2013 CACFP Nutrition Training

1. 2013 CACFP Nutrition Training Infants on the CACFP

2. Infants on the CACFP Claiming infants (0-12 months) is optional for agencies BUT at least one type of iron-fortified infant formula and infant foods must still be offered to all infants To claim a meal the infant must be offered all the required components AND Proper documentation must be maintained in order for the infant meals to be eligible for reimbursement

3. USDA CACFP Infant Meal Pattern Guidance Memorandum 12C

4. Handout Guidance Memorandum 12C

5. Reimbursable meals for Birth through 3 months Infant meal/snack requires ONLY breast milk or IFIF Claim (Regardless of who supplies the IFIF) The policy recognizes the non-food related cost of serving infants by allowing reimbursement for meals containing only breast milk or infant formula, whether supplied by the caregiver or by the parent.

6. Infant Meal Pattern4-7 months old • Breakfast: • IFIF or breast milk • Iron-fortified Infant Cereal (when developmentally ready) • Lunch/Supper: • IFIF or breast milk • Iron-fortified Infant Cereal (when developmentally ready) • Fruit and/or Vegetable (when developmentally ready) • Snack: • IFIF or breast milk

7. Reimbursable meals for 4-7 months Semi-solid foods are introduced when the infant is developmentally ready, which is a decision made by the parents and infant’s doctor Parent supplies ALL components Infant meal/snack requires ONLY breast milk or IFIF Claim (Regardless of who supplies the IFIF) Do Not Claim Infant meal requires breast milk/IFIF, IFIC* &/or fruit/vegetable* Center supplies ONE, TWO or ALL components Claim * When developmentally ready

8. Infant Meal Pattern8 through 11 months • Breakfast: • IFIF or breastmilk • Iron-fortified Infant Cereal • Fruit and/or vegetable • Lunch/Supper: • IFIF or breastmilk • Fruit and/or Vegetable • Iron-fortified Infant Cereal and/or • Meat/Meat Alternate • Snack: • IFIF, breastmilk, or 100% fruit juice • Bread or crackers (when developmentally ready)

9. Reimbursable meals for 8-11 month olds Infant breakfast requires breast milk/ IFIF, IFIC & fruit/vegetable Parent supplies ALL components Do Not Claim Center supplies ONE, TWO or ALL components Claim Infant lunch requires breast milk/IFIF, fruit/vegetable & IFIC OR meat/meat alternate

10. Reimbursable snacks for 8-11 month olds Infant snack requires breast milk or IFIF, cracker/ bread* If snack is both IFIF/breast milk and bread/cracker, the center must supply one or both components to claim If snack is only IFIF/breast milk/, claim regardless of who supplies * When developmentally ready

11. Claiming Infant Meals Scenario 1: • 9 month old infant • The parent/guardian provides breastmilk or iron fortified infant formula (IFIF) and the center provides at least one other component at breakfast, lunch, or supper. • Is this a claimable meal? YES

12. Claiming Infant Meals Scenario 2: • 8 month old infant • The parent/guardian provides breastmilk/IFIF and all solid components. • Is this a claimable meal? NO

13. Claiming Infant Meals Scenario 3: • 6 month old infant eating solid foods • The mother breastfeeds the child at the center for breakfast and the child care center also feeds the infant solid food supplied by the center. • Is this a claimable meal? YES

14. Claiming Infant Meals Scenario 4: • 2 month old infant • Mother came to the center to breastfeed her infant. • Is this a claimable meal? NO

15. Claiming Infant Meals Scenario 5: • 11 month old infant • At breakfast, infant is not eating iron-fortified infant cereal per parents request • Infant receives center-purchased formula, fruit and another grain/bread item (pancakes, adult cereal, toast, etc.) • Is this meal claimable? NO

16. Creditable Foods for Infants • Foods prepared at the center, with appropriate modifications • Commercially-prepared foods must be plain fruits, vegetables, and meats (not combination of different components) • Infant cereal must be iron-fortified • Serve in a bowl with a spoon, not in a bottle

17. Iron-fortified Infant Cereal Creditable Non-Creditable Adult cereals Infant cereals that are not iron-fortified Infant cereals containing fruit Jarred infant cereals • Infant cereals • Iron-fortified • Can be mixed with breast milk or formula

18. Commercially-Prepared Infant Food

19. Not Creditable Cereals with fruit not creditable Not Creditable - Water 1stingredient - Has 2 food components, making it a dinner Pasta Vegetable Medley 4 oz. Vegetables Ingredients: 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.

20. Creditable - Vegetable 1stingredient - Water okay - No other food components Not Creditable - Vegetable 1stingredient - Water okay - Has rice flour, another food component, making it a “dinner”

21. Commercially Prepared Infant Food

22. 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, making it 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”

23. Chicken & Chicken Broth Beech-Nut Naturals Stage 1 2.5 oz. Meats Ingredients: Chicken, finely ground chicken, and chicken broth. Creditable - Chicken is the only ingredient

24. Creditable Breads and Crackers for 8-11 month old Infants Crusty Bread or Crackers 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 Listing of Creditable Grains/Breads under Guidance Memorandum 12 http://fns.dpi.wi.gov/fns_centermemos

25. Want more on infant feeding? www.fns.usda.gov/tn/Resources/feeding_infants.html

26. The U.S Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department.  (Not all prohibited bases will apply to all programs and/or employment activities.) • If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov. • Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish).   • USDA is an equal opportunity provider and employer.