1. Compiling CACFP Claims Mike Ryan Nutrition Program Consultant Wisconsin Department of Public Instruction Child and Adult Care Food Program Child Care Institutions Outside of School Hours Care Centers Guidance Memorandum #3C http://fns.dpi.wi.gov/fns_centermemos

2. Claim Documentation −Household Size Income Statements −Household Size-Income Record −Time of Service Meal Count Records −Attendance Records −Days of Operation −Dated Menus (listing substitutions, changes, updates, etc.) −Production Records (Children ages 1-12 years) −Infant Production Records, if applicable −Recipes −Child Nutrition Labels/Product Analysis Sheets −Original Food receipts, invoices etc.

3. Claiming MonthLast Day for Online Submission JanuaryApril 1 (March 31 on leap years) FebruaryApril 29 MarchMay 30 AprilJune 29 MayJuly 30 JuneAugust 29 JulySeptember 29 AugustOctober 30 SeptemberNovember 29 OctoberDecember 30 NovemberJanuary 29 DecemberMarch 1 (February 29 on leap years) Claim Deadline Dates

4. On-Line Claiming Required Maintain confirmation page from the internet claim site

5. Online Confirmation Page

7. Claim Due Date Claim submission deadline of 60 days after the end of the claim month

8. ENROLLMENT DATA I. Child and Adult Care Food Program Enrollment Data

10. ENROLLMENT DATA I. Child and Adult Care Food Program Enrollment Data 1251027

11. For-Profit Centers Monthly eligibility requirement 25% of the children must be county-funded (W2 Child Care Assistance, i.e. Shares) or 25% must be determined as free or reduced Failure to meet the 25% means the center cannot be reimbursed for that given month

12. Participation Data II. Participation Data 1 23

13. Average Daily Attendance Use daily attendance records, NOT meal counts Total children in attendance/days of operation=ADA Round all fractions up to the next whole number

14. Participation Data 5. Number of sites 6. Number of days of service 7. Average Daily Attendance II. Participation Data 1 23 21.1  22

15. Number of Meals Served to Children II. Participation Data

17. Claiming Meals for Reimbursement 2 meals and 1 snack or 2 snacks and 1 meal per child per day Greater than 3 Meals Guidance Memorandum #9C

18. Number of Meals Served to Children II. Participation Data 539546555 1640

19. Site Participation Data for Sponsoring Organizations ABC Child Care 1 ABC Child Care 2 1 23456 789 1011

20. Participation Data: Sponsoring Organizations 34173889 2 21 82 120812471323 3778

21. Completing the CACFP Reimbursement Claim Wisconsin Department of Public Instruction Child and Adult Care Food Program At Risk After School Meals Emergency Shelters Guidance Memorandum #3C http://fns.dpi.wi.gov/fns_centermemos

22. Claim Documentation −Attendance/Participation Records −Days of Operation −Time of Service Meal Count Records −Dated Menus (listing substitutions, changes, updates, etc.) −Production Records At Risk sites only −Infant Production Records, if applicable At Risk Sites Only −Recipes −Child Nutrition Labels/Product Analysis Sheets −Original Food receipts, invoices etc.

23. Claiming MonthLast Day for Online Submission JanuaryApril 1 (March 31 on leap years) FebruaryApril 29 MarchMay 30 AprilJune 29 MayJuly 30 JuneAugust 29 JulySeptember 29 AugustOctober 30 SeptemberNovember 29 OctoberDecember 30 NovemberJanuary 29 DecemberMarch 1 (February 29 on leap years) Claim Deadline Dates

24. On-Line Claiming Required Maintain confirmation page from the internet claim site

25. Online Confirmation Page

27. II. Participation Data Participation Data 120 II. Participation Data

28. Average Daily Attendance (ADA) 21.1  22

29. II. Participation Data Number of Meals Served to Children

30. II. Participation Data Number of Meals Served to Children: At Risk After School 539546555 356150506

31. Number of Meals Served to Children: Emergency Shelter 2314 63 100

32. Site Participation Data for Sponsoring Organizations 1234 1235 AR ABC Elementary ABC Middle School 30 75 105 17 20 25 60 85 150 500 325 650 123 4 56789101112 N/A

33. Site Participation Data for Sponsoring Organizations 105 22085 650325975

34. Average Daily Attendance Use daily attendance records, NOT meal counts Total children in attendance/days of operation=ADA Round all fractions up to the next whole number for ADA

35. Claim Due Dates Claim submission deadline of 60 days after the end of the claim month

36. CACFP Meal Patterns Breakfast −Milk −Grain/Bread −Fruit/Vegetable Snack (2 of 4) −Milk −Grain/Bread −Fruit/Vegetable −Meat/Meat Alternate Lunch/Dinner −Milk −Meat/Meat alternate −Fruit/Vegetable 2 items required −Grain/Bread

37. Menu Exercise Review Menu handouts Identify which meals are not reimbursable Edit month meal count sheet to reflect correct totals

38. ABC DAY CARE SAMPLE MENU May 2014 - BREAKFAST MondayTuesdayWednesdayThursdayFriday 4 Cream of wheat Bananas Milk 5 Vanilla yogurt w/Fresh blueberries & granola 6 Corn bread w/ *honey & butter Cantaloupe Milk 7 Blueberry pancakes w/syrup Sausage Milk 8 Toast w/peanut & Strawberry jam Milk 11 Scrambled eggs w/ Cheddar cheese Toast Milk 12 Cinnamon & butter Tortillas Kiwi slices Milk 13 Waffles Strawberries Milk 14 Malt-O-Meal w/Apple chunks Milk 15 Whole wheat English Muffin Strawberries Milk 18 Warm rice w/ Cinnamon & butter Pineapple chunks Milk 19 Scrambled eggs Hashbrowns Orange Juice 20 Cheerios Blueberries Milk 21 Bagels w/cream cheese Fresh strawberries Orange Juice 22 Bran muffin Apple slices Milk 25 Warm peaches & cinnamon over Shortcake biscuit Milk 26 Raisin bran Raspberries Milk 27 Oatmeal Toast Milk 28 Strawberry yogurt Grapes Milk 29 Rice Krispies Fresh blueberries Milk Need Milk Need Fruit/ Vegetable Need Grain/Bread Need Fruit/ Vegetable Need Milk & Grain/Bread Jam-not creditable- need F/V Need Fruit/ Vegetable Need Milk *don’t serve to children <1yr

39. ABC DAY CARE SAMPLE MENU May 2014 - Lunch MondayTuesdayWednesdayThursdayFriday 4 Beef BBQ sandwich on kaiser roll Broccoli Mangoes Water 5 Meatballs & gravy Rice Watermelon Rye Bread Milk 6 Egg salad sandwiches Pineapple rings Cauliflower Apple juice 7 Ham & cheese quesadillas Green bean casserole Tropical fruit salad Chocolate milk 8 *Pepperoni pizza Sliced cucumber salad Cauliflower Milk 11 Grill cheese sandwich Tomato soup Plums Milk 12 *Chicken nuggets Carrot sticks Baked apples Milk 13 *Macaroni & cheese Pineapple chunks Broccoli florets 14 Turkey-n-cheese pitas Steamed broccoli Fresh peach slices Milk 15 *Breaded fish sandwich Pasta Salad w/ broccoli, carrots, & tomato Peaches & Milk 18 *PB&J sandwich Orange wedges Cucumber slices Milk 19 Sub sandwiches (turkey, ham, cheese, lettuce, tomato) Carrot/celery sticks Apples & Milk 20 Tater tot casserole (hamburger & tater tots) Cantaloupe Broccoli & Milk 21 Grilled ham & Swiss on light rye bread Cauliflower florets Sliced peaches Milk 22 Baked ham Scalloped potatoes Green peas Buttered noodles Milk 25 *Spaghetti w/meat sauce Sliced zucchini w/dip Milk 26 Meatloaf Mashed potatoes Honeydew melon Mixed veggies Milk 27 Tacos w/refried beans (cheese, lettuce, & tomato) Mandarin oranges Milk 28 Chicken Salad on pita Tomato wedges w/ranch dip Kiwi Milk 29 *Canned vegetable/beef soup Tomatoes Crackers Milk Need Fruit/ Vegetable *additional m/ma may be needed Need Grain/Bread *combination of 3 components *Need CN Label Need Milk *Need CN Label * may not creditable as m/ma Need Milk

40. ABC DAY CARE SAMPLE MENU May 2014 - SNACK MondayTuesdayWednesdayThursdayFriday 4 Cheddar cheese slices Wheat thins Orange juice 5 Tomato wedges *Cottage cheese 6 Soft pretzel w/Nacho cheese Milk 7 Strawberries Oatmeal raisin cookie 8 Ice cream Strawberries 11 Baked potato w/sour cream Orange Juice 12 *Fruit Smoothie Water 13 Ham sandwich quarters Tangerines Water 14 Vanilla pudding Graham crackers 15 Cantaloupe and Watermelon chunks Mini bagels 18 Carrot & celery sticks w/ranch dressing Grape juice 19 Hard boiled egg Saltine crackers Pineapple juice 20 Frozen yogurt Ice cream cones 21 Blueberry muffin Saltines Water 22 Fresh fruit kabobs Yogurt Water 25 Popcorn & Grapes Orange Juice 26 Triscuits String cheese Pineapple slices 27 Jell-O Apple slices Water 28 Pretzel wrap: pretzel rod rolled in 1-2 slices of cheese Milk 29 Toasted raisin bread Grape juice *2 oz (1/4 c) serving = 1 oz of meat Both components are Fruit/Vegetable Jell-O not creditable (not creditable) Ice cream is not creditable Both components are Fruit/Vegetable Both components count as a Grain/Bread Popcorn not creditable; Grapes and OJ-same component Only the fruit OR the milk in the smoothie is creditable pudding is not creditable

41. QUESTIONS?

42. 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.htmlprogram.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.