infant feeding

Serving CACFP Infant Meals in Childcare Centers : 

Serving CACFP Infant Meals in Childcare Centers

Claiming Infants: 

Claiming Infants To claim infants, you must: 1. Include infants in your study month enrollment roster. 2. Have a parent complete the Infant Formula Offer form for each infant. 3. Follow the CACFP Infant Meal Pattern. 4. Maintain Infant Menus/Production records. 5. Take point of service meal counts.

USDA Infant Meal Pattern: 

USDA Infant Meal Pattern A guide for serving nutritious, reimbursable meals and snacks. Meals and snacks are reimbursable when the provider offers at least a portion of the meal. Let’s take a look at the USDA Infant Meal Pattern.

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CACFP Infant Meal Pattern

USDA Infant Meal Pattern Birth through 3 months: 

No Specified meal times Required at all meals: Iron fortified infant formula and/or breast milk USDA Infant Meal Pattern Birth through 3 months

USDA Infant Meal Pattern4 through 7 months: 

USDA Infant Meal Pattern 4 through 7 months No specified meal times Required at breakfast, lunch, supper and snack: - Iron-fortified infant formula and/or breast milk Optional for breakfast, lunch and supper: - Iron-fortified infant cereal* Optional for lunch and supper: - Fruit and/or vegetable* (not juice) *when developmentally ready

USDA Infant Meal Pattern 8 through 11 months: 

USDA Infant Meal Pattern 8 through 11 months No specified meal times Required at breakfast: Iron-fortified infant formula and/or breast milk Iron-fortified infant cereal Fruit and/or vegetable: not juice

USDA Infant Meal Pattern 8 through 11 months cont.: 

USDA Infant Meal Pattern 8 through 11 months cont. No specified meal times Required at lunch and supper: - Iron-fortified infant formula and/or breast milk and - Iron-fortified infant cereal and/or - Meat/meat alternate from the infant meal pattern and - Fruit or vegetable (not juice)

USDA Infant Meal Pattern 8 through 11 months cont.: 

USDA Infant Meal Pattern 8 through 11 months cont. No specified meal times Required at snacks: - Iron-fortified infant formula or breast milk, or 100% fruit juice Optional at snacks: - Crusty bread or crackers

Parent Provided Foods: 

Parent Provided Foods Parents may choose to provide foods to meet the CACFP meal pattern - Only for infants older than three months. - Must be in compliance with local health codes. The center or provider must: - Provide at least one component in meal pattern. - Ensure that the parent or guardian is truly choosing to provide the preferred component(s). and - That the center or provider has not solicited (requested or required) the parent or guardian to provide the components in order to complete the meal and reduce cost to the center or provider.

Infant Feeding Selection Form: 

A signed Infant Feeding Selection Form must be on file for each infant, unless center provides all formulas served. To view a list of approved iron-fortified infant formulas, go on-line: http://www/fns.usda.gov/cnd/ Care/Regs-Policy/ Infantmeals/feeding.htm Infant Feeding Selection Form

Infant Feeding Selection Form: 

Infant Feeding Selection Form Form offers four feeding choices Center will provide a specified iron-fortified infant formula (a “house” formula). Parent will provide breast milk. Parent will provide an approved iron-fortified infant formula. Parent will provide a medically authorized infant formula accompanied with a recognized medical authority’s note.

Infant Formula Offer Form: 

Infant Formula Offer Form A signed medical statement is required to support the use of: Specialized infant formulas, e.g.: Nutramigen Alimentum Pregestimil Lofenalac Follow-up formulas when served to infants less than the specified age Nestle Good Start 2 Essentials (4 months + Similac 2 Older Baby & Toddler Formula with Iron (9 months +) Low-iron infant formulas. Medical Statement Specialized & Low-iron Formulas

About Medical Statements: 

About Medical Statements A medical statement is not required to justify the use of non-specialized iron-fortified infant formula for infants during the 12 month This allows for easier weaning from formula to whole milk during the transition period.

Introducing Solids: 

Introducing Solids Always check with parent/guardian before introducing any new food & inform them of the foods’ acceptance/rejection Introduce new food one at a time Allow 3 to 5 days between each new food. Observe infant closely for any reaction to new food items. Serve appropriate textures in small amounts. Do not add sugar, salt, fat, or spices to food

Iron Fortified Infant Cereals: 

Iron Fortified Infant Cereals Creditable Infant cereals Iron fortified - can be mixed with breast milk, formula, or milk Non-Creditable Adult cereals Cream of Wheat, Cheerios, Kix Not iron fortified infant cereals Infant cereals containing fruit

Commercially Prepared Infant Food: 

Commercially Prepared Infant Food

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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. Not Creditable - Water 1st ingredient. - Has 2 food components, making it a dinner. Not Creditable Cereals with fruit not creditable.

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

Commercially Prepared Infant Food: 

Commercially Prepared Infant Food

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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).   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. - Considered a “Dinner”. Not Creditable - Water 1st ingredient - More than 1 food component. Making it a “dinner”.

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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.

Infant Meal Records: 

Infant Meal Records Infant menus must contain the following information: Food components offered Enfamil, carrots, minced ham Names of infants served Jon Doe, Sally Mae, Bill Smith Infant’s age or date of birth 3 months or 12/5/04 Type of meal service breakfast, A.M. snack Date of meal service 3/23/05

Slide28: 

http://teamnutrition.usda.gov/Resources/feeding_infants.html

Serving CACFP Infant Meals in Childcare Centers : 

Serving CACFP Infant Meals in Childcare Centers