Lesson 9
Nutritional Needs
Compliance Indicator
The program provides for the nutritional needs of children in attendance at no additional cost to families. The meals are culturally and developmentally appropriate for the children being served and shall meet the nutritional requirements specified by the Child and Adult Care Food Program (CACFP) or the National School Lunch Program (NSLP).
Regulations/Reference
CCD Program Instrument: III. Program Quality CCD 13 Welfare & Institutions Code: 10208, 10210, 10240, 10250, 10251
Title 5: 18111 & 18278
Monitoring Review Evidence
Current Month Menu
List of Any Children with Food Allergies
Written Policies for Provision of Meals/Snacks
Watch Video Lesson ❯
Sample Forms/Tools ❯
Claims for Reimbursement
Meal Patterns
Other Resources
Review Sketch Pad Notes ❯
Food Service Methods
Only two food service methods are approved by the food program for children 1-12 years of age, pre-plated & family style.
Pre-Plated
For pre-plated meals, at least the minimum portions of each meal component based on age group is prepared on a plate & then given to each child.
Appropriate for very young children & any others who are unable to serve themselves
Minimum portion for each child must be served on each plate (minimum portion based on meal pattern listed below)
Family Style
Family Style is the preferred method of food service for children ages 1 through12.
Benefits:
More relaxed environment
Teaches social skills & meal time etiquette
Helps children develop fine motor skills
Provides positive peer pressure to try new foods
Promotes sharing in group eating situations
Allows slow introduction of new foods, tastes & textures
Reminders:
Don’t force children to eat
Recognize positive behaviors, not eating
Food should not be rewards or punishments
Use child-sized containers and utensils
Requirements:
Serving platter must contain adequate amount of each meal component for each child
Children must be allowed to serve themselves
Difficult items may be served by the supervising adult
Children must be at the table, but may serve themselves less than the minimum portion or may refuse food completely
Meal Patterns
Child & Adult Care Food Program (CACFP) outlines the meal pattern requirements. In order to receive reimbursement, programs must follow the specific meal requirements.
Breakfast
For breakfast, 3 components must be offered:
Milk
Veggie or Fruit or Portion of both
Grains
NOTE: Meat or meat alternate may be served in place of the entire grain component a maximum of 3 times per week
Lunch or Dinner
For lunch or dinner, 5 components must be offered:
Milk
Veggies
Fruit
Grains
Meat/Meat Alternative
NOTE: Fruit & veggies are listed as separate components; however 2 different types veggies may be served, instead of a vegetable & a fruit
Snack
For snack, select 2 of the 5 components:
Milk
Veggies
Fruit
Grains
Meat/Meat Alternative
NOTE: Only 1 of the items may be a beverage
Special Rules/Limitations
To ensure nutritious meals are being served, there are rules or limitations that apply to the type of beverage or food item being served within the meal components.
Milk
Only milk from a hoofed mammal are recognized as milk by the CACFP.
Non-dairy milk alternatives are non-reimbursable unless the parents have provided a signed medical statement or a Parental Request for Fluid Milk Substitution form & a nutritionally equivalent alternative is available.
Each age group must be served the appropriate serving size AND type of milk.
Fruits & Veggies
Programs are required to incorporate fruits & vegetables into all meals & snacks.
Pasteurized full-strength juice may only be used to meet the vegetable or fruit requirement at one meal, including snack, per day.
Meats & Meat Alternates
Eggs
Whole egg must be served
Serving size is dependent upon age
Yogurt
Served only once daily
Pay attention to serving sizes & “sugars” or “added sugars”
NOT more than 23 grams of sugar per 6 ounce serving
Cheese
Many varieties available
No “cheese foods” or “cheese products”
Grains
Within the grain component, cereals may served to children as part of a meal or snack; however in order to be considered reimbursable, cereals must not contain more than 6 grams of sugar per dry ounce
NOTE: An easy way to determine if the cereal is acceptable is to use WIC approved cereals
Modifications
Sometimes children have disabilities, allergies, or conditions that prevent them from being able to consume a particular food item, such as whole milk.
Medical Statements
Medical Statement is only required when modifications do not meet the meal pattern requirements
Medical Statement is required when a meal modification calls for serving a specific food or an entire meal that does not meet the meal pattern requirements
A medical statement should include two key features:
Information describing child’s disability & how it affects their diet
Alternative milk or food
Review Medical Statements carefully & keep on file
Ensure the posted food allergy alert is current & staff are very familiar with children who have milk or food allergies
Other Resources
Access many CACFP trainings & resources available on the Institute of Child Nutrition’s website located at theicn.org
Claims for reimbursement are submitted on CNIPS, the web-based system for administering nutrition programs
Complete Knowledge Check ❯
After reviewing the video lesson & sketch pad notes, it’s time to check for understanding by completing a Knowledge Check. Note that Individual Knowledge Checks will conclude with a Certificate.