15
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FOSTER CHILDREN The foster child is categorically eligible for
free meals and is no longer considered a household of one.
Households with foster and non-foster children may choose to
include the foster child as a household member. 16
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Cheese- Whats Creditable Whats Not Natural Cheese: Packages
that state 100% natural cheese credits ounce for ounce as a meat
alternate. For example: Cheese sticks, Cheddar, Mozzarella,
Monterey Jack. Processed Cheese: To make processed cheese, natural
cheeses are melted together with small amounts of liquids and
emulsifiers added. An ounce of processed cheese credits as an ounce
of meat alternate.For example Deli Slices. 17
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Cheese- Whats Creditable Whats Not Processed Cheese Product:
Contains less than 51 % cheese. A cheese product is NOT Creditable.
This includes Kraft Singles (and store brands) and Velveeta.
Processed Cheese Food or Spread: Contains at least 51% cheese. One
ounce of cheese food or spread only credits as ounce meat
alternate. 18
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Civil Rights The U.S. Department of Agriculture prohibits
discrimination in the CACFP on the basis of race, color, national
origin, sex, or disability. 19
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Civil Rights Collection and use of data Program
applicants/participants may not be required to furnish information
on their race or ethnicity on the child enrollment form 20
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Civil Rights Public notification systems Place the
nondiscrimination Justice for All poster in a prominent area where
participants and potential participants have ready access The
public notification system contains the following basic elements:
Program Availability Complaint information Nondiscrimination
Statement 21
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Civil Rights Complaint procedures The person alleging the
complaint must be provided with the nondiscrimination statement and
procedure The nondiscrimination statement has the complaint process
(the statement is on the Justice For All poster) A complaint
alleging discrimination must be made within 180 days of the event
Complaints should be forwarded to the State Agency or directly to
USDA using the address in the nondiscrimination statement 22
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Civil Rights Compliance review techniques The State Agency
reviews civil rights as part of the compliance monitoring Sponsor
of Centers must check for civil rights when doing the on-site
reviews 23
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Civil Rights Resolution of noncompliance Resolve all civil
rights issues (examples- special dietary needs, language asst.) Be
responsive to corrective action regarding civil rights 24
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Civil Rights Requirements for reasonable accommodation of
persons with disabilities such as- Special dietary needs Special
eating utensils Equal access and service 25
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Civil Rights Requirement for language assistance Forms are
available in different languages, please contact the State Agency
for access to these forms If you need an interpreter to explain the
program to parents and one isnt available locally, please contact
the State Agency 26
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Civil Rights Conflict Resolution Assess the nature of the
problem Take appropriate steps to notify all pertinent parties that
there is a problem and work together to make a solution Follow-up
27
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Civil Rights Customer Service All participants must be treated
in the same manner Be proactive and accommodating When a parent
approaches you regarding a special dietary accommodation or any
civil rights issue, treat them with respect and be helpful 28
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Civil Rights Examples of Discrimination: Refuse a childs
enrollment based on disability Serving meals at a time, place, or
manner that is discriminatory Selectively distributing applications
Not offering the program to infants Segregating kids by gender or
ethnicity/race 29
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Serious Deficiency Process The State Agency Will: Identify
Serious Deficiency Prepare Serious Deficiency Notice Assess
Corrective Action Prepare Notice of Termination (if not corrected)
Hold the Appeal Place on National Disqualified List 30
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Claims will now be done on the ND Food System For-profit
sponsors will also submit claims online 31
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For-Profit Center Claims
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Claims Due Dates Submit claims by the 10 th of the month for
the preceding month to receive payment in a timely manner Direct
Deposit available (payment received within 2-3 days) Checks can be
mailed (payment received with 4-5 days) You have 60 consecutive
days (not working days) to submit a valid claim (after 60 days,
claims cannot be accepted) 40
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Where Are the Forms? www.dpi.state.nd.us/child Programs Child
and Adult Care Food Program Forms 41
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For-Profit Centers Roster (submitted with claims in the NDFOODs
system each month) must have current dates for both: CACFP
enrollment dates CACFP Application for Free and Reduced Price Meals
Termination dates (when children leave your center) 42
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Sponsor of Centers Must monitor and complete self- monitoring
form for each site (including the main site) three times per year
Follow up on errors/problems NEW-5 day reconciliation as part of
the self-monitoring 43
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Infants USDA defines an infant as ages birth through the 11 th
month. 47
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Birth through 3 months Required at all meals and snacks:
Iron-fortified formula and/or Breast milk
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4 through 7 months Required at all meals and snacks:
Iron-fortified formula and/or Breast milk Solid foods when
developmentally ready
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8 Through 11 months Required at Breakfast: Iron-fortified
formula and/or breast milk Iron-fortified infant cereal (IFIC)
Fruit and/or vegetable ( not juice)
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8 through 11 months Required at lunch and supper:
Iron-fortified formula and/or breast milk Fruit and/or
vegetable(not juice) Iron-fortified infant cereal (IFIC) and/or
Meat/meat alternate Lean meat, fish, poultry, egg yolk, cheese, and
beans
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8 through 11 months Required at snacks: Iron-fortified formula
and/or Breast milk or Fruit juice (full strength) Optional at
Snacks: Crusty Bread or Crackers
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Introducing Solids Introduce new foods one at a time: Allow 3
to 5 days between each new food Observe infants closely for any
reaction to new food items. Serve appropriate textures in small
amounts DO NOT ADD SUGAR, SALT, FAT, OR SPICES TO FOOD
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Transition Period After the 1 st Birthday Between the 12 th and
13 th month Transition from IFIF to cows milk Offer as a mixture
Follow parents lead on transition
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Transition Period Q : A 12+ month old infant is still consuming
breast milk. According to the CACFP Meal Pattern, breast milk is
not an option for fluid milk. Is a doctors statement needed for
this situation since it deviates from the Meal Pattern? A: No.
There are no ramifications for an otherwise healthy child who is
over 12 months of age consuming breast milk rather than fluid milk,
as long as the infant is also consuming solid foods. The American
Academy of Pediatrics has recommended that mothers breastfeed
infants until the age of two years old, as long as it is still
mutually desired.
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Happy 1 st Birthday After the 1 st Birthday Serve off of the
1-2 year old meal pattern Medical statements required: Infants not
ready to transition to cows milk after their 13 th month Infants
not ready to be served the 1-2 year old meal pattern
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Creditable Foods for Infants Foods Prepared at the center, with
appropriate modifications. Commercially prepared foods must be
plain fruits, vegetables, and meats. Infant cereals must be iron
fortified and made specifically for infants.
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Iron-Fortified Infant Cereals Creditable Infant Cereals
Iron-fortified Can be mixed with breast milk or formula
Non-Creditable Adult Cereals Non iron-fortified infant cereals
Infant cereals containing fruit Jarred infant cereals
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Commercially Prepared Infant Food Fruits and Vegetables
Creditable The fruits or vegetable is the first ingredient. Contain
multiple fruits or vegetables ingredient Water is not the first
ingredient. Non-Creditable Baby dinners. Jarred cereal with fruit.
Desserts. Water is the first ingredient. Containing DHA
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Commercially Prepared Infant Food Meat & Meat Alternates
Creditable Plain strained baby food meats Including those with
beef, chicken, turkey, lamb, veal and ham Non-Creditable
Combination dinners Meat sticks Breaded/battered seafood and canned
fish with bones. Nuts, Seeds, and nut/seed butters.
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8 though 11 months Optional at Snacks: Crusty bread or
Crackers
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Non-Creditable Breads and Crackers for Infants Allergies(whole
eggs) Pancakes Waffles Muffins Calories: Brownies Cakes doughnuts
Choking: Hard pretzels Breadsticks Tortilla chips Granola bars Some
ready to eat cereals
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Creditable Breads for Infants Breads (without seeds, nuts, or
hard pieces of grain kernels): White Wheat Whole Wheat French
Italian Other similar Breads
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Creditable Breads and Crackers for Infants Other Foods:
Biscuits Bagels English Muffins Pita Bread Rolls Soft tortillas
Crackers: Saltines Snack Crackers Animal Crackers Graham
Crackers(Without Honey)* *clostridium botulinum spores = serious
food borne illness
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Creditable Foods for Infants Fruit Juice Creditable Full
strength juice Only at snack for 8-11 months old Non-Creditable
Unpasteurized fruit juice Vegetable juice Fruit juices with
yogurt
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Infant Formula Center must supply at least one creditable
infant formula. Must be Iron-Fortified To view the list of approved
iron-fortified formulas, go online to:
www.fns.usda.gov/cnd/Care/RegsPolicy/infantmeals/formulalist.htm
This List is not comprehensiveContact your State agency if you have
questions.
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Parent Provided Food &Formula A parent my choose to provide
food and/or formula for their own child. Must be an approved
iron-fortified infant formula. Maintain documentation that the
parent declined offered food and/or formula
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Food Provided by Parents Parents may provide breast milk,
formula, and/or foods, However, the center must: Supply at least
ONE required component when two or more components are offered, in
order to claim the meal for reimbursement.
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Medical Statement A signed statement by a recognized medical
authority is required to support the use of: Low-iron infant
formulas Follow-up formulas when served to infants less than the
specified age. Exempt infant formulas
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Exempt Infant Formulas i.e. Nutramigen, Pregestimil, Alimentum
Specialty formulas required for: Inborn errors of metabolism Low
birth weight Unusual medical or dietary problems
www.fda.govwww.fda.gov and search exempt infant formula
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Medical Statements Also required for serving: Cows milk to
children under 1 year Formula to children over 13 months. An
alternate meal pattern.
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Food Provided by Parents When mom comes to the site and nurses.
The meal is not reimbursable. UNLESS The center supplies an
additional component if it is required for a reimbursable meal.
Only applies to ages 8 months and older.
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Meal times for Infants No specified meal time May offer meal at
more than one sitting Complete one meal before serving the
next
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Meal Times for Infants On-Demand infant feeding Feed when
hungry Only Approved meal types can be claimed
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Infant menus must contain the following information: Food
components offered Names of infants Infants age Meal type Date of
meal service
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Common Menu Documentation Errors Non-creditable foods Missing
required components Breast fed infants are included in the meal
counts (and no other components are supplied by the site).
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Common Menu Documentation Errors Not moving to next set of meal
pattern requirements at start of their 8 th month. Infants are
moved to the Toddler Room and their meals are no longer recorded on
infant menu records or fed the child meal pattern. Children over
age 1 are still in the infant room and fed infant meal
pattern.
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Want more on infant feeding?
www.fns.usda.gov/tn/resources/feeding_infants.ht ml