Jill Schneeberg WI Dells CACFP Training July 19, 2011 1.

Jill SchneebergWI Dells CACFP Training

July 19, 2011

1

Infant record keeping requirement Infant meal pattern Creditable foods Babies developmental stages

2

Infant MUST be enrolledInfants must be offered the CACFP

Infant Formula Notification must be completed

Infant meal records must be completed at the “point of service”

3

Infant meals must be offered by all child care centers

One type of iron-fortified infant formula must be offered by each center

Parent may accept or decline formula

4

A signed form must be on file for each child under 1 year old.

5

Individual infant menus are required to be completed for every meal to be claimed on the CACFP

Must be completed by at the time of the meal or snack service.

7

9

Birth through 3 months 4 through 7 months 8 through 11 months

Breakfast

4–6 fl oz formula1 or breast milk2, 3


When developmentally ready 0-3 T infant cereal1

6–8 fl oz formula1 or breast milk2, 3 and

1–4 T fruit or vegetable or both and

2–4 T infant cereal1

Lunch/Supper



When developmentally ready 0–3 T infant cereal1 and 0–3 T fruit or vegetable or both

6–8 fl oz formula1 or breast milk2, 3 and

1–4 T fruit or vegetable or both and

2–4 T infant cereal1 or in place of infant cereal you may serve a meat/meat alternate o 1–4 T meat, fish, poultry, egg

yolk, cooked dry beans or peas; or ½–2 oz cheese; or 2–8 T cottage cheese; or 1–4 oz cheese food, cheese spread

or you may also serve o both the infant cereal and

meat/meat alternate

Supplement



2–4 fl oz formula1 or breast milk,2, 3 or fruit juice4

When developmentally ready 0–½ slice bread5

or 0–2 crackers5

11

Infant meal/snack requires ONLY

breast milk or IFIF

Claim

(Regardless of who supplies the IFIF)

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

12

13

Infant meal/snack requires ONLY

breast milk or IFIF

Claim

(Regardless of who supplies the IFIF)

Semi-solid foods are introduced when the infant is developmentally ready, which is a decision made by the parents and infant’s doctor

14

15

Infant meal requires breast milk/IFIF, IFIC* &/or fruit/vegetable*

Parent supplies ALL components

Center supplies ONE, TWO or ALL components

Claim

Do Not Claim

* When developmentally ready

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)16

17

Parent supplies ALL components

Center supplies ONE, TWO or ALL components

Do Not Claim

Claim

Infant breakfast requires breast milk/ IFIF, IFIC & fruit/vegetable

Infant lunch requires breast milk/IFIF,

fruit/vegetable & IFIC OR meat/meat alternate

18

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

Infants ages 8 through 11 months who are consuming all table foods and have a medical statement on file may be counted in the regular meal counts for the 1-12 year old children.

Individual infant menu records need not be completed for these infants.

However, the complete meal pattern must be met for each meal that is to be claimed.

20

Meal pattern must be met to claim meal

Food components offered must be recorded to claim meal

The center must note which food(s) are provided by center/parent

21

Full strength (100%) juice is reimbursable only at snack for 8 through 11 month old infants;

However, juice is NOT recommended to be served to infants under 12 months of age.

22

23

Individual infant meal records are required to be completed for every meal to be claimed on the CACFP

These are the Point of Service meal counts for infants.

Circle specific item served, and record amounts offered.

Infant Production Record - Birth through 3 MonthsMonth/Year July 200X Classroom/Site ___Tiny Tots_____The minimum quantity of food must be available for the infant in order to qualify for reimbursement, but may be served during a span of time consistent with the infant's eating habits

Date First & Last Name of Child Age BreakfastIron-Fortified Infant Formula (IFIF) or Breast Milk 4-6 oz.

Lunch/SupperIron-Fortified Infant Formula (IFIF) or Breast Milk 4-6 oz.

SnackIron-Fortified Infant Formula (IFIF) or Breast Milk 4-6 oz.

7/5 Katie Smith 2 mo 4 oz IFIF / Breast Milk 4 oz IFIF / Breast Milk

4 oz IFIF / Breast Milk

7/6 Katie 2 mo 4 oz IFIF/Breast Milk

4 oz IFIF / Breast Milk 5 oz IFIF / Breast Milk

7/7 Katie 2 mo 5 oz IFIF / Breast Milk



oz IFIF / Breast Milk



7/5 Tom Hanson 3 mo 6 oz IFIF / Breast Milk


7/6 Tom 3 mo 6 oz IFIF / Breast Milk


7/7 Tom 3 mo 6 oz IFIF / Breast Milk


TOTAL # of Reimbursable Meals:

24

6 6 6

Date` First & Last Name of Child

Age Breakfast1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz2. Iron Fortified Infant Cereal (IFIC) 2-4 Tbsp 3/ Fruit and/or Vegetable 1-4 T

Lunch/Supper1. Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz2. Fruit and/or Vegetable 1-4 Tbsp 3. Iron Fortified Infant Cereal 2-4 Tbsp; and/or Meat, fish, poultry, egg yolk, or cooked dry beans/peas 1-4 T; or cheese ½ -2 oz; or cottage cheese, cheese food, or cheese spread 1-4 oz

Snack1.IFIF or Breast Milk or full strength fruit juice 2-4 oz2. Crusty bread 0-1/2 sl or whole-grain/enriched crackers 0-2 crackers (when developmentally ready)

7/5 Elizabeth Thomas

8 mo 8 oz IFIF / Breast Milk

3 Tbsp IFIC

T Fruit or Veg_______


3 T Fruit or Veg sweet potatoes

and/Tbsp

IFIC

or____2__T Meat/Alt Meatloaf

4 oz IFIF / Br Milk / Juice

Bread or Crackers

7/6 Elizabeth 8 mo 6 oz IFIF / Breast Milk

3 Tbsp IFIC

2 T Fruit or Veg Banana


3 T Fruit or Veg beans

and/ 3 Tbsp IFIC

or_______T Meat/Alt _________

4 oz IFIF / Br Milk / Juice

1 Bread or Crackers

Total#of Reimbursable Meals:

27

Infant Production Record - 8 Months through 11 MonthsMonth/Year July 20XX Classroom/Site _________Busy Bears______________________The minimum quantity of food must be available for the infant in order to qualify for reimbursement, but may be served during a span of time consistent with the infant’s eating habits

Circle and/or record specific food items served and amounts offered. * Item provided by parent

1 2 2

28

Infant Production Record - 8 Months through 11 MonthsMonth/Year July 20XX Classroom/Site _________Busy Bears______________________The minimum quantity of food must be available for the infant in order to qualify for reimbursement, but may be served during a span of time consistent with the infant’s eating habits

Circle and/or record specific food items served and amounts offered. * Item provided by parent

0 2 2

Cross off any non-reimbursable meals and only claim reimbursable meals.

Total infant meal counts for the month and add into regular meal counts – preferably on bottom of Daily Participation Record.

29

Fish Sticks?

Eggs?

30

Combination dinners/foods, commercial baby food?

Baby food desserts?

31

Soy formula?

Low-iron formula?

32

Yogurt?

Cottage Cheese?

33

Vegetable Juice?

Adult Cereals (Cheerios, Oatmeal)

34

These: Breast milk Iron-fortified infant formula, including soy-

based formula

Instead of These: Fruit juice Cow’s milk, lactose-free milk or nutritionally

equivalent nondairy beverages such as soy or rice milk for infants less than 12 months (unless medically necessary)

36

Drink

Breast milk:◦Meets all nutritional needs of an infant

and promotes health and development◦Protects infants from many illnesses and

diseases including diarrhea, respiratory disease, SIDS, allergies and ear infections

◦Reduces the risk of childhood obesity◦Is associated with improved mental

development

37

Iron-fortified infant formula:◦Is an acceptable alternative to breast

milk and is specially formulated to have the right balance of nutrients

◦Includes iron which is a very important nutrient during the first year

Does not protect infants against illness and disease as well as breast milk

38

Fruit juice:◦ Provides less nutrients and fiber than whole baby

food fruits and vegetables because of what is lost when juice is processed

◦ Drinking too much may be linked to becoming overweight or obese and is associated with tooth decay and diarrhea

Cow, lactose-free, soy and rice milk do not contain the right amounts of nutrients infants need and can harm their health

39

How to feed with a bottle◦ Hold baby & bottle during feeding

Why propping a bottle is not allowed◦ Choking, suffocation, ear infections, tooth

decay, less cuddling & human contact Do not let baby carry bottle around

◦ Tooth decay, drink too much, share bottles, liquid spoil, glass bottle can break

40

Baby bottle tooth decay or early childhood caries◦ Babies with teeth

fall asleep with bottle in mouth

◦ Babies who drink from bottle (or sippy cup) with juice, sweet liquid, formula for long periods

41

To prevent tooth decay: Feed only breastmilk or formula from a

bottle No juice in bottle, only in cup; do not

feed more than 4 ounces of juice/day Bottle only at feeding time, not naps No bottles in crib, playpen, no propping If pacifier, only plain, nothing on it Do not use cold bottle of juice for

teething pain Do not let baby carry around sippy cup

42

To prevent tooth decay (continued) No water with honey, sugar, or corn

syrup, soda, sweet iced tea, juice drinks, or other sweet drinks in bottle or cup

Do not feed sweet or sticky foods Gradually shift bottle feedings to cup

feedings between 6 and 12 months Discuss cleaning baby’s teeth/gums with

parents/providers

43

Do not introduce solid food and fruit juice before 4-6 months because it may lead to:◦ a decrease in the intake of breast

milk or formula ◦choking, digestive problems, food

allergies or intolerances

44

Do not wait to introduce solid foods later than 6 months because it may lead to:◦the inability to accept different food textures

◦reduced motor development (e.g. chewing)

◦decreased nutrient intake

45

THESE: Iron-fortified infant cereal

INSTEAD OF THESE: Commercially prepared cereal mixtures (cereal

with fruit) Low-iron infant cereals Cereals designed for older children and adults

(Cheerios™) Sweetened grains/baked goods for breakfast

(e.g. donuts, cinnamon rolls, toaster pastries, muffins)

Cereals that present choking hazards

EAT

Rice cereal is usually the best choice for the first cereal

Oat and barley cereals can be added at 1-week intervals after rice cereal

Wait to serve wheat cereal until 8 months because wheat is most likely to cause an allergic reaction

47

Offer a variety of baby food fruits and vegetables including:• Commercially prepared baby fruits and

vegetables• Fresh or frozen fruits and vegetables• Canned fruits in their natural juices or

water• Canned vegetables with no added salt

48

Must list vegetable or fruit as first ingredient

Plain vegetables and fruits are preferred

49

Not creditableCereals, desserts, puddings listing fruit as the first ingredient

Fruit or vegetable listing water as the first ingredient

50

Avoid vegetables high in nitrates until 6 months:

Beets, carrots, collard greens, spinach, turnips

51

Offer lean protein sources such as ground well-cooked lean beef, pork, skinless chicken and turkey, fish, legumes (e.g. cooked dry beans and peas), natural cheese, egg yolk

52

Do Not Serve Processed meats such as bacon, beef jerky, bologna, hot dogs, liverwurst, pepperoni, sausage, Polish sausage

Fried or pre-fried breaded meats including chicken nuggets, chicken patties, corn dogs, fish sticks

Meat and meat alternates that present choking hazards or food allergies

53

Not creditable:Fish SticksHot dogs“Baby Food” meat sticksHome canned meatsCommercial-Prepared Combination Dinners

54

Sweeteners and Sweetened Foods:

“Baby Food” DessertsCakes, cookies, candyChocolateAdded sugar, syrup, etc.

55

Honey and corn syrup: either plain or in foods

Artificial Sweeteners56

The opportunities to provide young children with a healthy start are unlimited – and very rewarding – for parents and caregivers

58

USDA Feeding Infants http://www.fns.usda.gov/tn/resources/feeding_infants.html

Ellyn Satter How to Feed Children http://www.ellynsatter.com/how-to-feed-i-24.html

59

Jill Schneeberg WI Dells CACFP Training July 19, 2011 1.

Documents

Transcript of Jill Schneeberg WI Dells CACFP Training July 19, 2011 1.