2013 CACFP Nutrition Training

2013 CACFP Nutrition Training
CACFP Nutrition Training - Meal Planning 2013 CACFP Nutrition Training CN Labels, Creditable/Non-Creditable Foods and Special Diets

CACFP Nutrition Training - Meal Planning
Crediting Combination Foods CN Labels

Commercially Prepared Combination Items What are they? CACFP Nutrition Training - Meal Planning To name a few… Breaded Chicken Nuggets, patties, tenders Breaded popcorn chicken and popcorn shrimp Breaded fish sticks, patties, shapes, nuggets Corn dogs and mini corn dogs Pizza (any type) Canned and frozen ravioli Frozen soups for any component Breakfast bites Lasagna Quesadillas Salisbury steak Meatballs Chili and Chili Mac Chicken pot pies Cheese sauce

Commercially Prepared Combination Items Commercially prepared, combination food items can only be credited to the CACFP meal pattern when the amount of content (i.e. meat, bread, etc.) is known and documented Acceptable documentation includes the actual Child Nutrition (CN) label marked on the product, or a product analysis sheet signed by an official of the manufacturer Handout in folders

Child Nutrition (CN) Labels A CN labeled product will always contain the following: The CN logo, which is a distinct border The meal pattern contribution statement A unique 6-digit product identification number (assigned by USDA/FNS) appearing in the upper right hand corner of the CN logo The USDA/FNS authorization statement The month and year of final FNS approval

Child Nutrition (CN) Labels NOT Nutrition Facts Labels or Ingredients Lists X X

CN Labels = Healthy? CN labels do NOT indicate that a product is healthy Used predominately on processed meat and meat alternate products which are often high in sodium, fat and calories Healthier options are becoming available If using CN labeled foods, always read the Nutrition Facts panel to choose healthier options CN labels do NOT indicate that a product is healthy. Used predominately on processed meat and meat alternate products. CN labeled products are often high in sodium, fat and calories. Healthier options are becoming available, which may be due to child care facilities and schools demanding healthier foods. If using CN labeled foods, always read the Nutrition Facts panel to choose healthier options.

Child Nutrition (CN) Labels Two 1.00 oz breaded fish sticks provide 1.00 oz meat equivalent and .50 serving of bread alternate Meat equivalent calculation: 1-2 year olds (1 oz) = 2 fish sticks 3-5 year olds (1.5 oz) = 3 fish sticks 6-12 year olds (2 oz) = 4 fish sticks Let’s go over some examples of CN labeled products and determine how they contribute to the CACFP meal pattern.

This 4 oz Corn Dog provides 2.0 oz equivalent meat and 2 servings bread alternate for Child Nutrition Meal Pattern Requirements. For lunch: 1-2 year olds = ½ corn dog 3-5 year olds = ¾ or 1 corn dog 6-12 year olds = 1 corn dog By serving 1 corn dog, a 6-12 year old child would be getting twice the amount of bread/grain required (1 corn dog = 2 servings of bread alternate). By serving the same 1 corn dog to 1-5 year olds, they’d be getting 4 times the amount of bread/grain (because they only are required to get ½ serving of bread/grain). Meat equivalent calculation: 1-2 year olds (1 oz) = ½ corn dog 3-5 year olds (1.5 oz) = ¾ corn dog 6-12 year olds (2 oz) = 1 corn dog 1 corn dog/serv X 48 serv/bag = 48 corn dogs/bag Summer Feeding Kids in the CACFP

Corn Dogs Carrots Peaches Corn Dogs Breading 1% (3 – 2 yr olds) Whole (4- 1 yr olds) 54.5 oz 7 13 9 5 3 ½ # (29 oz can, drained) 9 cups 10 cups 1/2 gallon 2 gallons 2 cups 25 ¼ cups 31 corn dogs* 1=2oz m/ma OR 4 cans (see corn dogs) (fresh, baby) 24 servings 1 bag (48/bag) For CN labeled products, just putting number of bags is OK as long as you list the number of the product in each bag but should be more specific with other products. For CN labeled products, recording the number of bags is OK as long as you list the number of the product in each bag *Amounts prepared is based on serving 3-5 y/o a whole corn dog, not 3/4

Sample Cheat Sheet 1-2 year olds 3-5 year olds 6-12 year olds Entrees Chicken nuggets (name brand) 3 each 4 each 5 each Fish Sticks (name brand) 6 9 12 Corn Dogs (name brand) 1/2 1 Snack Items, Grain/Breads Cheese Snack Crackers 10 20 Graham Crackers 3 crackers (3/4 sheet) 6 crackers (1 ½ sheets) Saltine Crackers 3 Fruits and Vegetables Bananas, large (1/2 banana = ¼ cup) ¼ banana ½ banana 1 banana Grapes (Seedless) (7 large grapes = ¼ cup) 4 grapes 7 grapes 10 grapes Once you buy a CN-labeled product, you only need to cut the CN label off of the 1st box purchased and keep that on file. Or keep the product analysis sheet on file. As long as you continue to buy the same product, you can use that label on file as a reference. It is recommended to create a “cheat sheet” for the combination food items on the menus based on the CN label for the product you have purchased. You may also include other food items like snack foods or F/V’s into the chart. You may determine the amount of bread/grain to serve from the FBG G/B charts on pages 3-15 and 3-16 and the label information on the package. See the chart above as an example. As long as the same products are used, the food preparer could reference the cheat sheet to determine how much total food to prepare at each meal.

Crediting foods to cacfp meal pattern

Crediting to CACFP Meal Pattern
CACFP Nutrition Training - Meal Planning Crediting to CACFP Meal Pattern Creditable foods are foods USDA allows to be counted toward meeting the requirements of a component Non-Creditable foods do not meet requirements for any component in the meal pattern Most non-creditable foods are still allowable CACFP purchases and can be served as extras to a reimbursable meal

How do you know if it’s creditable?
CACFP Nutrition Training - Meal Planning How do you know if it’s creditable? Foods not indicated as creditable in What’s In a Meal or not listed in the Food Buying Guide are not creditable What's In a Meal Food Buying Guide The What’s in a Meal guide, which is provided to all new agencies at the pre-visit, lists many foods and whether or not it is creditable to the meal pattern. Foods listed in the Food Buying Guide are creditable. If you do not find a food in either of these resources, or if the What’s in a Meal guide indicates the item is not creditable, the food cannot be used to count toward any meal component.

Food Buying Guide Section 5: Other Foods
CACFP Nutrition Training - Meal Planning Food Buying Guide Section 5: Other Foods Foods in this section do not meet the requirement for any component Ketchup Mustard Chili sauce Salad dressing Syrup Cream cheese Egg product (frozen egg whites/yolks) Dried or evaporated milk Bacon Coconut Jams, jellies, preserves Pickle relish Popcorn Potato chips or potato sticks Pudding Section 5 of the Food Buying guide does list “other foods” that are commonly served with a meal but that are not creditable.

Other Non-Creditable Foods Seen on Menus
CACFP Nutrition Training - Meal Planning Other Non-Creditable Foods Seen on Menus Jell-O Fruit or full strength 100% juice in gelatin salads may be credited if each serving contains a minimum 1/8 cup fruit, vegetable or full-strength fruit or vegetable juice Juice that is not 100%, e.g. juice drink, kool-aid, energy drinks Fruit Snacks Ice Cream, sherbet, frozen yogurt Box macaroni and cheese (made with powder cheese) Tofu and tempeh (without a CN label) Cheese product, imitation cheese Velveeta, cheese sauce This slide shows you more foods that are not creditable but that we often see served or on menus.

Vegetable Straws or Sticks Not Creditable
CACFP Nutrition Training - Meal Planning Vegetable Straws or Sticks Not Creditable Vegetable straws are a snack food made from ingredients that include vegetables (such as tomatoes and spinach), seed oils, grain starches, and flours made from vegetables (potato) and grains, formed into the shape of long square pegs Vegetable straws cannot be credited as a fruit/vegetable because they are considered a processed food item and are not found in the Food Buying Guide They may be creditable as a grain/bread when the primary grain ingredient is whole or enriched grain. Some, but not all, vegetable straws are made with whole or enriched grains. On the next few slides we will discuss specific food items that the DPI has been asked about or that USDA has provided additional guidance about. Vegetable straws or sticks are a snack food made from ingredients that include vegetables. However, these items cannot be credited as a fruit/vegetable because they are considered to be a processed food item and are not found in the Food Buying Guide. If you find these products and the primary ingredient is a whole grain or the grain product has been enriched with vitamins and minerals, it then may be credited as a grain/bread. Remember though, some but not all vegetable straws are made with whole or enriched grains.

Non-creditable Shelf-stable, dried meat, poultry, and seafood snacks
CACFP Nutrition Training - Meal Planning Non-creditable Shelf-stable, dried meat, poultry, and seafood snacks Non-creditable meat snacks: smoked snack sticks made with beef and chicken; summer sausage; pepperoni sticks; meat, poultry, or seafood jerky such as beef jerky, turkey jerky, and salmon jerky; and meat or poultry nuggets (shelf-stable, non-breaded, dried meat or poultry snack made similar to jerky) such as turkey nuggets Dried meat, poultry or seafood snacks do not qualify for the CN Labeling Program because they cannot contribute to the meat component; fact sheets or company certified product formulation statements (PFS) cannot be accepted for these products. This slide lists meat snacks that are not creditable to the meat component of the meal pattern. Further, dried meat, poultry or seafood snacks to not qualify for the CN label program because they cannot contribute to the meat component; therefore, fact sheets of company certified product formulation statements cannot be accepted for these products. USDA Technical Assistance

Creditable meat stick products
CACFP Nutrition Training - Meal Planning Creditable meat stick products Creditable meat snacks: The following are examples of meat stick products that may credit with CN Labels or company certified product formulation statements: Cooked, cured meat and/or poultry sausages (excluding byproducts, cereals, binders or extenders) such as Bologna, Frankfurters, Knockwurst, and Vienna Sausage as are listed on pages 1-36 and 1-37 of the Food Buying Guide for Child Nutrition Programs; Extended meat or poultry “patty-like” products shaped into sticks which are usually breaded and either frozen or refrigerated; and Dried pepperoni when used as a topping on a CN Labeled pizza. The information on this slide explains examples of meat stick products that may credit as a meat/meat alternate with CN Labels or company certified product formulation statements. USDA Technical Assistance

Nutella and other “spreads” Not Creditable
CACFP Nutrition Training - Meal Planning Nutella and other “spreads” Not Creditable Nutella is a hazelnut spread. Any item labeled as a type of nut “spread” is not creditable towards the meat/meat alternate component; this includes peanut butter spread. Look closely at the food label of peanut butter or any nut “butters” to assure that they are not labeled as “spreads.” Only nut “butters” listed in the “Food Buying Guide for Child Nutrition Programs” (page 1-40) are creditable towards the meat/meat alternate component and thus may count towards a reimbursable meal. Creditable nut butters: almond, cashew nut, peanut, reduced fat peanut, sesame seed, soy nut, and sunflower seed Nutella is a food item that has become more popular in recent years. As delicious as it is, it does not credit to the meal pattern for any component. Nutella is a hazelnut spread, not a nut butter. Sugar is its first ingredient. Any item labeled as a nut spread is not formulated the same as a nut butter and, because of this, is not creditable as a meat/meat alternate. When purchasing nut butters, be sure to read the label and verify that you are purchasing a nut butter and not a nut spread. There are many common brands out there selling products labeled as spreads, even though the product is marketed similar to a nut butter and maybe even marketed as a healthier option to a nut butter. Nut butters that are creditable include almond, cashew nut, peanut, reduced fat peanut, sesame seed, soy nut, and sunflower seed. Nutella Product Information…FYI Over 50 Hazelnuts per 13 oz. Jar ingredients: sugar, palm oil, hazelnuts, cocoa, skim milk, reduced minerals whey (milk), lecithin as emulsifier (soy), vanillin: an artificial flavor.

Fruit Smoothies – Homemade Creditable
CACFP Nutrition Training - Meal Planning Fruit Smoothies – Homemade Creditable Milk can credit in a smoothie Fruit and fruit juice can credit in a smoothie Vegetables, grains and meat/meat alternates (including yogurt) may not be credited when served as a beverage Homemade fruit smoothies may be credited for the milk and/or fruit/juice portion if prepared by staff and the amounts meet the meal pattern requirements. Vegetables, grain products and yogurt included in a smoothie cannot be credited. USDA Guidance Memorandum CACFP

Fruit Smoothies - Homemade
CACFP Nutrition Training - Meal Planning Fruit Smoothies - Homemade Breakfast and lunch/supper: Milk and fruit/fruit juice can be credited in homemade smoothies Breakfast: pureed fruit/juice in a beverage may be counted as the entire daily fruit/vegetable component Lunch/supper: pureed fruit/juice may only count toward half the fruit/vegetable component Snack: both juice/pureed fruit and milk are creditable, but must be served alongside a 3rd creditable component (not milk or juice) as the meal pattern states that juice cannot be served when milk is the only other snack component At breakfast and lunch or supper, milk and fruit/fruit juice as ingredients in a smoothie are creditable. At lunch/supper, the fruit/juice cannot be counted toward more than ½ of the f/v component. At snack, both juice/pureed fruit and milk are creditable, but must be served alongside a 3rd creditable component (not milk or juice) as the meal pattern states that juice cannot be served when milk is the only other snack component. A third creditable component is required. The volume of pureed fruit in a beverage can be counted as juice in a smoothie. USDA Guidance Memorandum CACFP

Smoothies at Snack, Is it Creditable?
CACFP Nutrition Training - Meal Planning Smoothies at Snack, Is it Creditable? Yogurt* Milk Fruit Juice Creditable? X NO - Fruit is creditable. Yogurt is not. Serve a 3rd component (not juice or milk) NO - Fruit/juice and milk are creditable but must be served alongside a 3rd component b/c juice cannot be served when milk is the only other component NO - Juice is creditable. Yogurt is not. Serve a 3rd component (not juice or milk) Don’t go into detail of chart. Here is a chart showing you how various components used to make a smoothie do not make the smoothie creditable alone. You should also consider the costs associated with the requirement to serve a 3rd component along with the smoothie. *Vegetables, grains and meat/meat alternates (including yogurt) may not be credited when served as a beverage Consider the costs associated with the requirement to serve a 3rd component when deciding to serve smoothies as a snack.

Go Gurt and Drinkable Yogurt
CACFP Nutrition Training - Meal Planning Go Gurt and Drinkable Yogurt Go Gurt Creditable It is a coagulated milk product therefore it is creditable as a meat/meat alternate 4 oz yogurt = 1 oz meat/meat alternate 1 tube = 2.25 oz 2 tubes of gogurt = 1 oz meat/meat alternate Drinkable Yogurt (Danimals, etc.) Not creditable Does not meet the definition of yogurt so it cannot credit as a meat/meat alternate Go Gurt is a creditable product Drinkable Yogurts are not

Ground Beef Patty “Ground Beef Patty, ” “Hamburger,” “100% Beef,” “Pure Beef Patty,” is creditable Both hamburger and ground beef can have seasonings added, but no water, phosphates, extenders, or binders may be added “Beef Patty” is not creditable without a CN label because it may be made with one or more of the following: Soy Concentrate Soy Isolate Soy Flour Ground Fruit Ground Chicken When purchasing pre-made/frozen ground beef patties, only those labeled “ground beef patty” are creditable. Any product labeled just “beef patty” is not creditable without a child nutrition label because it may contain ingredients, i.e. fillers, that decrease the amount of meat/meat alternate and thus, the amount that contributes to the meal pattern.

These products are creditable: This product is not creditable without a CN label: soy protein concentrate is a binder/extender Ingredients: Beef, water, soy protein concentrate, dehydrated onions, salt, monosodium glutamate, and pepper.

Requirements, Medical Statements and Non-Dairy Milk Substitutions

Milks Creditable to Meal Pattern
CACFP Nutrition Training - Meal Planning Milks Creditable to Meal Pattern Fluid milk served to children who are two years of age and older must be fat-free (skim) or low-fat (1%) milk Fluid milk served may also be fat-free or low-fat lactose reduced milk, fat-free or low-fat lactose free milk, fat-free or low-fat buttermilk, or fat-free or low-fat acidified milk. In order to credit to the meal pattern, the agency must purchase these products Whole milk and reduced-fat (2%) milk may not be served to children over two years of age as part of a reimbursable meal Whole milk is recommended to be served to children between one and two years old

What About Lactose Intolerance?
CACFP Nutrition Training - Meal Planning What About Lactose Intolerance? Not a disability, it is a food intolerance In order to claim a child’s meals for reimbursement you must obtain a statement from a medical authority List intolerance and product(s) to be substituted (soy milk, almond milk, water, juice, etc.) Any milk substitute is okay (soy milk, rice milk, almond milk, etc.) Center or parent may supply substitution Center must supply all other components in order to claim meal/snack for reimbursement

Non-Dairy Milk Substitutions
CACFP Nutrition Training - Meal Planning Non-Dairy Milk Substitutions Parents/guardians wanting their child to drink something other than cow’s milk (in absence of a medical statement) may request in writing that their child be served a non-dairy milk substitution without providing a medical statement This provision only applies to children ages one year and older. It does not apply to infants (children under 1 year of age) Written request must identify the medical or other special dietary need (i.e. life style choice) and state the name of the non-dairy milk substitution to be used

Non-Dairy Milk Substitutions
CACFP Nutrition Training - Meal Planning The non-dairy milk substitution must be nutritionally equivalent to milk and meet nutritional standards for nutrients listed here Nutrition Facts Label on products may not list all the required nutrients. Providers or parents will need to request documentation from the manufacturer to confirm the presence of all required nutrients at the proper levels Milk Substitute Nutrition Standards (GM 12C) Nutrient Per Cup Calcium mg Protein g Vitamin A IU Vitamin D IU Magnesium mg Phosphorus mg Potassium mg Riboflavin mg Vitamin B mcg (μg)

Products approved in Wisconsin for use as non-dairy milk substitutions
Kikkoman Pearl Soymilk, Smart Creamy Vanilla * 8.25 fluid ounce single-serving container, UPC Code Kikkoman Pearl Soymilk, Smart Creamy Chocolate * 8.25 fluid ounce single-serving container, UPC Code Pacific Natural Foods Ultra Soy All Natural Nondairy Beverage, Vanilla * Quart (32 fluid ounces), UPC Pacific Natural Foods Ultra Soy All Natural Nondairy Beverage, Plain * 8.25 fluid ounce single-serving container, UPC * Quart (32 fluid ounces), UPC 8th Continent Soymilk, Original *Half gallon (64 fluid ounces), UPC SunOpta Sunrich Naturals Soymilk, Original, * 8 fluid ounce single-serving container, UPC SunOpta Sunrich Naturals Soymilk, Vanilla * 8 fluid ounce single-serving container, UPC *This list is provided in Guidance Memorandum 12

Non-Dairy Beverage Calculator
CACFP Nutrition Training - Meal Planning Non-Dairy Beverage Calculator This tool enables you to easily input the %DV or nutrient data from the Nutrition Facts Label of the product into this spreadsheet which will tell you if the non-dairy beverage meets the nutrient requirements of milk or not. This calculator is available on our website under GM #12. Guidance Memorandum #12: ‎

Non-Dairy Milk Substitution Products Not Approved
CACFP Nutrition Training - Meal Planning Non-Dairy Milk Substitution Products Not Approved If a milk is served that is not on the approved list or there is no documentation to show that the non-dairy substitute meets the nutrition standards of cow’s milk the center cannot claim the entire meal (breakfast, lunch, supper) for reimbursement or snack when it is served as only 1 of 2 components

What About Organic Milk?
Organic milk does not qualify as a non-dairy substitute because it is a dairy product If parent/guardian provides organic milk the center cannot claim that child’s meals/snacks for reimbursement unless there is a medical statement on file stating a medical reason for serving organic milk The center can purchase and provide organic milk and claim meals/snacks for reimbursement

Other Special Diet Needs What is Your Center Responsible For? SPECIAL DIETS

Special Diet Needs: What is a center responsible for?
CACFP Nutrition Training - Meal Planning Special Diet Needs: What is a center responsible for? Sometimes a child is not able to consume one or more meal pattern components, or requires food or eating modification, because of a disability or special dietary need Depending on the type of disability or special dietary need, the center may be required to supply the food substitution or meal modification

What’s the Difference? Disability Physical or mental impairment which substantially limits one or more major life activities (caring for one’s self, eating, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working). Food related diseases and conditions include metabolic diseases such as diabetes or phenylketonuria (PKU); food anaphylaxis (severe food allergy); epilepsy; cancer; specific learning disabilities; etc. If a licensed physician assesses that a child’s food allergy may result in severe, life-threatening reaction, the child’s condition would meet the definition of “disability.” Allergy / Intolerance Food Allergy is a reaction of the body’s immune system to a protein in a food called an allergen Food Intolerance is a reaction that involves the digestive system Food allergies / intolerances are generally not a disability as defined under either Section 504 of the Rehabilitation Act or Part B of IDEA. Examples include lactose intolerance, gluten intolerance (celiac disease), sugar sensitivity. First, let’s review the difference between a disability and an allergy/intolerance. A disability is a physical or mental impairment that limits one or more life activities, as listed here. Some food related diseases and conditions considered to be disabilities include diabetes, PKU, food anaphylaxis. A licensed physician may assess that a child’s food allergy is severe enough that it could result in a life-threatening reaction, thus be considered a disability. On the other hand, an allergy or intolerance to food is generally not a disability because it is not life threatening nor substantially limits a major life activity. Food Allergy is a reaction of the body’s immune system to a protein in a food called an allergen Food Intolerance is a reaction that involves the digestive system Examples include lactose intolerance, celiac disease or a sugar sensitivity. What are some examples of food related disabilities? Severe egg allergy PKU Autism would be a situation where disability may prohibit child from being able to eat a variety of foods. Often children with autism eat the same food(s) every day.

Medical Statement Flow Chart Guidance Memorandum 12

When it is a Disability USDA regulations 7 CFR Part 15b require centers to provide food substitutions or make modifications in meals for children whose disabilities restrict their diets The need must be supported by a statement signed by a licensed physician The physician's statement must identify: the child's disability; an explanation of why the disability restricts the child's diet; the major life activity affected by the disability; the food or foods to be omitted from the child's diet, and the food or choice of foods that must be substituted. When you are caring for a child with a disability that affects the eating and feeding time, you are required to make food substitutions or modifications for these children. First, you should obtain a statement from a licensed physician which states the child's disability; an explanation of why the disability restricts the child's diet; the major life activity affected by the disability; the food or foods to be omitted from the child's diet, and the food or choice of foods that must be substituted. You must then provide the necessary eating and feeding modifications.

Eating and Feeding Evaluation Form
CACFP Nutrition Training - Meal Planning Eating and Feeding Evaluation Form Licensed physician (not other medical authority) completes Part A to identify disability Part B to explain special nutritional or feeding needs In GM12 is an Eating and Feeding Evaluation form that you can have parents take to their licensed physician to complete when dealing with a disability. This must be completed by a licensed physician and NOT another type of medical authority. Guidance Memorandum 12

When it is an Allergy / Intolerance
CACFP Nutrition Training - Meal Planning When it is an Allergy / Intolerance The center may provide food substitutions, at their discretion, for individual children who do not have a disability, but who are medically certified as having a special medical or dietary need. This provision covers those children who have food intolerances or allergies but do not have life-threatening reactions (anaphylactic reactions) when exposed to the food(s) to which they have problems. Must be supported by a statement from a medical authority. This should identify: the special dietary need the food(s) to be omitted from the child’s diet the food(s) that may be substituted In order to claim the meal for reimbursement the center must supply all other meal pattern components. Centers should make every effort possible to provide all food components

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 or at any USDA office, or call (866) 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 , by fax (202) or at Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) ; or (800) (Spanish). USDA is an equal opportunity provider and employer.

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