CACFP Infant Meal Pattern Requirements

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CACFP Infant Meal Pattern Requirements
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Before We Begin

• Print a copy of Guidance Memorandum 12C via the
  links provided in this webcast
• Infant Meal Pattern
• Infant Meal Notification
• If you would prefer to see just the PowerPoint
  (PP) slide in order to make the image larger,
  simply click inside the PP slide and the PP slide
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• When you want to go back to the standard set-up
  you can click on the close box on the upper
  right corner of the slide.

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Definitions from USDA

• Infant A baby from birth through 11 months (any
  child less than one year of age).
• Infant Formula Any iron-fortified infant
  formula, including soy-based, intended for
  dietary use solely as a food for normal, healthy
  infants served in liquid state according to
  manufacturers recommended dilution.
• Infant formula labeled low-iron or those
  specifically formulated for infants with inborn
  errors of metabolism or digestive or absorptive
  problems do not meet the infant meal pattern
  requirement.
• A medical statement is required in order for the
  center to serve/claim reimbursement for infant
  formulas that do not meet this definition.

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Definitions from USDA

• Infant Cereal Any iron-fortified dry cereal
  specially formulated for and generally recognized
  as cereal for infants that is routinely mixed
  with breast milk or iron-fortified infant formula
  prior to consumption.
• Developmentally ReadyAn infants developmental
  readiness determines which foods should be fed,
  what texture the foods should be, and which
  feeding styles to use.
• All infants develop at their own rate.
• If an infant is developmentally ready, you must
  offer these foods to the infant.

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Requirements for Feeding Infantsin the CACFP
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Requirements for Feeding Infants in the CACFP

• Infant MUST be enrolled in the CACFP
• Infant meals must be offered by the center
• One type of iron-fortified infant formula must be
  offered
• Iron-fortified infant cereal and other
  developmentally-appropriate foods for infants
  (fruits/vegetables and meat/meat alternates) must
  also be offered
• Parent may accept or decline formula and/or
  infant foods

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Infant Meal Notification

• A center must inform parents in writing that an
  iron-fortified infant formula, including the name
  of the specific formula, and foods for infants
  (including iron-fortified infant cereal, F/Vs,
  and meat/meat alternates) are provided by the
  child care center

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Infant Meal Notification

• This form must be on file for every enrolled
  infant and available for DPI audits.
• Copy the infant meal pattern to the back of this
  form before giving to parents.

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Infant Meal Notification
ABC Day Care
Babys Brand Iron-Fortified Formula
Katie Smith
5/4/XX
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Infant Meal Notification
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Infant Meal Notification
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Infant Meal Notification
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Infant Meal Notification
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Infant Meal Notification
Angela Smith
6/15/XX
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Infant Meal Pattern

• Through 3 months, the only meal component that is
  required is breast milk or iron-fortified formula
  (4-6 ounces)
• Infant meal times may vary depending on the
  individual infant

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Infant Meal Pattern4-7 months old

• Breakfast
• 4-8 fl oz IFIF or breastmilk
• when developmentally ready
• 0-3 T Iron-fortified Infant Cereal
• Lunch/Supper
• 4-8 fl oz IFIF or breastmilk
• when developmentally ready
• 0-3 T Iron-fortified Infant Cereal and
• 0-3 T Fruit and/or Vegetable
• Snack
• 4-6 fl oz IFIF or breastmilk

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Reminder

• Ages 4-7 months
• Iron-fortified infant cereal or veg/fruit (when
  developmentally ready) means that the meal
  component is required only if the child is
  developmentally ready to eat that food(s)
• When the child is ready to eat that food, and the
  parents want you to serve it, that component must
  be served at the meal(s)

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Infant Meal Pattern8 through 11 months

• Breakfast
• 6-8 fl oz IFIF or breastmilk
• 2-4 T Iron-fortified Infant Cereal
• 1-4 T Fruit and/or vegetable
• Lunch/Supper
• 6-8 fl oz IFIF or breastmilk
• 1-4 T Fruit and/or Vegetable
• 2-4 T Iron-fortified Infant Cereal and/or
• Meat/Meat Alternate
• Snack
• 2-4 fl oz IFIF, breastmilk, or 100 fruit juice
• Bread or crackers (when developmentally ready)

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Reminders

• Full strength (100) juice is reimbursable only
  at snack for 8 through 11 month old infants
• Juice cannot be diluted or watered down for
  infants
• Juice should only be served to infants when they
  are ready to drink the juice from a cup
• No fruit drinks, fruit punch, soda, or sweetened
  drinks

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Older Infants not eating IFIC

• Talk with parents and ask if you can offer IFIC
  at breakfast since its required,
• Do not claim breakfasts for these children, or
• Request a medical statement stating that the
  child is eating all table foods

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Older Infants not eating IFIC

• Infants ages 8 through 11 months who are
  consuming all table foods, including whole fluid
  milk and/or adult cereals for breakfast, must
  have a signed medical statement on file saying
  these foods are appropriate for the infant
• These infants may be counted in the regular meal
  counts and production records

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Older Infants not eating IFIC

• Infant meal records need not be completed for
  infants with a signed medical statement that
  table foods are allowed
• However, the complete meal pattern for 1-12 year
  olds must be met for each meal that is to be
  claimed

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Which Milk is Best?

• Breastmilk or iron-fortified infant formula is
  required for the first year
• Pasteurized whole milk from 1 - 2 years old
• After 2 years of age, 2 milk is recommended
• Gradually children can join others in drinking
  low-fat (1) or non-fat (skim) milk

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Transition from Formulato Whole Milk

• There may be a period from ages 12 13 months to
  transition children from formula to whole milk
• After 13 months of age, formula is no longer a
  reimbursable component unless a medical statement
  is on file

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Breastmilk for Babies over 12 months of age

• Continue to serve babies their mothers milk as
  long as the mother is able and wishes to provide
  it
• No medical statement needed
• Breastmilk is a substitute for cows milk in the
  meal pattern for children

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Pertinent Websites

• List of USDA-approved Iron-Fortified Infant
  Formulas (as of 09/16/03) That Do Not Require
  Medical Statements 
• http//www.fns.usda.gov/cnd/care/Regs-Policy/infan
  tmeals/FormulaList.htm
• Community Nutrition Team Home Page
  http//dpi.wi.gov/fns/cacfp1.html
• CACFP Guidance Memorandums
• http//dpi.wi.gov/fns/centermemos.html

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Questions???

• Feel free to contact DPI at 608-267-9129
• OR
• Contact your assigned Consultant
• A Directory is posted at http//dpi.wi.gov/fns/di
  rectory.html
• Scroll down to view the Community Nutrition
  Team
• Answer Poll Question ( Polls)

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Training Opportunities

• New to your role in the CACFP?
• Desire a refresher as regulations change?
• Consider participating in a CACFP training
  session www.dpi.wi.gov/fns
• Click on Training to review and register for a
  CACFP class
• If one is not available at this time, keep an eye
  out for future training opportunities
• We also mail out training brochures throughout
  the year and include upcoming training reminders
  in the CACFP quarterly Newsletter

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