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Infant Meals
and
Required Records
in the
CACFP
http://www.nde.state.ne.us/NS/cacfp/feeding_infants.pdf
http://www.nde.state.ne.us/ns/adobe/ns_408_g.pdf
Nutrition Services Web Site
 http://www.nde.state.ne.us/NS/
 Click on CACFP at the top of the
page
 Choose Infant Feeding in the drop
down box
 All Centers AreAll Centers Are
Required to Offer InfantRequired to Offer Infant
MealsMeals
Centers are allowed to
claim infant meals
containing parent provided
formula*
Definition of Infant in the Child
and Adult Care Food Program
Birth through 11 monthsBirth through 11 months
Up to the day the child hasUp to the day the child has
his/her first birthdayhis/her first birthday
Requirements for
Feeding Infants
Iron-fortified infant formulaIron-fortified infant formula
must be offeredmust be offered by eachby each
centercenter
Parent must accept orParent must accept or
decline this formuladecline this formula
Infant Formula/Feeding
Selection Form
 Formerly Sign-Off FormFormerly Sign-Off Form
 A signed form must be on fileA signed form must be on file
for each child under 1 year oldfor each child under 1 year old
Infant Formula/Feeding
Selection Form
 Top portion completed duringTop portion completed during
enrollment. Center must list aenrollment. Center must list a
specific formula.specific formula.
 Bottom portion completed after theBottom portion completed after the
infant is 4 months oldinfant is 4 months old
Infant Formula Selection Form
INFANT FORMULA SELECTION FORMINFANT FORMULA SELECTION FORM
In order to comply with the requirements of the Child and Adult Care FoodIn order to comply with the requirements of the Child and Adult Care Food
Program (CACFP), the following must be completed when the infant isProgram (CACFP), the following must be completed when the infant is
enrolled in the centerenrolled in the center::
Infant Name: _____________________________Date of Birth: ________________Infant Name: _____________________________Date of Birth: ________________
Formula Offered by Center: ____________________________________Formula Offered by Center: ____________________________________
(must be filled out by the center)(must be filled out by the center)
__________ I accept the above named formula for my infant.I accept the above named formula for my infant.
__________ I decline the above named formula for my infant.I decline the above named formula for my infant.
Check one of the following boxes:Check one of the following boxes:
□□ I will furnishI will furnish breast milkbreast milk for my infant.for my infant.
□□ I will furnishI will furnish formulaformula for my infant. Name of formula:______________________for my infant. Name of formula:______________________
Parent Signature _________________________________Parent Signature _________________________________
DateDate
________________________________________________
Infant Formula/Selection Form
INFANT FEEDING SELECTION FORMINFANT FEEDING SELECTION FORM
To be completed when the infant is 4 - 7 months oldTo be completed when the infant is 4 - 7 months old
__________ My infant is developmentally ready to be served solidMy infant is developmentally ready to be served solid
foodsfoods..
Choose one of the following:Choose one of the following:
_____I accept the CACFP meal pattern provided by this center_____I accept the CACFP meal pattern provided by this center
for my infant.for my infant.
_____I decline the CACFP meal pattern provided by this_____I decline the CACFP meal pattern provided by this
center for my infant and I will provide food for my infant.center for my infant and I will provide food for my infant.
____________________________________________ ____________________________________
Parent SignatureParent Signature DateDate
Required:
Iron Fortified Infant Formula
 Current list is found on the WebCurrent list is found on the Web
Site:Site:
 Nutrition Services - Child And AdultNutrition Services - Child And Adult
Care Food Program - Infant FeedingCare Food Program - Infant Feeding
 ChooseChoose FormulasFormulas that do not requirethat do not require
medical statementmedical statement
Breast Milk
 Credited the same as formulaCredited the same as formula
 Chapter 3 provides informationChapter 3 provides information
on handling breast milkon handling breast milk
Infant Feeding Selection Form
 Parent completes when theParent completes when the
infant is ready for solid foodinfant is ready for solid food
 Parent indicates acceptance ofParent indicates acceptance of
the CACFP meal patternthe CACFP meal pattern
Iron Fortified Infant Cereal
Mix with breast milk orMix with breast milk or
formulaformula
Feed with a spoon; not fromFeed with a spoon; not from
a bottlea bottle
Vegetables and Fruits
Introduce fruits andIntroduce fruits and
vegetables that the infant isvegetables that the infant is
receiving at homereceiving at home
Vegetables and Fruits
Commercially PreparedCommercially Prepared
Center PreparedCenter Prepared
Commercially Prepared
Vegetables and Fruits
Must list vegetable or fruit asMust list vegetable or fruit as
first ingredientfirst ingredient
Plain vegetables and fruitsPlain vegetables and fruits
are preferredare preferred
Commercially Prepared
Vegetables and Fruits
Must list Vegetable or Fruit as the firstMust list Vegetable or Fruit as the first
ingredientingredient
Not creditableNot creditable
 Cereals, desserts, puddings listing fruitCereals, desserts, puddings listing fruit
as the first ingredientas the first ingredient
 Fruit or vegetable listing water as theFruit or vegetable listing water as the
first ingredientfirst ingredient
 Fruits containing tapiocaFruits containing tapioca
 Fruits/vegetable containing DHAFruits/vegetable containing DHA
Center Prepared Fruits and
Vegetables
Make texture appropriateMake texture appropriate
Avoid canned vegetablesAvoid canned vegetables
that are high in sodium.that are high in sodium.
Frozen is bestFrozen is best
Avoid canned or frozen fruitsAvoid canned or frozen fruits
with added sugarwith added sugar
Meat and Meat Alternates
 Lean meat and poultry withLean meat and poultry with
appropriate textureappropriate texture
Meat and Meat Alternates
Not creditable:Not creditable:
 Fish SticksFish Sticks
 Hot dogs/“Baby Food” meatHot dogs/“Baby Food” meat
stickssticks
 Home canned meatsHome canned meats
 Combination DinnersCombination Dinners
Meat and Meat Alternates
Eggs:Eggs:
Egg yolks at 8 monthsEgg yolks at 8 months
Yolk must be hard cookedYolk must be hard cooked
Avoid egg whites until after 1Avoid egg whites until after 1
yearyear
Meat and Meat Alternates
CheeseCheese
Introduced at 8 months orIntroduced at 8 months or
olderolder
Regular cheese rather thanRegular cheese rather than
processed cheeseprocessed cheese
Meat and Meat Alternates
Dried beans and peasDried beans and peas
Cooked and pureed orCooked and pureed or
mashedmashed
Bread/Crackers
Bread or crackersBread or crackers
Strips of dry bread, toast,Strips of dry bread, toast,
tortillastortillas
Plain crackersPlain crackers
Teething biscuitsTeething biscuits
Foods to Avoid
Honey: either plain or inHoney: either plain or in
foodsfoods
Honey isHoney is prohibitedprohibited forfor
infantsinfants
Artificial SweetenersArtificial Sweeteners
Infant Meal Pattern
Through 3 months the onlyThrough 3 months the only
meal component is breastmeal component is breast
milk or formulamilk or formula
Reimbursable meals for Birth
through 3 months
 Parent provided breast milkParent provided breast milk
 Parent provided formulaParent provided formula
 Center provided formulaCenter provided formula
 Staff mother breast-feeding duringStaff mother breast-feeding during
work hourswork hours
 Only exceptionOnly exception is when visitingis when visiting
mother breastfeeds infantmother breastfeeds infant
CACFP Meal Pattern-Birth through 3 monthsCACFP Meal Pattern-Birth through 3 months
BreakfastBreakfast Lunch or SupperLunch or Supper SnackSnack
4-6 oz.4-6 oz.
Formula orFormula or
Breast MilkBreast Milk
4-6 oz.4-6 oz.
Formula orFormula or
Breast MilkBreast Milk
4-6 oz.4-6 oz.
Formula orFormula or
Breast MilkBreast Milk
Reimbursable meals for 4
though 7 month olds
Parent provided breast milkParent provided breast milk
Center provided formulaCenter provided formula
Parent provided formulaParent provided formula
Foods added as appropriateFoods added as appropriate
provided by Centerprovided by Center
CACFP Meal Pattern-4 though 7 monthsCACFP Meal Pattern-4 though 7 months
BreakfastBreakfast Lunch or SupperLunch or Supper SnackSnack
4-8 oz.4-8 oz.
Formula orFormula or
Breast MilkBreast Milk
4-8 oz.4-8 oz.
Formula orFormula or
Breast MilkBreast Milk
4-6 oz.4-6 oz.
Formula orFormula or
Breast MilkBreast Milk
0-3 Tbsp.0-3 Tbsp.
Infant CerealInfant Cereal
0-3 Tbsp.0-3 Tbsp.
Infant CerealInfant Cereal
0-3 Tbsp. Fruit0-3 Tbsp. Fruit
and/orand/or
VegetableVegetable
Reminders
Ages 4-7 months:Ages 4-7 months:
 0-3 T cereal or veg/fruit means that0-3 T cereal or veg/fruit means that
the meal component is optionalthe meal component is optional
 Portion size not listing zero as aPortion size not listing zero as a
measurement indicates themeasurement indicates the
componentcomponent mustmust be offered.be offered.
Reimbursable meals for 8
through 11 month olds
Center must provide mealCenter must provide meal
components with eithercomponents with either
breast milk or formulabreast milk or formula
CACFP Meal Pattern-8 though 11 monthsCACFP Meal Pattern-8 though 11 months
BreakfastBreakfast Lunch or SupperLunch or Supper SnackSnack
6-8 oz.6-8 oz.
Formula orFormula or
Breast MilkBreast Milk
6-8 oz. Formula6-8 oz. Formula
or Breast Milkor Breast Milk
2-4 oz.2-4 oz.
Formula orFormula or
Breast MilkBreast Milk
2-4 Tbsp.2-4 Tbsp.
Infant CerealInfant Cereal
2-4 Tbsp. Infant2-4 Tbsp. Infant
CerealCereal
OrOr
1-4 Tbsp. Meat1-4 Tbsp. Meat
OrOr
2-4 oz. Fruit2-4 oz. Fruit
JuiceJuice
1-4 Tbsp.Fruit1-4 Tbsp.Fruit
and/orand/or
VegetableVegetable
1-4 Tbsp. Fruit1-4 Tbsp. Fruit
and/orand/or
VegetableVegetable
0-1/2 bread0-1/2 bread
oror
0-2 Crackers0-2 Crackers
Reminders
Ages 8-11 months:Ages 8-11 months:
 Breakfast--infant cereal isBreakfast--infant cereal is
requiredrequired
 Lunch & Supper--Lunch & Supper--
infant cerealinfant cereal and/orand/or meat/meatmeat/meat
alternate must be servedalternate must be served
Reminders
Full strength (100%) juice isFull strength (100%) juice is
reimbursable only at snackreimbursable only at snack
for 8 through 11 month oldfor 8 through 11 month old
infantsinfants
Juice should beJuice should be pasteurizedpasteurized
Reimbursement Requirements
 Infant must be enrolledInfant must be enrolled
 Infant Formula/Feeding SelectionInfant Formula/Feeding Selection
Form must be completedForm must be completed
Reimbursement Requirements
 Infant Meal Record must beInfant Meal Record must be
completedcompleted
 Meals counted at point of serviceMeals counted at point of service
 Claim as “Paid” unless IEF is onClaim as “Paid” unless IEF is on
filefile
Infant Meal Records
Weekly RecordWeekly Record
One per individual per weekOne per individual per week
OROR
Daily RecordDaily Record
One per day for multipleOne per day for multiple
infantsinfants
Daily Infant Meal Record
 One record per day for all infants inOne record per day for all infants in
an age groupan age group
 List each infant’s name and Date ofList each infant’s name and Date of
Birth (D.O.B.)Birth (D.O.B.)
 List amount of food offered at eachList amount of food offered at each
meal to be claimedmeal to be claimed
 Count the meals at the bottom ofCount the meals at the bottom of
the pagethe page
Weekly Meal Record:
Individual Infant
 List the infant’s name and Date ofList the infant’s name and Date of
Birth (D.O.B.)Birth (D.O.B.)
 List amount of food offered at eachList amount of food offered at each
meal to be claimedmeal to be claimed
 Count the meals at the bottom ofCount the meals at the bottom of
the pagethe page
Reminders
 The amount of formula or breastThe amount of formula or breast
milk and food offered must bemilk and food offered must be
recordedrecorded..
 Please note if formula (F) orPlease note if formula (F) or
Breast Milk (B) if offered.Breast Milk (B) if offered.
Lunch (8-11month)Lunch (8-11month)
FormulaFormula
oror
BreastBreast
MilkMilk
6-8 oz.6-8 oz.
Veg./FruitVeg./Fruit
1 – 4 Tbsp.1 – 4 Tbsp.
Infant cerealInfant cereal
2-4 Tbsp.2-4 Tbsp.
and/orand/or
Meat, fish,Meat, fish,
poultry, eggpoultry, egg
yolk, cheeseyolk, cheese
1-4 Tbsp.1-4 Tbsp.
7 oz. F7 oz. F
3 Tbsp.3 Tbsp.
PearsPears
2 Tbsp.2 Tbsp.
TurkeyTurkey
Lunch (8-11month)Lunch (8-11month)
FormulaFormula
oror
BreastBreast
MilkMilk
6-8 oz.6-8 oz.
Veg./FruitVeg./Fruit
1 – 4 Tbsp.1 – 4 Tbsp.
Infant cerealInfant cereal
2-4 Tbsp.2-4 Tbsp.
and/orand/or
Meat, fish,Meat, fish,
poultry, eggpoultry, egg
yolk, cheeseyolk, cheese
1-4 Tbsp.1-4 Tbsp.
7 oz. F7 oz. F 3 Tbsp.3 Tbsp.
PeachesPeaches
3 Tbsp3 Tbsp
MacaroniMacaroni
and Cheeseand Cheese
Lunch (8-11month)Lunch (8-11month)
FormulaFormula
oror
BreastBreast
MilkMilk
6-8 oz.6-8 oz.
Veg./FruitVeg./Fruit
1 – 4 Tbsp.1 – 4 Tbsp.
Infant cerealInfant cereal
2-4 Tbsp.2-4 Tbsp.
and/orand/or
Meat, fish,Meat, fish,
poultry, eggpoultry, egg
yolk, cheeseyolk, cheese
1-4 Tbsp.1-4 Tbsp.
7 oz. F7 oz. F 3 Tbsp.3 Tbsp.
PeachesPeaches
MacaroniMacaroni
and Cheeseand Cheese
is notis not
creditablecreditable
A.M. Snack (8-11 Months)A.M. Snack (8-11 Months)
Formula
or
Breast Milk
or
Fruit Juice
2 - 4 oz.
0 – ½
slice bread
or
0 – 2
crackers
4 oz. F4 oz. F
A.M. Snack (8-11 Months)A.M. Snack (8-11 Months)
Formula
or
Breast Milk
or
Fruit Juice
2 - 4 oz.
0 – ½
slice bread
or
0 – 2
crackers
4 oz. B4 oz. B
(Can be blank(Can be blank
because thisbecause this
component iscomponent is
optional)optional)
Breakfast (8-11month)Breakfast (8-11month)
FormulaFormula
oror
BreastBreast
MilkMilk
6-8 oz.6-8 oz.
Infant cerealInfant cereal
2-4 Tbsp.2-4 Tbsp.
Veg./FruitVeg./Fruit
1 – 4 Tbsp.1 – 4 Tbsp.
6 oz. F6 oz. F 2 Tbsp.2 Tbsp.
CheeriosCheerios
2 Tbsp.2 Tbsp.
BananasBananas
Breakfast (8-11month)Breakfast (8-11month)
FormulaFormula
oror
BreastBreast
MilkMilk
6-8 oz.6-8 oz.
Infant cerealInfant cereal
2-4 Tbsp.2-4 Tbsp.
Veg./FruitVeg./Fruit
1 – 4 Tbsp.1 – 4 Tbsp.
6 oz. F6 oz. F Must be ironMust be iron
fortifiedfortified
infant cerealinfant cereal
4 Tbsp.4 Tbsp.
BananasBananas
Question
A parent mixes cereal and formula in aA parent mixes cereal and formula in a
bottle and brings it to the center. Canbottle and brings it to the center. Can
we claim this as a creditable formula forwe claim this as a creditable formula for
a meal?a meal?
Answer
A parent mixes cereal and formula in aA parent mixes cereal and formula in a
bottle and brings it to the center. Canbottle and brings it to the center. Can
we claim this as a creditable formula forwe claim this as a creditable formula for
a meal?a meal?
AA doctor’s statementdoctor’s statement is needed to claimis needed to claim
formula mixed with cereal.formula mixed with cereal.
Question
If a parent wants an infant to have moreIf a parent wants an infant to have more
than three meals during the day, whothan three meals during the day, who
should furnish the formula for the mealsshould furnish the formula for the meals
that cannot be claimed?that cannot be claimed?
Answer
If a parent wants an infant to have moreIf a parent wants an infant to have more
than three meals during the day, whothan three meals during the day, who
should furnish the formula for the mealsshould furnish the formula for the meals
that cannot be claimed?that cannot be claimed?
The parent because the center is notThe parent because the center is not
required to provide formula for morerequired to provide formula for more
than three meals per infant per day.than three meals per infant per day.
Question
Is yogurt a creditable food for infants?Is yogurt a creditable food for infants?
Answer
Is yogurt a creditable food for infants?Is yogurt a creditable food for infants?
No. Commercially prepared, plain yogurtNo. Commercially prepared, plain yogurt
can be served as an extra to infants 8can be served as an extra to infants 8
months and older, but it is not creditablemonths and older, but it is not creditable
as a meat/meat alternate.as a meat/meat alternate.
Question
Are meals served to a child who justAre meals served to a child who just
turned one year old reimbursable ifturned one year old reimbursable if
they contain infant formula?they contain infant formula?
Answer
Are meals served to a child who just turned oneAre meals served to a child who just turned one
year old reimbursable if they contain infantyear old reimbursable if they contain infant
formula?formula?
Yes, for a period of one month.Yes, for a period of one month.
After the 13After the 13thth
month, a doctor’smonth, a doctor’s
statement will be needed forstatement will be needed for
formula to continue in place offormula to continue in place of
fluid milk.fluid milk.
Question
If a physician prescribes whole cow’sIf a physician prescribes whole cow’s
milk as a substitute for breast milkmilk as a substitute for breast milk
or formula for an infant under 12or formula for an infant under 12
months of age, are mealsmonths of age, are meals
reimbursable?reimbursable?
Answer
If a physician prescribes whole cow’s milk as aIf a physician prescribes whole cow’s milk as a
substitute for breast milk or formula for ansubstitute for breast milk or formula for an
infant under 12 months of age, are mealsinfant under 12 months of age, are meals
reimbursable?reimbursable?
Yes,Yes, with a doctor’s statementwith a doctor’s statement, the, the
meal pattern can be amended.meal pattern can be amended.
Question
Must all infants be fed during theMust all infants be fed during the
period identified as meal time onperiod identified as meal time on
the center agreement with NDE?the center agreement with NDE?
Answer
Must all infants be fed during theMust all infants be fed during the
period identified as meal time in theperiod identified as meal time in the
center agreement with NDE?center agreement with NDE?
No, infants may be fed on demandNo, infants may be fed on demand..

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Child and Adult Care Food Program (CACFP

  • 4. Nutrition Services Web Site  http://www.nde.state.ne.us/NS/  Click on CACFP at the top of the page  Choose Infant Feeding in the drop down box
  • 5.  All Centers AreAll Centers Are Required to Offer InfantRequired to Offer Infant MealsMeals
  • 6. Centers are allowed to claim infant meals containing parent provided formula*
  • 7. Definition of Infant in the Child and Adult Care Food Program Birth through 11 monthsBirth through 11 months Up to the day the child hasUp to the day the child has his/her first birthdayhis/her first birthday
  • 8. Requirements for Feeding Infants Iron-fortified infant formulaIron-fortified infant formula must be offeredmust be offered by eachby each centercenter Parent must accept orParent must accept or decline this formuladecline this formula
  • 9. Infant Formula/Feeding Selection Form  Formerly Sign-Off FormFormerly Sign-Off Form  A signed form must be on fileA signed form must be on file for each child under 1 year oldfor each child under 1 year old
  • 10. Infant Formula/Feeding Selection Form  Top portion completed duringTop portion completed during enrollment. Center must list aenrollment. Center must list a specific formula.specific formula.  Bottom portion completed after theBottom portion completed after the infant is 4 months oldinfant is 4 months old
  • 11. Infant Formula Selection Form INFANT FORMULA SELECTION FORMINFANT FORMULA SELECTION FORM In order to comply with the requirements of the Child and Adult Care FoodIn order to comply with the requirements of the Child and Adult Care Food Program (CACFP), the following must be completed when the infant isProgram (CACFP), the following must be completed when the infant is enrolled in the centerenrolled in the center:: Infant Name: _____________________________Date of Birth: ________________Infant Name: _____________________________Date of Birth: ________________ Formula Offered by Center: ____________________________________Formula Offered by Center: ____________________________________ (must be filled out by the center)(must be filled out by the center) __________ I accept the above named formula for my infant.I accept the above named formula for my infant. __________ I decline the above named formula for my infant.I decline the above named formula for my infant. Check one of the following boxes:Check one of the following boxes: □□ I will furnishI will furnish breast milkbreast milk for my infant.for my infant. □□ I will furnishI will furnish formulaformula for my infant. Name of formula:______________________for my infant. Name of formula:______________________ Parent Signature _________________________________Parent Signature _________________________________ DateDate ________________________________________________
  • 12. Infant Formula/Selection Form INFANT FEEDING SELECTION FORMINFANT FEEDING SELECTION FORM To be completed when the infant is 4 - 7 months oldTo be completed when the infant is 4 - 7 months old __________ My infant is developmentally ready to be served solidMy infant is developmentally ready to be served solid foodsfoods.. Choose one of the following:Choose one of the following: _____I accept the CACFP meal pattern provided by this center_____I accept the CACFP meal pattern provided by this center for my infant.for my infant. _____I decline the CACFP meal pattern provided by this_____I decline the CACFP meal pattern provided by this center for my infant and I will provide food for my infant.center for my infant and I will provide food for my infant. ____________________________________________ ____________________________________ Parent SignatureParent Signature DateDate
  • 13. Required: Iron Fortified Infant Formula  Current list is found on the WebCurrent list is found on the Web Site:Site:  Nutrition Services - Child And AdultNutrition Services - Child And Adult Care Food Program - Infant FeedingCare Food Program - Infant Feeding  ChooseChoose FormulasFormulas that do not requirethat do not require medical statementmedical statement
  • 14. Breast Milk  Credited the same as formulaCredited the same as formula  Chapter 3 provides informationChapter 3 provides information on handling breast milkon handling breast milk
  • 15. Infant Feeding Selection Form  Parent completes when theParent completes when the infant is ready for solid foodinfant is ready for solid food  Parent indicates acceptance ofParent indicates acceptance of the CACFP meal patternthe CACFP meal pattern
  • 16. Iron Fortified Infant Cereal Mix with breast milk orMix with breast milk or formulaformula Feed with a spoon; not fromFeed with a spoon; not from a bottlea bottle
  • 17. Vegetables and Fruits Introduce fruits andIntroduce fruits and vegetables that the infant isvegetables that the infant is receiving at homereceiving at home
  • 18. Vegetables and Fruits Commercially PreparedCommercially Prepared Center PreparedCenter Prepared
  • 19. Commercially Prepared Vegetables and Fruits Must list vegetable or fruit asMust list vegetable or fruit as first ingredientfirst ingredient Plain vegetables and fruitsPlain vegetables and fruits are preferredare preferred
  • 20. Commercially Prepared Vegetables and Fruits Must list Vegetable or Fruit as the firstMust list Vegetable or Fruit as the first ingredientingredient Not creditableNot creditable  Cereals, desserts, puddings listing fruitCereals, desserts, puddings listing fruit as the first ingredientas the first ingredient  Fruit or vegetable listing water as theFruit or vegetable listing water as the first ingredientfirst ingredient  Fruits containing tapiocaFruits containing tapioca  Fruits/vegetable containing DHAFruits/vegetable containing DHA
  • 21. Center Prepared Fruits and Vegetables Make texture appropriateMake texture appropriate Avoid canned vegetablesAvoid canned vegetables that are high in sodium.that are high in sodium. Frozen is bestFrozen is best Avoid canned or frozen fruitsAvoid canned or frozen fruits with added sugarwith added sugar
  • 22. Meat and Meat Alternates  Lean meat and poultry withLean meat and poultry with appropriate textureappropriate texture
  • 23. Meat and Meat Alternates Not creditable:Not creditable:  Fish SticksFish Sticks  Hot dogs/“Baby Food” meatHot dogs/“Baby Food” meat stickssticks  Home canned meatsHome canned meats  Combination DinnersCombination Dinners
  • 24. Meat and Meat Alternates Eggs:Eggs: Egg yolks at 8 monthsEgg yolks at 8 months Yolk must be hard cookedYolk must be hard cooked Avoid egg whites until after 1Avoid egg whites until after 1 yearyear
  • 25. Meat and Meat Alternates CheeseCheese Introduced at 8 months orIntroduced at 8 months or olderolder Regular cheese rather thanRegular cheese rather than processed cheeseprocessed cheese
  • 26. Meat and Meat Alternates Dried beans and peasDried beans and peas Cooked and pureed orCooked and pureed or mashedmashed
  • 27. Bread/Crackers Bread or crackersBread or crackers Strips of dry bread, toast,Strips of dry bread, toast, tortillastortillas Plain crackersPlain crackers Teething biscuitsTeething biscuits
  • 28. Foods to Avoid Honey: either plain or inHoney: either plain or in foodsfoods Honey isHoney is prohibitedprohibited forfor infantsinfants Artificial SweetenersArtificial Sweeteners
  • 29. Infant Meal Pattern Through 3 months the onlyThrough 3 months the only meal component is breastmeal component is breast milk or formulamilk or formula
  • 30. Reimbursable meals for Birth through 3 months  Parent provided breast milkParent provided breast milk  Parent provided formulaParent provided formula  Center provided formulaCenter provided formula  Staff mother breast-feeding duringStaff mother breast-feeding during work hourswork hours  Only exceptionOnly exception is when visitingis when visiting mother breastfeeds infantmother breastfeeds infant
  • 31. CACFP Meal Pattern-Birth through 3 monthsCACFP Meal Pattern-Birth through 3 months BreakfastBreakfast Lunch or SupperLunch or Supper SnackSnack 4-6 oz.4-6 oz. Formula orFormula or Breast MilkBreast Milk 4-6 oz.4-6 oz. Formula orFormula or Breast MilkBreast Milk 4-6 oz.4-6 oz. Formula orFormula or Breast MilkBreast Milk
  • 32. Reimbursable meals for 4 though 7 month olds Parent provided breast milkParent provided breast milk Center provided formulaCenter provided formula Parent provided formulaParent provided formula Foods added as appropriateFoods added as appropriate provided by Centerprovided by Center
  • 33. CACFP Meal Pattern-4 though 7 monthsCACFP Meal Pattern-4 though 7 months BreakfastBreakfast Lunch or SupperLunch or Supper SnackSnack 4-8 oz.4-8 oz. Formula orFormula or Breast MilkBreast Milk 4-8 oz.4-8 oz. Formula orFormula or Breast MilkBreast Milk 4-6 oz.4-6 oz. Formula orFormula or Breast MilkBreast Milk 0-3 Tbsp.0-3 Tbsp. Infant CerealInfant Cereal 0-3 Tbsp.0-3 Tbsp. Infant CerealInfant Cereal 0-3 Tbsp. Fruit0-3 Tbsp. Fruit and/orand/or VegetableVegetable
  • 34. Reminders Ages 4-7 months:Ages 4-7 months:  0-3 T cereal or veg/fruit means that0-3 T cereal or veg/fruit means that the meal component is optionalthe meal component is optional  Portion size not listing zero as aPortion size not listing zero as a measurement indicates themeasurement indicates the componentcomponent mustmust be offered.be offered.
  • 35. Reimbursable meals for 8 through 11 month olds Center must provide mealCenter must provide meal components with eithercomponents with either breast milk or formulabreast milk or formula
  • 36. CACFP Meal Pattern-8 though 11 monthsCACFP Meal Pattern-8 though 11 months BreakfastBreakfast Lunch or SupperLunch or Supper SnackSnack 6-8 oz.6-8 oz. Formula orFormula or Breast MilkBreast Milk 6-8 oz. Formula6-8 oz. Formula or Breast Milkor Breast Milk 2-4 oz.2-4 oz. Formula orFormula or Breast MilkBreast Milk 2-4 Tbsp.2-4 Tbsp. Infant CerealInfant Cereal 2-4 Tbsp. Infant2-4 Tbsp. Infant CerealCereal OrOr 1-4 Tbsp. Meat1-4 Tbsp. Meat OrOr 2-4 oz. Fruit2-4 oz. Fruit JuiceJuice 1-4 Tbsp.Fruit1-4 Tbsp.Fruit and/orand/or VegetableVegetable 1-4 Tbsp. Fruit1-4 Tbsp. Fruit and/orand/or VegetableVegetable 0-1/2 bread0-1/2 bread oror 0-2 Crackers0-2 Crackers
  • 37. Reminders Ages 8-11 months:Ages 8-11 months:  Breakfast--infant cereal isBreakfast--infant cereal is requiredrequired  Lunch & Supper--Lunch & Supper-- infant cerealinfant cereal and/orand/or meat/meatmeat/meat alternate must be servedalternate must be served
  • 38. Reminders Full strength (100%) juice isFull strength (100%) juice is reimbursable only at snackreimbursable only at snack for 8 through 11 month oldfor 8 through 11 month old infantsinfants Juice should beJuice should be pasteurizedpasteurized
  • 39. Reimbursement Requirements  Infant must be enrolledInfant must be enrolled  Infant Formula/Feeding SelectionInfant Formula/Feeding Selection Form must be completedForm must be completed
  • 40. Reimbursement Requirements  Infant Meal Record must beInfant Meal Record must be completedcompleted  Meals counted at point of serviceMeals counted at point of service  Claim as “Paid” unless IEF is onClaim as “Paid” unless IEF is on filefile
  • 41. Infant Meal Records Weekly RecordWeekly Record One per individual per weekOne per individual per week OROR Daily RecordDaily Record One per day for multipleOne per day for multiple infantsinfants
  • 42. Daily Infant Meal Record  One record per day for all infants inOne record per day for all infants in an age groupan age group  List each infant’s name and Date ofList each infant’s name and Date of Birth (D.O.B.)Birth (D.O.B.)  List amount of food offered at eachList amount of food offered at each meal to be claimedmeal to be claimed  Count the meals at the bottom ofCount the meals at the bottom of the pagethe page
  • 43. Weekly Meal Record: Individual Infant  List the infant’s name and Date ofList the infant’s name and Date of Birth (D.O.B.)Birth (D.O.B.)  List amount of food offered at eachList amount of food offered at each meal to be claimedmeal to be claimed  Count the meals at the bottom ofCount the meals at the bottom of the pagethe page
  • 44. Reminders  The amount of formula or breastThe amount of formula or breast milk and food offered must bemilk and food offered must be recordedrecorded..  Please note if formula (F) orPlease note if formula (F) or Breast Milk (B) if offered.Breast Milk (B) if offered.
  • 45. Lunch (8-11month)Lunch (8-11month) FormulaFormula oror BreastBreast MilkMilk 6-8 oz.6-8 oz. Veg./FruitVeg./Fruit 1 – 4 Tbsp.1 – 4 Tbsp. Infant cerealInfant cereal 2-4 Tbsp.2-4 Tbsp. and/orand/or Meat, fish,Meat, fish, poultry, eggpoultry, egg yolk, cheeseyolk, cheese 1-4 Tbsp.1-4 Tbsp. 7 oz. F7 oz. F 3 Tbsp.3 Tbsp. PearsPears 2 Tbsp.2 Tbsp. TurkeyTurkey
  • 46. Lunch (8-11month)Lunch (8-11month) FormulaFormula oror BreastBreast MilkMilk 6-8 oz.6-8 oz. Veg./FruitVeg./Fruit 1 – 4 Tbsp.1 – 4 Tbsp. Infant cerealInfant cereal 2-4 Tbsp.2-4 Tbsp. and/orand/or Meat, fish,Meat, fish, poultry, eggpoultry, egg yolk, cheeseyolk, cheese 1-4 Tbsp.1-4 Tbsp. 7 oz. F7 oz. F 3 Tbsp.3 Tbsp. PeachesPeaches 3 Tbsp3 Tbsp MacaroniMacaroni and Cheeseand Cheese
  • 47. Lunch (8-11month)Lunch (8-11month) FormulaFormula oror BreastBreast MilkMilk 6-8 oz.6-8 oz. Veg./FruitVeg./Fruit 1 – 4 Tbsp.1 – 4 Tbsp. Infant cerealInfant cereal 2-4 Tbsp.2-4 Tbsp. and/orand/or Meat, fish,Meat, fish, poultry, eggpoultry, egg yolk, cheeseyolk, cheese 1-4 Tbsp.1-4 Tbsp. 7 oz. F7 oz. F 3 Tbsp.3 Tbsp. PeachesPeaches MacaroniMacaroni and Cheeseand Cheese is notis not creditablecreditable
  • 48. A.M. Snack (8-11 Months)A.M. Snack (8-11 Months) Formula or Breast Milk or Fruit Juice 2 - 4 oz. 0 – ½ slice bread or 0 – 2 crackers 4 oz. F4 oz. F
  • 49. A.M. Snack (8-11 Months)A.M. Snack (8-11 Months) Formula or Breast Milk or Fruit Juice 2 - 4 oz. 0 – ½ slice bread or 0 – 2 crackers 4 oz. B4 oz. B (Can be blank(Can be blank because thisbecause this component iscomponent is optional)optional)
  • 50. Breakfast (8-11month)Breakfast (8-11month) FormulaFormula oror BreastBreast MilkMilk 6-8 oz.6-8 oz. Infant cerealInfant cereal 2-4 Tbsp.2-4 Tbsp. Veg./FruitVeg./Fruit 1 – 4 Tbsp.1 – 4 Tbsp. 6 oz. F6 oz. F 2 Tbsp.2 Tbsp. CheeriosCheerios 2 Tbsp.2 Tbsp. BananasBananas
  • 51. Breakfast (8-11month)Breakfast (8-11month) FormulaFormula oror BreastBreast MilkMilk 6-8 oz.6-8 oz. Infant cerealInfant cereal 2-4 Tbsp.2-4 Tbsp. Veg./FruitVeg./Fruit 1 – 4 Tbsp.1 – 4 Tbsp. 6 oz. F6 oz. F Must be ironMust be iron fortifiedfortified infant cerealinfant cereal 4 Tbsp.4 Tbsp. BananasBananas
  • 52. Question A parent mixes cereal and formula in aA parent mixes cereal and formula in a bottle and brings it to the center. Canbottle and brings it to the center. Can we claim this as a creditable formula forwe claim this as a creditable formula for a meal?a meal?
  • 53. Answer A parent mixes cereal and formula in aA parent mixes cereal and formula in a bottle and brings it to the center. Canbottle and brings it to the center. Can we claim this as a creditable formula forwe claim this as a creditable formula for a meal?a meal? AA doctor’s statementdoctor’s statement is needed to claimis needed to claim formula mixed with cereal.formula mixed with cereal.
  • 54. Question If a parent wants an infant to have moreIf a parent wants an infant to have more than three meals during the day, whothan three meals during the day, who should furnish the formula for the mealsshould furnish the formula for the meals that cannot be claimed?that cannot be claimed?
  • 55. Answer If a parent wants an infant to have moreIf a parent wants an infant to have more than three meals during the day, whothan three meals during the day, who should furnish the formula for the mealsshould furnish the formula for the meals that cannot be claimed?that cannot be claimed? The parent because the center is notThe parent because the center is not required to provide formula for morerequired to provide formula for more than three meals per infant per day.than three meals per infant per day.
  • 56. Question Is yogurt a creditable food for infants?Is yogurt a creditable food for infants?
  • 57. Answer Is yogurt a creditable food for infants?Is yogurt a creditable food for infants? No. Commercially prepared, plain yogurtNo. Commercially prepared, plain yogurt can be served as an extra to infants 8can be served as an extra to infants 8 months and older, but it is not creditablemonths and older, but it is not creditable as a meat/meat alternate.as a meat/meat alternate.
  • 58. Question Are meals served to a child who justAre meals served to a child who just turned one year old reimbursable ifturned one year old reimbursable if they contain infant formula?they contain infant formula?
  • 59. Answer Are meals served to a child who just turned oneAre meals served to a child who just turned one year old reimbursable if they contain infantyear old reimbursable if they contain infant formula?formula? Yes, for a period of one month.Yes, for a period of one month. After the 13After the 13thth month, a doctor’smonth, a doctor’s statement will be needed forstatement will be needed for formula to continue in place offormula to continue in place of fluid milk.fluid milk.
  • 60. Question If a physician prescribes whole cow’sIf a physician prescribes whole cow’s milk as a substitute for breast milkmilk as a substitute for breast milk or formula for an infant under 12or formula for an infant under 12 months of age, are mealsmonths of age, are meals reimbursable?reimbursable?
  • 61. Answer If a physician prescribes whole cow’s milk as aIf a physician prescribes whole cow’s milk as a substitute for breast milk or formula for ansubstitute for breast milk or formula for an infant under 12 months of age, are mealsinfant under 12 months of age, are meals reimbursable?reimbursable? Yes,Yes, with a doctor’s statementwith a doctor’s statement, the, the meal pattern can be amended.meal pattern can be amended.
  • 62. Question Must all infants be fed during theMust all infants be fed during the period identified as meal time onperiod identified as meal time on the center agreement with NDE?the center agreement with NDE?
  • 63. Answer Must all infants be fed during theMust all infants be fed during the period identified as meal time in theperiod identified as meal time in the center agreement with NDE?center agreement with NDE? No, infants may be fed on demandNo, infants may be fed on demand..

Notas do Editor

  1. Welcome to this workshop on Feeding Infants.
  2. This is a very important resource when feeding infants. You can download it from Nutrition Services Web-site. If you were participating in CACFP in 2002 and claiming infants, you should find a copy at your center. I will be referring chapters in this guide throughout this presentation.
  3. Another important resource is the Nutrition Services Web Site. There is a special section on Infant Feeding.
  4. This means you must offer at least one infant formula.
  5. On April 28, 2003, USDA published a policy that allowed centers to claim infant meals whether the center or the parent provided the formula. *FNS provides a list as a guide of products that do not require medical statements when offered to infants in the child nutrition programs. It includes most of the brands of iron-fortified infant formula that are currently available to consumers. The child nutrition programs reimburse child care centers, family day care homes, emergency shelters, schools, and residential child care institutions for the costs of serving nutritious meals--including the costs of preparation and clean up of meals--to infants. We are revising program policy to recognize the non-food related cost of serving infants by allowing reimbursement for meals containing only infant formula, whether supplied by the caregiver or by the parent. Once the child is old enough to require food, in addition to formula, the center must provide that food in order to continue claiming reimbursement.
  6. An infant is a child who has not had his or her first birthday.
  7. All CACFP centers must offer an iron-fortified infant formula. Parents may accept or decline the formula offered by the center. Since breast milk is the best food for infants, USDA permits centers to claim meals in which the mother provides breast milk that is fed to the infant by center personnel.
  8. The Infant Feeding Selection Form was formerly called the Sign-Off Form. If you have already had parents sign the old form for this year, you are not required to change to the new form until new infants are added to your enrollment.
  9. The top portion is completed during enrollment. Each center must list a specific formula. If the parent refuses the formula provided by the center, the parent must list the formula they will provide. The bottom portion is completed when the infant is ready for solid foods after he/she is 4 months old and begins on table food. This form is available on the Nutrition Services web site: CACFP Forms and Resources:Child Care Centers and Sponsors of Centers: Infant Feeding Forms
  10. Infant Formula Selection Form Child’s Name and Date of Birth The brand of formula offered by center. Parent must indicate choice: Accept the center formula Decline the center formula Provide breast milk Provide formula, write name of formula (must meet CACFP requirements)
  11. Go to the Infant Feeding Section of the CACFP portion of the web site. By clicking on the underlined Formulas you will go directly to a complete, current list of approved formulas. These are the formulas from which you can choose the one you want to provide and also check
  12. , breast milk is the best food for babies. Women are encouraged to continue breast feeding after they return to work. If mothers can visit their infant’s center, a comfortable place for breast feeding should be provided. It is more and more common for women to express breast milk and provide it for their infants in centers. If your center is feeding an infant expressed breast milk, their meals can be claimed just the same as formula provided by the center. It is important to handle breast milk correctly. Labeling and dating bottles is very important.
  13. Sometime after the infant is four months old, the parent must complete the bottom portion of the Infant Formula/Feeding Selection Form.
  14. After measuring the cereal, mix it with breast milk or formula to the consistency that is appropriate for the infant. Always feed cereal from a spoon, not from a bottle.
  15. Follow the lead of the parents in introducing fruits and vegetables. Most infants begin fruits and vegetable around 6 months of age.
  16. Commercially Prepared is often called Baby Food. Beginning vegetables and fruits include: Commercially prepared baby foods: Green beans, green peas, squash, sweet potatoes, carrots, beets, spinach, applesauce, apricots bananas, peaches, pears and plums. Center prepared vegetables that have been cooked and processed to the proper texture: Asparagus, broccoli, cabbage, cauliflower, green beans, green peas, kohlrabi, plantain, potatoes, squash,and sweet potatoes. Center prepared fruits that have been cooked and pureed or mashed: Apples, pears, and dried fruit. Ripe fruits that can be mashed: Apricots, avocado, bananas, cantaloupe, mango, melon, nectarines, papaya, peaches and plums. Avoid citrus fruits until after 6 months of age.
  17. In order to be creditable a commercially prepared fruit/vegetable must list a fruit or vegetable as the first ingredient on the label. Plain vegetables and fruits are best because they contain more nutrient and do not usually contain sweeteners and salt.
  18. These items are not creditable as fruits or vegetables: Cereals, desserts and puddings are not creditable, even though a fruit may be listed as the first ingredient. Any commercial fruit or vegetable that lists water as the first ingredient. Any fruits containing tapioca. Fruits or vegetables containing DHA – docosahexaenoic acid
  19. Babies between 6 and 12 months of age may be served soft-cooked vegetables and fruits. Ripe bananas do not need to be cooked. It is best to begin with pureed fruits and vegetables and as the infant becomes more adept at handling solid foods, you can progress to ground and then fork mashed items. Do not add salt, sugar, fat, or other seasonings to the fruits and vegetables being prepared for a baby.
  20. These foods should not be fed to infants and are not reimbursable under CACFP. Fish sticks may contain bones. Hot dogs are higher in fat and sodium and can cause choking. Baby food meat sticks are meant for children over 1 year old. Home canned meats may contain harmful bacteria. In commercially prepared combination dinners the amount of meat, fruits, vegetables etc. cannot be determined.
  21. These foods should not be fed to infants and are not reimbursable under CACFP. Fish sticks may contain bones. Hot dogs are higher in fat and sodium and can cause choking. Baby food meat sticks are meant for children over 1 year old. Home canned meats may contain harmful bacteria. In commercially prepared combination dinners the amount of meat, fruits, vegetables etc. cannot be determined.
  22. Egg yolk can be introduced at or after 8 months of age. The yolk must be hard cooked to avoid harmful bacteria. Salmonella can cause severe illness in infants. Egg whites should not be fed to infants under 1 year of age because it may cause allergic reactions.
  23. Cheese and yogurt can be in introduced at 8 months or older. Cheese should be cut into thin strips not chunks to make choking less likely. Use regular cheese such as natural cheddar, Colby or mozzarella, not cheese food, cheese spread or processed cheese. Cheese food, cheese spread or processed cheese are higher in salt than regular cheese. Cheese in cooked foods, such as pizza, will not have a texture appropriate for infants.
  24. Cooked dried beans and peas can be pureed or mashed. Again watch for the added fat and salt in canned products.
  25. Bread or crackers may be served with snack or with meals. Again consult with the parents to determine which breads and crackers have been introduced at home. At 8 or 9 months of age, children enjoy having finger foods. Also, at that age, the risk of a reaction to wheat decreases. These are examples of the kinds of bread or crackers that are acceptable. Remember that the breads and crackers must be made from whole grain or enriched flour. Choose crackers that are lower in salt. Do not use graham crackers made with honey.
  26. Honey should never be fed to babies less than 1 year old. Honey may contain substances that cause “infant botulism,” a very serious food-related illness. Prepared foods containing honey should also be avoided: Yogurt with honey Peanut butter with honey Graham crackers made with honey. Artificial sweeteners have not been proven safe for infants. Also, infants need calories for development.
  27. Through 3 months the only meal component is breast milk or formula.
  28. Meals that are reimbursable for infants from birth through 3 months are those that contain parent provided breast milk, parent provided formula or center provided formula. The center is reimbursed for feeding infants aged birth through 3 months regardless of the source of the formula. If the mother comes to breastfeed her child, the meal is not reimbursable when no other foods are required. If an employee of the center breastfeeds her own child, that meal is reimbursable.
  29. Meals for infants 4-7 months old are reimbursable if the parent provides breast milk, the center provides formula or parent provides the formula. As foods are added, these must be provided by the center.
  30. On ages 4-7 months, if a component is listed as 0-3 Tablespoons, that component is optional.
  31. For infants ages 8 through 11 months, the center must provide required meal components with either breast milk or formula.
  32. See the Infant Meal Pattern in the Creditable Food Book page 53.
  33. For ages 8-11 months, At breakfast iron fortified infant cereal must be served. At lunch and supper, iron fortified infant cereal and/or meat must be served. Iron intake in very important for infants.
  34. Full strength juice, which is 100% juice, can only be considered a fruit/vegetable component at snack. Juice cannot be diluted or watered down for infants. While there is no current regulation requirement for pasteurized juice, it is strongly recommended. Pasteurized juice is generally identified as such on the product label. Unpasteurized juice, such as apple juice and orange juice, can contain pathogenic microorganisms and infants are at particular risk for serious illness and even death from these pathogens.
  35. Reimbursement Requirements: Infant must be enrolled The Infant Formula/Feeding Selection Form must be completed and on file The Infant Meal Record must be completed and document meal pattern was met Meals must be counted at the point of service. Meals are claimed as paid unless an IEF is completed and on file.
  36. Reimbursement Requirements: Infant must be enrolled The Infant Formula/Feeding Selection Form must be completed and on file The Infant Meal Record must be completed and document meal pattern was met Meals must be counted at the point of service. Meals are claimed as paid unless an IEF is completed and on file.
  37. Infant meal records are required for claiming infant meals in CACFP. Your center can choose to complete weekly record for each infant for each week or you can do a daily record that lists multiple infants. Choose one or the other. The Infant Meal Records are best completed by the persons feeding the infants. However, if the foods are prepared in a central location, they can be completed there.
  38. The Daily Infant Meal Record is designed to allow all infants in the same age group to have meals recorded on one page for each day. The name and date of birth of each child is recorded, as well as their code for free (A), reduced (B) or paid (C). The amount of food offered at each meal for each infant is recorded. The specific food and the amount must be recorded. For example, green beans—2 tablespoons. The “Infant Meal Counts” at the bottom of the page is used to record the meals to be claimed for each child. This section contains a column for noting that the Infant Formula and Infant Feeding Selection Form has been completed.
  39. The Weekly Meal Record is designed to allow one record per infant per week. There are three weekly meal records, one for each age group. Record the infant’s name and Date of Birth. Record the amount of food offered at each meal for each infant. Again, the specific food and the amount must be recorded. Use the meal count section at the bottom of the page to count the meals served.
  40. The amount of formula or breast milk offered must be recorded. If a required food is not recorded, the meal is not creditable and reimbursement will be taken away. It should be noted if formula or breast milk is offered. Using the letters F or B is sufficient.
  41. If there is no medical reason for the cereal to be added to the formula, the center could request that the parent bring the formula and the center could provide the cereal and then feed the infant the cereal from a spoon. If there is no doctor’s statement and the parent will not provide the formula without the cereal, the meal is not reimbursable.
  42. Infants, especially younger ones, do not always have a specific feeding schedule. If lunch for the older children is identified at 12:00 to 1:00, but the infant is hungry at 11:30, you may serve a reimbursable lunch and claim the meal. For some infants, the meal may also be split. For example, the 8 month old my be fed the required food components at one time and then have the formula in the bottle a little later.