Serving CACFP Infant Meals in Childcare Centers

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Serving CACFP Infant Meals in Childcare Centers
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Claiming Infants

• To claim infants, you must
• 1. Include infants in your study month
• enrollment roster.
• 2. Have a parent complete the Infant Formula
• Offer form for each infant.
• 3. Follow the CACFP Infant Meal Pattern.
• 4. Maintain Infant Menus/Production records.
• 5. Take point of service meal counts.

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USDA Infant Meal Pattern

• A guide for serving nutritious, reimbursable
  meals and snacks.
• Meals and snacks are reimbursable when the
  provider offers at least a portion of the meal.
• Lets take a look at the USDA Infant Meal Pattern.

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CACFP Infant Meal Pattern
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USDA Infant Meal Pattern Birth through 3 months

• No Specified meal times
• Required at all meals
• Iron fortified infant formula and/or breast milk

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USDA Infant Meal Pattern4 through 7 months

• No specified meal times
• Required at breakfast, lunch, supper and snack
• - Iron-fortified infant formula and/or breast
  milk
• Optional for breakfast, lunch and supper
• - Iron-fortified infant cereal
• Optional for lunch and supper
• - Fruit and/or vegetable (not juice)
• when developmentally ready

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USDA Infant Meal Pattern 8 through 11 months

• No specified meal times
• Required at breakfast
• Iron-fortified infant formula and/or breast milk
• Iron-fortified infant cereal
• Fruit and/or vegetable not juice

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USDA Infant Meal Pattern 8 through 11 months
cont.

• No specified meal times
• Required at lunch and supper
• - Iron-fortified infant formula and/or breast
  milk
• and
• - Iron-fortified infant cereal
• and/or
• - Meat/meat alternate from the infant meal
  pattern
• and
• - Fruit or vegetable (not juice)

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USDA Infant Meal Pattern 8 through 11 months
cont.

• No specified meal times
• Required at snacks
• - Iron-fortified infant formula or
• breast milk, or 100 fruit juice
• Optional at snacks
• - Crusty bread or crackers

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Parent Provided Foods

• Parents may choose to provide foods to meet the
  CACFP meal pattern
• - Only for infants older than three months.
• - Must be in compliance with local health
  codes.
• The center or provider must
• - Provide at least one component in meal
  pattern.
• - Ensure that the parent or guardian is truly
• choosing to provide the preferred
  component(s).
• and
• - That the center or provider has not
  solicited
• (requested or required) the parent
  or guardian to
• provide the components in order to
  complete the
• meal and reduce cost to the center
  or provider.

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Infant Feeding Selection Form

• A signed Infant Feeding Selection Form must be on
  file for each infant, unless center provides all
  formulas served.
• To view a list of approved iron-fortified infant
  formulas, go on-line
• http//www/fns.usda.gov/cnd/
• Care/Regs-Policy/
• Infantmeals/feeding.htm

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Infant Feeding Selection Form

• Form offers four feeding choices
• Center will provide a specified iron-fortified
  infant formula (a house formula).
• Parent will provide breast milk.
• Parent will provide an approved iron-fortified
  infant formula.
• Parent will provide a medically authorized infant
  formula accompanied with a recognized medical
  authoritys note.

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Infant Formula Offer Form

• A signed medical statement is required to support
  the use of
• Specialized infant formulas, e.g.
• Nutramigen Alimentum
• Pregestimil Lofenalac
• Follow-up formulas when served to infants less
  than the specified age
• Nestle Good Start 2 Essentials (4 months
• Similac 2 Older Baby Toddler Formula with Iron
  (9 months )
• Low-iron infant formulas.

Medical Statement
Specialized Low-iron Formulas
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About Medical Statements

• A medical statement is not required to justify
  the use of non-specialized iron-fortified infant
  formula for infants during the 12 month
• This allows for easier weaning from formula to
  whole milk during the transition period.

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Introducing Solids

• Always check with parent/guardian before
• introducing any new food inform them of
• the foods acceptance/rejection
• Introduce new food one at a time
• Allow 3 to 5 days between each new food.
• Observe infant 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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Iron Fortified Infant Cereals

• Non-Creditable
• Adult cereals
• Cream of Wheat, Cheerios, Kix
• Not iron fortified infant cereals
• Infant cereals containing fruit

• Creditable
• Infant cereals
• Iron fortified
• - can be mixed with breast milk, formula, or milk

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Commercially Prepared Infant Food
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Not Creditable Cereals with fruit not creditable.
Not Creditable - Water 1st ingredient. - Has 2
food components, making it a dinner.
Pasta Vegetable Medley 4 oz. Vegetables Ingredien
ts water, tomato paste, pear concentrate,
carrots, dried egg yolks, enriched macaroni
product (durum wheat semolina, niacin, ferrous
sulfate, thiamine mononitrate, riboflavin and
folic acid), romano cheese (made from partially
skimmed cow's milk, cheese cultures, salt and
enzymes) and zinc sulfate.
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Creditable - Vegetable 1st ingredient. - Water
okay. - No other food components.
Not Creditable - Vegetable 1st ingredient. -
Water okay. - Has rice flour, another food
components, making it a dinner.
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Commercially Prepared Infant Food
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Vegetables Beef Beech-Nut Naturals Stage 2
  4 oz. Dinners Ingredients vegetables
(carrots, rehydrated potatoes, peas), water and
beef
Not Creditable - Has more than 1 food
component. - Considered a Dinner.
Chicken Lasagna Beech-Nut Naturals Stage 3  6
oz   Dinners Ingredients water, tomato
paste, finely ground chicken, carrots, pear puree
concentrate, enriched macaroni product (durum
wheat semolina, niacin, ferrous sulfate, thiamine
mononitrate, riboflavin and folic acid) and
romano cheese (made from partially skimmed cow's
milk, cheese cultures, salt and enzymes).  
Not Creditable - Water 1st ingredient - More
than 1 food component. Making it a
dinner.
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Creditable - Chicken is the only ingredient.

• Chicken
• Chicken Broth
• Beech-Nut Naturals Stage 1
• 2.5 oz.
• Meats
• Ingredients
• Chicken, finely ground chicken, and chicken
  broth.

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Infant Meal Records

• Infant menus must contain the following
  information
• Food components offered
• Enfamil, carrots, minced ham
• Names of infants served
• Jon Doe, Sally Mae, Bill Smith
• Infants age or date of birth
• 3 months or 12/5/04
• Type of meal service
• breakfast, A.M. snack
• Date of meal service
• 3/23/05

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http//teamnutrition.usda.gov/Resources/feeding_in
fants.html
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Serving CACFP Infant Meals in Childcare Centers