Child

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Child Adult Care Food Program (CACFP)Training
for Child Care CentersFY 2010

• NUTRITION HEALTH SERVICES
• 2545 Lawrenceburg Road
• Frankfort, KY 40601

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No Cell Phones

• Please be considerate to
• trainers and other sponsors
• by turning off cell phones, pagers, apples,
  blackberries, strawberries, and any other berries
  you may have.

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CACFP STAFF

• Denise Hagan Branch Manager
• Kelia Benningfield Administrative Specialist
• Mendy Covington Non-profits/reviewer
• Rene Poitra For-profits/reviewer
• Betty Sallee For-profits/reviewer
• Amey Herald Adult Day Care/reviewer
• Tonya Peach 2nd Party Reviewer/reviewer
• Elaine Jett Non-profit/FDCH reviewer
• Tina Jones All Programs/FDCH reviewer

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AWARD CERTIFICATES
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Lets Visit The Parking Lot!

• Visit the Parking Lot to leave questions for
  CACFP staff

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Dont Forget.

• To print out all required forms
• To print a copy of your approved agreement
• To check the website weekly and print out new
  policy memos (State Agency or USDA)
• Check your email daily!!!!!

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Trainings

• Record Keeping Training and Review Trainings were
  well attended and proved to be beneficial to the
  sponsors.
• These trainings will be continued due to their
  success.

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Training Packet

• You are responsible for knowing all information
  that is in the training packet!!!!
• We want to focus more on the nutritional needs of
  the child care population as well as changes to
  the child meal pattern.

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Reminders

• You will receive your reviews via email
• The Training Packet and the Food Crediting Guide
  are online (print them out!!!!!!)
• With the exception of the income applications and
  enrollment forms, all forms will be online as of
  8/21/09
• The income application and enrollment form will
  not be available until the week of 9/28/09

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Changes to Folder System

• No longer will you have a Master Roster Folder
• This folder will now be Policy Memos

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Changes to Income Application

• The Food Stamp Program is now SNAP (Supplemental
  Nutrition Assistance Program)
• The Racial/Ethnic Data is a two-part question
• Ethnic question Hispanic or Latino/ or Not
  Hispanic or Latino
• Racial categories Asian, White, Black or African
  American, American Indian or Alaskan Native,
  Native Hawaiian or Other Pacific Islander

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Changes to Forms

• Parent Letter for Income Application

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Changes to Forms

• Monitor Review Form
• Page 3

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Changes to Forms

• Monitor Review Form
• Page 4

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Review of Meal Pattern Changes for the Child Care
Centers

• Kentucky Department of Education
• Nutrition and Health Services

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Reason for Meal Pattern Changes

• A report released in July 2009 from the Trust for
  Americas Health (TFAH) and the Robert Wood
  Johnson Foundation (RWJF) found that the adult
  and child obesity rate is on the rise in more
  than 30 states with no slow down in sight.

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National and State Percentages

• Name of the report F as in Fat 2009
• All statistics were released by the CDC and
  gathered for the report.
• National percentages and individual state
  percentages can be seen with an interactive map
  located at
• http//healthyamericans.org/reports/obesity2009/

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Where does KY fall?

• KY currently is 7 on the list of highest adult
  obesity at 29.
• KY is 4 on the list of highest childhood obesity
  at 37.1.
• Mississippi is 1 at 32.5 for adults and 44.4
  for children.
• Colorado is lowest for adults at 18.9
• Utah and Minnesota tie for last place for
  children at 23.1.

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Childhood Obesity Rates

• Childhood obesity rates have more than tripled
  since 1980.

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Risa Lavizzo-Mourey, M.D., M.B.A. Says

• Reversing the childhood obesity epidemic is a
  critical ingredient for delivering a healthier
  population and making health reform work. If we
  can prevent the current generation of young
  people from developing the serious and chronic
  conditions related to obesity, we can not only
  improve health and quality of life, but we can
  also save billions of dollars and make our health
  care systems more efficient and sustainable.
• President and CEO of RWJF

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What is Our Role????

• State of KY is working with the recommendations
  made by the National Child and Adult Care Food
  Program Organization, Institutes of Medicine,
  American Academy of Pediatrics and American
  Dietetic Association to ensure that the children
  in our care receive the healthiest food possible.
• IT STARTS WITH BIRTH WHICH MEANS ALL PROGRAMS
  THAT CARE FOR YOUNG CHILDREN!!
• MAY BE THE ONLY NUTRITIOUS MEAL THEY GET EACH
  DAY!!!

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Meal Pattern Changes

• The meal pattern has been revised to more closely
  reflect the Dietary Guidelines for Americans.

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Meal Pattern Changes

• When planning menus, the following
  recommendations should be met

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Milk

• The fat content of milk for children ages two
  and above must be 1 or fat free (skim).

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Breakfast

• 3 Components Required
• Fluid Milk
• Vegetable or Fruit or Juice Whole fruits and
  vegetables are included at least twice a week.
• Grains/Breads No more than one sweet grain/bread
  breakfast item on the menu per week.

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Lunch/Supper

• 4 Components 5 Items
• Fluid Milk
• Fruit and/or Vegetable (Need two different
  vegetables or a fruit and a vegetable)
• Grains/Bread
• Meat/Meat Alternate

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Snack

• 2 Different Components
• Fluid Milk
• Vegetables/Fruit Whole Fruits and vegetables are
  included at least twice a week. (Juice must not
  be served when milk is the only other component)
• NOTE For those centers that claim two snacks
  and one meal instead of two meals and one snack,
  whole vegetables and/or fruits must be served at
  least twice a week at each snack time.

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Snack Cont

• Grains/Breads No more than one sweet grain/bread
  item appears on the menu per week.
• NOTE Regardless of how many different types of
  snacks offered (i.e. AM snack, PM snack, or LN
  snack), the CACFP menu must not contain more than
  one sweet grain/bread snack items per week.
• Meat/Meat
• Alternate

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General Menu Vegetables/Fruits

• Good Vitamin A sources from vegetables and/or
  fruits are included at least three times a week.
• Good Vitamin C sources from vegetables and/or
  fruits are included at least once a day.
• Less than 1/8 cup (1 oz) of vegetables and fruits
  may not be counted to meet the vegetable/fruit
  component.
• Please refer to the Guide to Crediting Foods
  for good sources of Vitamins A and C.

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General Menu Vegetables/Fruits

• Fruit Juice must not be served more than once a
  day.
• Children 6 months and younger may not be given
  any juice unless they have a medical referral
  form.
• Children 6 months up to 1 year may be given juice
  but it must be in a cup, not a bottle or sippy
  cup.

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General Menu Grains/Breads

• Whole grains must be served once a day.
• Only ready-to-eat breakfast cereals containing 10
  grams of sugar or less per serving as stated on
  the Nutrition Facts label can be included on the
  menu.
• Breakfast cereals are creditable if the
  ingredient statement shows that the primary grain
  ingredient is whole grain, enriched flour, bran,
  or germ.

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General Menu Combination Foods, Meat/Meat
Alternate

• Commercially processed combination foods must
  have a CN label or a product fact sheet from the
  manufacturer stating the food component
  contribution to the meal pattern.
• Processed meats such as bacon, sausage, hot dogs,
  and cold cuts must not be served more than twice
  a month.

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Menu Review Tips Breakfast

• A Meat/Meat Alternate is not required at
  breakfast.

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Menu Review Tips Lunch/Supper

• Combination main dish products if purchased
  must have a CN label or a product fact sheet from
  the manufacturer to show food component
  contribution to the meal pattern.
• Combination main dish items homemade should
  have supporting documentation such as a recipe,
  grocery receipts, and be documented on the Menu
  and Production Record as HM.

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Menu Review Tips Lunch/Supper

• NOTE Combination dishes (i.e. products or
  recipes containing foods from more than one meal
  component) can only be credited for no more than
  two meal pattern components to ensure that the
  children do not go hungry when a combination dish
  is disliked or not eaten.

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Menu Review Tips Snack

• Cookies with fruit, nuts, or chocolate pieces
  will need to be served in higher serving sizes to
  meet the grain/bread requirement.
• Water is not creditable and cannot be counted as
  one of the required components.
• Please refer to Groups C and E in Exhibit A,
  Guide to Crediting Foods, for the correct minimum
  serving sizes.

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Menu Review Tips General Menu

• Pre-packaged grain/bread products must have whole
  grains, enriched flour or meal as the first
  ingredient listed on the package.
• Sweet grain/bread foods may be credited as a
  bread serving at breakfast and snack only.

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Menu Review Tips General Menu

• Yogurt is a meat/meat alternate. It is not
  considered milk.
• A commercial fruit yogurt or fruit smoothie does
  not count as a fruit component.

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• A non-profit, non-partisan organization dedicated
  to saving lives by protecting the health of every
  community and working to make disease prevention
  a national priority.
• www.healthyamericans.org

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Robert Wood Johnson Foundation

• Focuses on the pressing health and health care
  issues facing our country. As the nations
  largest philanthropy devoted exclusively to
  improving the health and healthcare of all
  Americans, the Foundation works with a diverse
  group of organizations and individuals to
  identify solutions and achieve comprehensive,
  meaningful and timely change. For more than 35
  years the Foundation has brought experience,
  commitment, and rigorous, balanced approach to
  the problems that affect the health and health
  care of those it serves. Helping Americans lead
  healthier lives and get the care they needthe
  Foundation expects to make a difference in our
  lifetime.
• www.rwjf.org

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Healthier KY Child Care Challenge!!!!
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Healthier KY Child Care Challenge

• The Healthier KY Child Care Challenge is modeled
  after the Healthier US Schools Challenge.
• These criteria are in addition to the revisions
  that were made to the meal pattern in FY 2009.

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Criteria

• Must have at least a 4 week cycle menu.
• Must have documentation of food served
• Menu and Production Records
• Receipts
• Recipes
• Product fact sheets or Ingredient Statements
• CN Labels

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Nutrition Education

• Must provide nutrition education at least once
  each month to either the children or the
  parent/guardians.
• Must be delivered in a systematic and structured
  format
• Involves Multiple Channels of Communication
• Classroom
• Information sent home

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Physical Activity

• Opportunity for physical activity must be
  provided once daily
• Must be at least 30 minutes of structured
  physical activity each day
• Needs to be at a scheduled time
• Activity must ensure continuous movement for all
  participants

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Incentives!!!

• Receive a certificate
• Gold
• Silver
• Statewide Recognition

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Gold Certificate Criteria

• Must Serve Fresh fruits or raw vegetables daily
• Must serve cooked dry beans or peas 1 or more
  times per week.
• Ex Pinto beans, Great Northern or navy beans,
  Kidney or red beans, Black beans, Lentils,
  Garbanzo beans (chickpeas), Cow peas, Split peas,
  Black-eyed peas.
• Must serve two or more sources of iron daily
  (iron1.6 mg total)

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Silver Certificate Criteria

• Must serve fresh fruits or raw vegetables at
  least 3 times per week.
• Must serve one source of iron daily (iron.8 mg)