1. 2013 CACFP Nutrition Training Infants on the CACFP 1

2. Claiming infants (0-12 months) is optional for agencies BUT at least one type of iron-fortified infant formula and infant foods must still be offered to all infants To claim a meal the infant must be offered all the required components AND Proper documentation must be maintained in order for the infant meals to be eligible for reimbursement Infants on the CACFP 2

3. USDA CACFP Infant Meal Pattern 3 Guidance Memorandum 12C

4. 4 Handout

5. Reimbursable meals for Birth through 3 months Infant meal/snack requires ONLY breast milk or IFIF Claim (Regardless of who supplies the IFIF) 5 The policy recognizes the non-food related cost of serving infants by allowing reimbursement for meals containing only breast milk or infant formula, whether supplied by the caregiver or by the parent.

6. Infant Meal Pattern 4-7 months old 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 6

7. Reimbursable meals for 4-7 months 7 Infant meal/snack requires ONLY breast milk or IFIF Claim (Regardless of who supplies the IFIF) 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 Semi-solid foods are introduced when the infant is developmentally ready, which is a decision made by the parents and infant’s doctor * When developmentally ready

8. 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) 8 Infant Meal Pattern 8 through 11 months

9. 9 Reimbursable meals for 8-11 month olds 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

10. 10 Reimbursable snacks for 8-11 month olds 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

11. Claiming Infant Meals Scenario 1: 9 month old infant –The parent/guardian provides breastmilk or iron fortified infant formula (IFIF) and the center provides at least one other component at breakfast, lunch, or supper. –Is this a claimable meal? YES 11

12. Claiming Infant Meals Scenario 2: 8 month old infant –The parent/guardian provides breastmilk/IFIF and all solid components. –Is this a claimable meal? NO 12

13. Claiming Infant Meals Scenario 3: 6 month old infant eating solid foods – The mother breastfeeds the child at the center for breakfast and the child care center also feeds the infant solid food supplied by the center. –Is this a claimable meal? YES 13

14. Claiming Infant Meals Scenario 4: 2 month old infant –Mother came to the center to breastfeed her infant. –Is this a claimable meal? NO 14

15. Claiming Infant Meals Scenario 5: 11 month old infant –At breakfast, infant is not eating iron- fortified infant cereal per parents request –Infant receives center-purchased formula, fruit and another grain/bread item (pancakes, adult cereal, toast, etc.) –Is this meal claimable? NO 15

16. Creditable Foods for Infants Foods prepared at the center, with appropriate modifications Commercially-prepared foods must be plain fruits, vegetables, and meats (not combination of different components) Infant cereal must be iron-fortified –Serve in a bowl with a spoon, not in a bottle 16

17. Iron-fortified Infant Cereal Creditable Infant cereals Iron-fortified Can be mixed with breast milk or formula Non-Creditable Adult cereals Infant cereals that are not iron- fortified Infant cereals containing fruit Jarred infant cereals 17

18. Commercially-Prepared Infant Food Fruits and Vegetables Creditable Fruit or vegetable is the first ingredient Contain multiple fruits or vegetables ingredients Water is not the first ingredient Non-Creditable Baby dinners Jarred cereal with fruit Desserts Water is the first ingredient Containing DHA 18

19. 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. Rice Cereal with Apples Beech-Nut Naturals First Advantage 4 oz. Cereals Ingredients: apples, apple juice from concentrate (water and apple juice concentrate), water, dried egg yolks, rice flour, cinnamon, ascorbic acid (vitamin c), ferrous sulfate (source of iron), citric acid, zinc sulfate (source of zinc), niacinamide, calcium pantothenate, thiamine mononitrate (vitamin b1), riboflavin (vitamin b2), pyridoxine hydrochloride (vitamin b6), vitamin b12 and folic acid. Not Creditable - Water 1 st ingredient - Has 2 food components, making it a dinner Not Creditable Cereals with fruit not creditable 19

20. Green Beans Corn & Rice Beech-Nut Naturals Stage 3 4 oz. Vegetables Ingredients: Green beans, corn, water and rice flour. Mixed Vegetables Beech-Nut Naturals Stage 2 4 oz. Vegetables Ingredients: vegetables (carrots, green beans, peas) and water necessary for preparation. Creditable - Vegetable 1 st ingredient - Water okay - No other food components Not Creditable - Vegetable 1 st ingredient - Water okay - Has rice flour, another food component, making it a “dinner” 20

21. Commercially Prepared Infant Food Meat & Meat Alternates Creditable Plain strained baby food meats - Including those with beef, chicken, turkey, lamb, veal, and ham Gravy and broth are ok Non-Creditable Combination dinners Meat sticks Breaded/battered seafood and canned fish with bones Yogurt Nuts, seeds, and nut/seed butters 21

22. 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, making it a “dinner” Not Creditable - Water 1 st ingredient - More than 1 food component, making it a “dinner” 22

23. 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 23

24. Creditable Breads and Crackers for 8-11 month old Infants Other Foods: biscuits bagels English muffins pita bread rolls soft tortillas Crackers: saltines snack crackers animal crackers graham crackers (without honey)* *clostridium botulinum spores = serious food borne illness 24 Crusty Bread or Crackers Listing of Creditable Grains/Breads under Guidance Memorandum 12 http://fns.dpi.wi.gov/fns_centermemos

25. Want more on infant feeding? www.fns.usda.gov/tn/Resources/feeding_infants.html 25

26. 26 The U.S Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.USDA Program Discrimination Complaint Form http://www.ascr.usda.gov/complaint_filing_cust.html program.intake@usda.gov Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish). USDA is an equal opportunity provider and employer.