CACFP Infant Meal Pattern Requirements

1. CACFP Infant Meal Pattern Requirements Welcome to the webcast training on the Child and Adult Care Food Program or (CACFP) infant meal pattern requirements. All agencies participating in the CACFP must purchase and provide meals to the infants enrolled in their care. Today�s presentation will go through the CACFP infant meal pattern for infants under 1 year of age. After viewing this webcast, we recommend you watch the 2 related webcasts about claiming infant meals and creditable and non-creditable infant foods. Welcome to the webcast training on the Child and Adult Care Food Program or (CACFP) infant meal pattern requirements. All agencies participating in the CACFP must purchase and provide meals to the infants enrolled in their care. Today�s presentation will go through the CACFP infant meal pattern for infants under 1 year of age. After viewing this webcast, we recommend you watch the 2 related webcasts about claiming infant meals and creditable and non-creditable infant foods.

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. 2 To help you best understand the content of this webcast, I recommend you print a copy of Guidance Memorandum #12C for the infant meal pattern and Infant Meal Notification to reference throughout the presentation. You can download and print a copy from the links provided in this webcast. Throughout the webcast, I will be showing examples of specific forms. 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. When in this view, 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. To help you best understand the content of this webcast, I recommend you print a copy of Guidance Memorandum #12C for the infant meal pattern and Infant Meal Notification to reference throughout the presentation. You can download and print a copy from the links provided in this webcast. Throughout the webcast, I will be showing examples of specific forms. 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. When in this view, 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. 3 Before we begin, let�s briefly go over some USDA definitions for infants. An infant is a baby from birth through 11 months or any child less than one year of age. Infant Formula is 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. Before we begin, let�s briefly go over some USDA definitions for infants. An infant is a baby from birth through 11 months or any child less than one year of age. Infant Formula is 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. 4 Infant Cereal is 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. On the infant meal pattern, is the phrase, �When 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. Although age and size often correspond with developmental readiness, these should not be used as sole considerations for deciding what and how to feed infants. It is important to be aware of infants rapidly developing mouth patterns and hand and body control so you know the appropriate food and texture to serve them and the appropriate feeding style to use at each stage of their development. On the Infant Meal Pattern for ages 4 through 11 months, you will see foods listed under the category When Developmentally Ready. If an infant is developmentally ready, and the parents want you to serve the foods to the infant, then you must offer these foods to the infant. Infant Cereal is 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. On the infant meal pattern, is the phrase, �When 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. Although age and size often correspond with developmental readiness, these should not be used as sole considerations for deciding what and how to feed infants. It is important to be aware of infants rapidly developing mouth patterns and hand and body control so you know the appropriate food and texture to serve them and the appropriate feeding style to use at each stage of their development. On the Infant Meal Pattern for ages 4 through 11 months, you will see foods listed under the category When Developmentally Ready. If an infant is developmentally ready, and the parents want you to serve the foods to the infant, then you must offer these foods to the infant.

5. Requirements for Feeding Infantsin the CACFP 5 Now, let�s discuss the CACFP requirements for feeding infants under 1 year of age.Now, let�s discuss the CACFP requirements for feeding infants under 1 year of age.

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 6 As a participant on the CACFP, every center that enrolls infants under 1 year of age, is required to offer infant meals to the infants in your center. Agencies may not avoid this obligation by stating that the infants are not enrolled in the CACFP or by citing a cost barrier to offering an infant meal. If your agency cares for infants, you must offer infant meals that meet Program requirements. At least one type of iron-fortified infant formula which meets the definition of infant formula must be offered. It is recommended to select an infant formula that satisfies the needs of one or more of the infants in care. A center can offer more than one kind of formula if they choose, but at least one must be offered. The center must also offer the Iron-fortified Infant Cereal (IFIC) and other developmentally-appropriate foods for infants, such as fruits, vegetables, meats and meat alternates. As with any child in the center, an infant�s parent may decline what is offered and supply the infant�s food components instead. As a participant on the CACFP, every center that enrolls infants under 1 year of age, is required to offer infant meals to the infants in your center. Agencies may not avoid this obligation by stating that the infants are not enrolled in the CACFP or by citing a cost barrier to offering an infant meal. If your agency cares for infants, you must offer infant meals that meet Program requirements. At least one type of iron-fortified infant formula which meets the definition of infant formula must be offered. It is recommended to select an infant formula that satisfies the needs of one or more of the infants in care. A center can offer more than one kind of formula if they choose, but at least one must be offered. The center must also offer the Iron-fortified Infant Cereal (IFIC) and other developmentally-appropriate foods for infants, such as fruits, vegetables, meats and meat alternates. As with any child in the center, an infant�s parent may decline what is offered and supply the infant�s food components instead.

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 7 A center must inform parents in writing that an iron-fortified infant formula, including the name of the specific formula, and other foods developmentally appropriate for infants, including iron-fortified infant cereal, fruits, vegetables, meats and meat alternates, are provided by the CCC. They must do this by way of the Infant Meal Notification form that can be found in GM #12C. This form must be completed by the parents of every enrolled infant and kept on file at the center. A center must inform parents in writing that an iron-fortified infant formula, including the name of the specific formula, and other foods developmentally appropriate for infants, including iron-fortified infant cereal, fruits, vegetables, meats and meat alternates, are provided by the CCC. They must do this by way of the Infant Meal Notification form that can be found in GM #12C. This form must be completed by the parents of every enrolled infant and kept on file at the center.

8. 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. 8 The Infant Meal Notification (shown here) lets the parent/guardian know the specific brand of iron-fortified infant formula purchased by the center. It also provides official documentation of the parent�s or guardian�s decision to accept or decline the formula offered by the center. This document must be kept on file for each infant and made available during reviews and/or audits. Please copy the CACFP Infant Meal Pattern to the back of the Infant Meal Notification prior to distributing to parents. The next few slides will go over specific sections of the Infant Meal notification. I�d recommend you have a copy on hand to review while viewing the slides. You may pause the presentation now and download a copy from the link provided. The Infant Meal Notification (shown here) lets the parent/guardian know the specific brand of iron-fortified infant formula purchased by the center. It also provides official documentation of the parent�s or guardian�s decision to accept or decline the formula offered by the center. This document must be kept on file for each infant and made available during reviews and/or audits. Please copy the CACFP Infant Meal Pattern to the back of the Infant Meal Notification prior to distributing to parents. The next few slides will go over specific sections of the Infant Meal notification. I�d recommend you have a copy on hand to review while viewing the slides. You may pause the presentation now and download a copy from the link provided.

9. Infant Meal Notification 9 Let�s look at the infant meal notification form section by section. The first part should be completed by the center prior to giving to the parents. List the center name and the brand of iron-fortified infant formula that the center will supply. The center may also list the infant�s name and date of birth. Let�s look at the infant meal notification form section by section. The first part should be completed by the center prior to giving to the parents. List the center name and the brand of iron-fortified infant formula that the center will supply. The center may also list the infant�s name and date of birth.

10. Infant Meal Notification 10 In the middle of the form is the section for the parents to check whether they want the center to supply formula or whether the parent is going to supply the formula and/or breastmilk. The parent or guardian must check only one of the boxes. The first box (highlighted in red here) is for infants only drinking formula, and it gives the parent the option of having the center supply the formula or for the parent to supply it. In our example, the parent chose for the center to supply the formula for their child.In the middle of the form is the section for the parents to check whether they want the center to supply formula or whether the parent is going to supply the formula and/or breastmilk. The parent or guardian must check only one of the boxes. The first box (highlighted in red here) is for infants only drinking formula, and it gives the parent the option of having the center supply the formula or for the parent to supply it. In our example, the parent chose for the center to supply the formula for their child.

11. Infant Meal Notification 11 The next box is for infants receiving breastmilk � either exclusively (in which the parent would check the first box - as shown here) or with supplemental formula � either supplied by the center or parent. The next box is for infants receiving breastmilk � either exclusively (in which the parent would check the first box - as shown here) or with supplemental formula � either supplied by the center or parent.

12. Infant Meal Notification 12 If the parent is supplying breastmilk and supplementing with formula, they would check one of the other 2 boxes choosing who they would like to supply the supplemental formula for their infant. In this case, the mother will supply breastmilk for her infant and would like the CCC to supply supplemental formula as needed.If the parent is supplying breastmilk and supplementing with formula, they would check one of the other 2 boxes choosing who they would like to supply the supplemental formula for their infant. In this case, the mother will supply breastmilk for her infant and would like the CCC to supply supplemental formula as needed.

13. Infant Meal Notification 13 The next section the parent needs to complete is whether they would like the center to supply age-appropriate foods for their infant or whether the parent would like to supply them. As stated above the box, the child care center will supply infant cereal and other foods for infants 4 months and older as they are developmentally ready according to the CACFP requirements. *Infant foods include fruits/vegetables, meat/meat alternates, enriched bread or snack crackers, and 100% full strength juice that are creditable to the USDA Infant Meal Pattern. Foods must be supplied in the appropriate texture for the age of the infant. Your center may choose to buy jar foods or prepare your own foods. You are not required to provide jar foods for the infants, but the foods provided must be the proper texture for the age of the child. For instance, the center would need to puree fruits or vegetables for a 4-month old infant if choosing not to provide jar foods.The next section the parent needs to complete is whether they would like the center to supply age-appropriate foods for their infant or whether the parent would like to supply them. As stated above the box, the child care center will supply infant cereal and other foods for infants 4 months and older as they are developmentally ready according to the CACFP requirements. *Infant foods include fruits/vegetables, meat/meat alternates, enriched bread or snack crackers, and 100% full strength juice that are creditable to the USDA Infant Meal Pattern. Foods must be supplied in the appropriate texture for the age of the infant. Your center may choose to buy jar foods or prepare your own foods. You are not required to provide jar foods for the infants, but the foods provided must be the proper texture for the age of the child. For instance, the center would need to puree fruits or vegetables for a 4-month old infant if choosing not to provide jar foods.

14. Infant Meal Notification 14 The last section the parents must complete is to sign and date at the bottom of the form. Above the signature line is a statement saying that your center has not requested or required the parent to provide infant formula or food for their infant.The last section the parents must complete is to sign and date at the bottom of the form. Above the signature line is a statement saying that your center has not requested or required the parent to provide infant formula or food for their infant.

15. 15 Now that you have offered the Food Program to all families of infants, let�s discuss the infant meal pattern. This is the infant meal pattern chart that all infants under 12 months of age must follow in order to be claimed for reimbursement. A copy of this chart can be found in GM #12C and is one of the links in this webcast. As you can see, the infant meal pattern is divided into 3 categories based on age ranges of children. The first column is for children birth to 3 months old, the second column is for children 4 through 7 months old and the 3rd column is for children 8 through 11 months old.Now that you have offered the Food Program to all families of infants, let�s discuss the infant meal pattern. This is the infant meal pattern chart that all infants under 12 months of age must follow in order to be claimed for reimbursement. A copy of this chart can be found in GM #12C and is one of the links in this webcast. As you can see, the infant meal pattern is divided into 3 categories based on age ranges of children. The first column is for children birth to 3 months old, the second column is for children 4 through 7 months old and the 3rd column is for children 8 through 11 months old.

16. 16 Let�s first look at the Infant Meal Pattern for 0-3 month olds which is highlighted here. Let�s first look at the Infant Meal Pattern for 0-3 month olds which is highlighted here.

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 17 For an infant through 3 months old, the only meal component that is required to be offered is 4-6 ounces of breast milk or iron-fortified formula. The times infants are fed may vary depending on the individual infant. This is particularly true of younger infants. They should be fed on demand. For an infant through 3 months old, the only meal component that is required to be offered is 4-6 ounces of breast milk or iron-fortified formula. The times infants are fed may vary depending on the individual infant. This is particularly true of younger infants. They should be fed on demand.

18. 18 The Infant Meal Pattern for 4-7 month olds is highlighted here. The Infant Meal Pattern for 4-7 month olds is highlighted here.

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 19 This slide lists the infant meal requirements for a 4-7 month old. For breakfast, it is required to serve 4-8 ounces of breastmilk or iron-fortified infant formula and when the child is developmentally ready, iron-fortified infant cereal. For lunch, it is required to offer formula or breastmilk, and when the child is developmentally ready, infant cereal and a fruit or vegetable. For snack, only formula or breastmilk are required to be offered.This slide lists the infant meal requirements for a 4-7 month old. For breakfast, it is required to serve 4-8 ounces of breastmilk or iron-fortified infant formula and when the child is developmentally ready, iron-fortified infant cereal. For lunch, it is required to offer formula or breastmilk, and when the child is developmentally ready, infant cereal and a fruit or vegetable. For snack, only formula or breastmilk are required to be offered.

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) 20 The decision to begin offering an infant solid foods should be made by the infant�s parent or guardian in consultation with the infant�s doctor. When the infant is 4 through 7 months old, is developmentally ready for solid foods, and the parents want you to serve the solid foods, those foods listed on the Infant Meal Pattern under When Developmentally Ready must be served to the infant. For example, you may have a 5-month old infant that is only drinking breastmilk, and is not receiving any foods yet. For this child, you would only be required to serve the breastmilk. In another example, you may have another 5-month old infant who is drinking breastmilk and eating iron-fortified infant cereal. Then your center would be required to offer both the breastmilk and infant cereal at the meals. The decision to begin offering an infant solid foods should be made by the infant�s parent or guardian in consultation with the infant�s doctor. When the infant is 4 through 7 months old, is developmentally ready for solid foods, and the parents want you to serve the solid foods, those foods listed on the Infant Meal Pattern under When Developmentally Ready must be served to the infant. For example, you may have a 5-month old infant that is only drinking breastmilk, and is not receiving any foods yet. For this child, you would only be required to serve the breastmilk. In another example, you may have another 5-month old infant who is drinking breastmilk and eating iron-fortified infant cereal. Then your center would be required to offer both the breastmilk and infant cereal at the meals.

21. 21 The Infant Meal Pattern for 8 through 11 month olds is highlighted here. As you can see, all meal components are required to be provided at breakfast and lunch. Only at snack does it say, �When developmentally ready�. The Infant Meal Pattern for 8 through 11 month olds is highlighted here. As you can see, all meal components are required to be provided at breakfast and lunch. Only at snack does it say, �When developmentally ready�.

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) 22 As I just said, for 8-11 month olds, all meal components are required to be offered at breakfast and lunch. At breakfast, it�s required to offer formula or breastmilk, iron-fortified infant cereal and a fruit or vegetable. At lunch you are required to offer formula or breastmilk, a fruit or vegetable, and either iron-fortified infant cereal AND/OR a meat or meat alternate. The meat or meat alternates that may be offered are 1 - 4 T. meat, fish, poultry, egg yolk, or cooked dry beans or peas, 1/2-2 oz. cheese, 1-4 oz. by volume of cottage cheese, 1-4 oz by weight of cheese food or cheese spread. Or you may serve the infant cereal along with a meat/meat alternate. At snack, only formula, breastmilk or 100% fruit juice are required to be offered. Bread or crackers are only required to be offered when the child is developmentally ready to eat them. For a list of what qualifies as a bread or cracker for this age group, please refer to the handout provided under the �links� section of this webcast or as part of the webcast entitled �Creditable and Non-creditable Infant foods�. As I just said, for 8-11 month olds, all meal components are required to be offered at breakfast and lunch. At breakfast, it�s required to offer formula or breastmilk, iron-fortified infant cereal and a fruit or vegetable. At lunch you are required to offer formula or breastmilk, a fruit or vegetable, and either iron-fortified infant cereal AND/OR a meat or meat alternate. The meat or meat alternates that may be offered are 1 - 4 T. meat, fish, poultry, egg yolk, or cooked dry beans or peas, 1/2-2 oz. cheese, 1-4 oz. by volume of cottage cheese, 1-4 oz by weight of cheese food or cheese spread. Or you may serve the infant cereal along with a meat/meat alternate. At snack, only formula, breastmilk or 100% fruit juice are required to be offered. Bread or crackers are only required to be offered when the child is developmentally ready to eat them. For a list of what qualifies as a bread or cracker for this age group, please refer to the handout provided under the �links� section of this webcast or as part of the webcast entitled �Creditable and Non-creditable Infant foods�.

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 23 Full strength juice, which is 100% juice, can only be considered a fruit/vegetable component at snack. It cannot count as a FV at lunch or breakfast. Also, 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. To prevent baby bottle tooth decay, only breast milk, formula or water should be fed from a bottle. Never put juice or other sweetened drinks in a bottle. No fruit drinks, fruit punch, soda, or sweetened drinks should be served to children.Full strength juice, which is 100% juice, can only be considered a fruit/vegetable component at snack. It cannot count as a FV at lunch or breakfast. Also, 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. To prevent baby bottle tooth decay, only breast milk, formula or water should be fed from a bottle. Never put juice or other sweetened drinks in a bottle. No fruit drinks, fruit punch, soda, or sweetened drinks should be served to children.

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 24 We realize that some older infants may be eating table foods and may not want to eat baby cereal anymore or you may have parents request that you not serve it to their child. However, in order to claim meals for reimbursement, all components are required to be served to infants who are 8- 11 months old (including iron-fortified infant cereal at breakfast). So, you may want to consider one or more of the following options when dealing with these situations: 1. Explain to the parent that infant cereal is a required component of the infant meal pattern and ask if it is ok to continue serving it to their infant at breakfast. If the parent agrees, continue to offer infant cereal at breakfast. If the parent refuses, you cannot claim the breakfasts that do not meet the meal pattern. Or The center may request a medical statement on file stating that the child is eating all table foods. We realize that some older infants may be eating table foods and may not want to eat baby cereal anymore or you may have parents request that you not serve it to their child. However, in order to claim meals for reimbursement, all components are required to be served to infants who are 8- 11 months old (including iron-fortified infant cereal at breakfast). So, you may want to consider one or more of the following options when dealing with these situations: 1. Explain to the parent that infant cereal is a required component of the infant meal pattern and ask if it is ok to continue serving it to their infant at breakfast. If the parent agrees, continue to offer infant cereal at breakfast. If the parent refuses, you cannot claim the breakfasts that do not meet the meal pattern. Or The center may request a medical statement on file 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 25 Infants ages 8 through 11 months who are consuming all table foods, including whole fluid milk and/or adult cereals for breakfast, may obtain 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. Infants ages 8 through 11 months who are consuming all table foods, including whole fluid milk and/or adult cereals for breakfast, may obtain 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 26 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. 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 27 Now, let�s discuss which milks are required and best for children Breastmilk or IFIF is required for infants under 1 year old. Whole milk, unlike breastmilk and formula, does not contain all nutrients needed for an infant�s growth and development. Also, whole milk can place stress on an infant�s kidneys or cause allergic reactions. At one year old, pasteurized whole cow's milk is recommended. Whole cow�s milk should only be introduced when a wide variety of foods are being eaten and offered until the child turn 2. At 2 years of age, 2% milk is recommended After age two, children can join older children in drinking lower-fat milk, such as 1%, or skim. Fat-free (skim) and low-fat (1%) milk are appropriate if the child is 2 years old or older and is getting a moderate amount of fat from a variety of other foods like meats, peanut butter, and cheese. If you have questions or concerns about the child's growth or the adequacy of his or her diet, contact the parent, doctor or dietitian. Now, let�s discuss which milks are required and best for children Breastmilk or IFIF is required for infants under 1 year old. Whole milk, unlike breastmilk and formula, does not contain all nutrients needed for an infant�s growth and development. Also, whole milk can place stress on an infant�s kidneys or cause allergic reactions. At one year old, pasteurized whole cow's milk is recommended. Whole cow�s milk should only be introduced when a wide variety of foods are being eaten and offered until the child turn 2. At 2 years of age, 2% milk is recommended After age two, children can join older children in drinking lower-fat milk, such as 1%, or skim. Fat-free (skim) and low-fat (1%) milk are appropriate if the child is 2 years old or older and is getting a moderate amount of fat from a variety of other foods like meats, peanut butter, and cheese. If you have questions or concerns about the child's growth or the adequacy of his or her diet, contact the parent, doctor or dietitian.

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 28 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. 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 29 Some parents may request that the center continue feeding their babies breastmilk after 12months of age. This is ok. Continue to serve babies their mother�s milk as long as the mother is able and wishes to provide it. Mothers who wish to continue providing breastmilk for their babies older than 12 months of age can do so without having to submit a medical statement. Breastmilk is a substitute for cow�s milk in the meal pattern for children.Some parents may request that the center continue feeding their babies breastmilk after 12months of age. This is ok. Continue to serve babies their mother�s milk as long as the mother is able and wishes to provide it. Mothers who wish to continue providing breastmilk for their babies older than 12 months of age can do so without having to submit a medical statement. 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 30 For a list of USDA-approved Iron-Fortified Infant Formulas that Do Not Require Medical Statements, go to the first website listed on this screen.� The DPI-CACFP website is also listed here. You may find past CACFP Newsletters, the �And Justice For All� poster, Building for the future flier, nutrition web pages, and other CACFP or nutrition-related resources here. The last website listed on this slide will bring you straight to the CACFP Guidance Memorandums and all of the forms included in each guidance memo. We recommend you bookmark each of these websites for easy access in the future.For a list of USDA-approved Iron-Fortified Infant Formulas that Do Not Require Medical Statements, go to the first website listed on this screen.� The DPI-CACFP website is also listed here. You may find past CACFP Newsletters, the �And Justice For All� poster, Building for the future flier, nutrition web pages, and other CACFP or nutrition-related resources here. The last website listed on this slide will bring you straight to the CACFP Guidance Memorandums and all of the forms included in each guidance memo. We recommend you bookmark each of these websites for easy access in the future.

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) 31 If you have any questions, feel free to contact DPI at the number listed on this slide or contact your assigned Consultant. If you do not have your Consultant�s number, the directory for our team is located on this website. Scroll down to view the Community Nutrition Team�s Directory To help us improve future webcasts, please consider taking the available poll. It is located on the top left corner of the screen, above the �play� button and titled % Polls. You may click on this button to answer the poll we have available. After you answer the question you can see how others answered the questions by clicking on View Results. If you have any questions, feel free to contact DPI at the number listed on this slide or contact your assigned Consultant. If you do not have your Consultant�s number, the directory for our team is located on this website. Scroll down to view the Community Nutrition Team�s Directory To help us improve future webcasts, please consider taking the available poll. It is located on the top left corner of the screen, above the �play� button and titled % Polls. You may click on this button to answer the poll we have available. After you answer the question you can see how others answered the questions by clicking on View Results.

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 32 Are you new to your role in the CACFP or just desire a refresher as regulations change? Consider participating in a CACFP training session. Go to the website listed on this slide and 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. Are you new to your role in the CACFP or just desire a refresher as regulations change? Consider participating in a CACFP training session. Go to the website listed on this slide and 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.

33. 33 Thank you very much for watching this webcast on the infant meal pattern requirements. Be sure to watch the 2 related infant webcasts on creditable and non-creditable infant foods and on how to claim infant meals for reimbursement. Thank you! Thank you very much for watching this webcast on the infant meal pattern requirements. Be sure to watch the 2 related infant webcasts on creditable and non-creditable infant foods and on how to claim infant meals for reimbursement. Thank you!