CACFP Infant Meal Pattern Requirements

1. CACFP Infant Meal Pattern Requirements

2. 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 will take up the entire computer screen • You may need to scroll down to see the bottom of the screen. • 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.

3. 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 manufacturer’s 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.

4. 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 Ready—An infant’s 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.

5. Requirements for Feeding Infantsin the CACFP

6. 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

7. 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/V’s, and meat/meat alternates) are provided by the child care center

8. 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. InfantMealNotification

9. Infant Meal Notification ABC Day Care Baby’s Brand Iron-Fortified Formula Katie Smith 5/4/XX

10. Infant Meal Notification

11. Infant Meal Notification

12. Infant Meal Notification

13. Infant Meal Notification

14. Infant Meal Notification Angela Smith 6/15/XX

17. 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

19. 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

20. 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)

22. 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)

23. 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

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

25. 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

26. 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

27. 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

28. 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

29. Breastmilk for Babies over 12 months of age • Continue to serve babies their mother’s milk as long as the mother is able and wishes to provide it • No medical statement needed • Breastmilk is a substitute for cow’s milk in the meal pattern for children

30. 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/infantmeals/FormulaList.htm • Community Nutrition Team Home Page: http://dpi.wi.gov/fns/cacfp1.html • CACFP Guidance Memorandums: http://dpi.wi.gov/fns/centermemos.html

31. 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/directory.html Scroll down to view the Community Nutrition Team • Answer Poll Question (% Polls)

32. 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