Recordkeeping - Virginia Department of Health

Recordkeeping - Virginia Department of Health

Child Meal Patterns Guidance for Institutions Participating in the Child and Adult Care Food Program (CACFP) Training Objectives Successfully determine whether a childs meal contains all of the meal pattern components requirements Develop two months worth of menus that include all of the CACFP meal pattern components and can be

cycled throughout the year. Submit invoices for CACFP meals that are fully reimbursable Meal Pattern Requirements CACFP meal pattern requirements assist the menu planner in providing well-balanced meals and snacks for children that: Meet nutritional needs of children Are consistent with the Dietary Guidelines for Americans Taste appetizing and contain a variety of

food items (rotating foods) Child Meal Pattern: Breakfast ALL 3 Components Required for Reimbursement: Milk (1) Fluid milk (low/nonfat for children over 2) Fruits/Vegetables (1) 100% fruit juice, fruit and/or vegetable Grain/Bread (1) Bread Cornbread, biscuit, roll, muffin

Cold dry or hot cooked cereal Pasta, noodles, grains Child Meal Pattern: Lunch or Supper ALL 5 Components Required for Reimbursement: Milk (1) Fluid milk (low/nonfat for children over 2) Fruits/Vegetables (2) 100% fruit juice, fruit and/or vegetable

Grain/Bread (1) Bread Cornbread, biscuit, roll, muffin Cold dry or hot cooked cereal Pasta, noodles, grains Child Meal Pattern: Lunch or Supper ALL 5 Components Required for Reimbursement (cont): Meat/Meat Alternate (1) Meat, poultry, fish, or alternate protein product

Cheese Egg Cooked dry beans or peas Peanut, other nut or seed butters, nuts and/or seeds Yogurt Child Meal Pattern: Snack 2:4 Components Required for Reimbursement (cont): Milk (1) Fluid milk (low/nonfat for children over

2) Fruits/Vegetables (1) 100% fruit juice, fruit and/or vegetable Grain/Bread (1) Bread Cornbread, biscuit, roll, muffin Cold dry or hot cooked cereal Pasta, noodles, grains Child Meal Pattern: Snack 2:4 Components Required for Reimbursement (cont):

Meat/Meat Alternate (1) Meat, poultry, fish, or alternate protein product Cheese Egg Cooked dry beans or peas Peanut, other nut or seed butters, nuts and/or seeds Yogurt Required Meal Components Meat and Meat Alternates

Beef, chicken, fish, ham, pork, turkey and eggs Cheese Dry beans and peas Peanut butter, almond, and other nut butters (**Caution: Allergies and Choking Hazard**) Walnuts, peanuts, almonds, soy nuts, other nuts, and seeds (**Caution: Allergies and Choking Hazard**) Yogurt Alternate Protein Product (APP)

Required Meal Components Vegetables and Fruits Mixtures (fruit salad, veg medley)=1 serving Mixed dishes with cup or more each different fruit/veg + meat/meat alternate=2 servings Required Meal Components Fruit Juice Guidelines Must be full strength (100%) Must be pasteurized Should not be served as snack if fluid milk

is the only other component being served During lunch/supper, no more than half of the vegetable/fruit component can be met with fruit juice Required Meal Components Grains and Breads: Required component of all meals Must be made primarily of whole-grain, enriched or fortified flour or meal (first ingredient listed on package) Includes:

Enriched breads, cereals, and pasta such as white bread and corn tortillas Whole Grain breads, cereals and pasta such as whole-wheat bread and ready-to-eat cereal Required Meal Components Milk: Required component of all meals except for snack. May be served as a component of snack when the other component is not juice Not considered a serving when used as an

ingredient in cooked meals Required Meal Components Milk: Guidance for Children < 2: Children < 12 months may only be served IFIF or breast milk. If a completed medical statement is on file, they may be served milk that is 2% or less. For children 12-23 months, whole milk is recommended but not required. Milk in the CACFP

Allowable types for participants > 2 Low fat (1% or fat free) Lactose-reduced or lactose free, buttermilk or acidified milk Unflavored or flavored, including chocolate or strawberry Goats milk (only if pasteurized) USDA-approved non-dairy milk substitutes products (e.g. some brands of soy milk) at the parent/guardians request as long as it is nutritionally equivalent to cows milk.

Milk in the CACFP: Substitutions Medical or Other Special Dietary Need If a participant cannot consume fluid milk due to medical or other special dietary needs (e.g. vegetarian), non-dairy beverages may be served in lieu of milk If the substitute is not nutritionally equivalent to milk (e.g. juice, water), a signed medical statement is required for the meal to be claimed. Milk in the CACFP: Substitutions

Disability If a disability directly affects a childs ability to consume milk and a signed medical statement is on file, the facility must purchase and can claim alternatives that do not conform to the meal pattern. Statement must include: Participants disability and why it restricts participants diet Major life activity affected by the disability Food(s) to be omitted from the participants diet; and

Appropriate substitutions Meal Components: Substitutions Special Dietary Needs If a child has special dietary needs (e.g. vegetarian), the parent/guardian may request substitutions by submitting a written statement that includes the childs medical condition or special dietary need, listing food to be omitted and substitutions. In order to receive credit for foods

outside of the meal pattern requirements, a signed medical statement must be on file. Meal Components: Substitutions Special Dietary Needs Whether, due to a medical condition or parent preference, a substitution is needed and/or requested , the institution is not required to purchase/provide it. However, if the institution does not purchase the substitution, then they cannot claim the

meal. With the exception of infants, a meal can only be claimed when: 1. It meets meal pattern component requirements or there is a medical statement with substitutions AND 2. The institution purchases and provides all components and/or substitutions. Meal Components: Substitutions Disability If a disability affects what kinds of foods a child can consume (liquid and/or non-liquid)

and a signed medical statement is on file, the facility must purchase and can claim alternatives that do not conform to the meal pattern. Statement must include: Childs disability and why it restricts childs diet Major life activity affected by the disability Food(s) to be omitted from the childs diet; and Appropriate substitutions Family Style Meal Service

Meals served in a family style setting where foods are placed on a table in serving dishes and participants serve themselves. Family Style Meal Service Meals are able to be claimed so long as: The amount of food on table provides full required portions of each component for all participants and any supervisors Every participant is offered and encouraged to take full portion of each required meal component

When a component is refused or full portion size is not taken, a supervisor actively encourages taking a full portion, or offers a 2nd helping Child Nutrition (CN) Labels Certain foods served require additional documentation to ensure they meet the minimum component portion size requirements. Commercially processed foods used to meet the meat/meat alternate requirement Combination dishes/dishes

containing more than one component **CN labels are NOT the same thing as Nutritional Facts Child Nutrition (CN) Labels Institutions that prepare main dishes on-site must maintain documentation of: Recipes used Amount of each ingredient used in preparing the dish and estimated

contribution toward meeting the component requirements Number of participants that the recipe serves **Resources: http://www.fns.usda.gov/tn/resources/foodbuyin gguide.html http://www.fns.usda.gov/cnlabeling/child-nutriti on-cn-labeling-program Resource: Crediting handbook for the

Child and Adult Care Food Program http://www.fns.usda.gov/sites/default/files/CA CFP_creditinghandbook.pdf Questions?

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