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Infant Meals and theCACFP
Ann-Marie MartinCACFP Specialist
AlaskaDepartment of Education & Early
Development
•Claiming infants on CACFP
• Infant meal pattern
•Creditable foods
•Recordkeeping requirements
• Infant resources
Infant Meals
Claiming Infants on CACFPTo claim infants, you must
1. Include infants in your study month enrollment roster (for centers or Early
HS).
2. Have a parent complete the Infant Formula
Offer form for each infant.
3. Follow the CACFP Infant Meal Pattern.
4. Maintain Infant Menus/Production records.
5. Take point of service meal counts.
Parent Provided Food & Formula
A parent may choose to provide food and/or formula for their own child.
• Must be an approved iron-fortified infant formula.
• Maintain documentation that the parent declined offered food and/or formula.
Food Provided by Parents
Parents may provide breast milk, formula, and/or foods,
However, the center/provider must:
-Supply at least one required component when two or more components are offered, in order to claim the meal for reimbursement.
Food Provided by Parents
When mom comes to the site and nurses…
the meal is not reimbursable…
UNLESS
the center or provider supplies an additional required component.
Day Care Homes Only
A provider who nurses her own child may claim meals and snacks for reimbursement, as long as:
-she is eligible to claim her own children,
-the infant is enrolled and participating in the CACFP , and
-at least one other enrolled child is present during the meal service.
USDA Infant Meal Pattern
USDA defines infants as ages birth through the 11th month.
Amounts and types of food required to offer changes as infants get older.
Meal pattern is grouped into three age categories:
birth-3 mo. 4-7 mo. 8-11 mo
Required Components
May offer either:
• Breast Milk and/or
Iron-fortified Infant Formula (IFIF)
Solids when infants are developmentally ready:
• 4-7 months optional (only if not developmentally ready)
• 8-11 months required
Age Breakfast Lunch and Supper Snack
Birththrough
3 months
4-6 fluid ounces formula1 and/or breast milk
4-6 fluid ounces formula1 and/or breast milk
4-6 fluid ounces formula1 and/or breast milk
4through
7months
4-8 fluid ounces formula1 and/or breast milk
0-3 Tbsp infant cereal2 (optional)
4-8 fluid ounces formula1 and/or breast milk
0-3 Tbsp infant cereal2 (optional)
0-3 Tbsp fruit and/or vegetable (optional)
4-6 fluid ounces formula1 and/or breast milk
8through
11 months
6-8 fluid ounces formula1 and/or breast milkand2-4 Tbsp infant cereal2
and1-4 Tbsp fruit and/or vegetable
6-8 fluid ounces formula1 and/or breast milkand2-4 Tbsp infant cereal2
and/or1-4 Tbsp lean meat, fish, poultry, egg yolk, cooked dry beans or cooked dry peas5
or ½-2 ounces (weight) cheeseor1-4 ounces (volume) cottage cheese or1-4 ounces (weight) of cheese food or cheese spreadand1-4 Tbsp fruit and/or vegetable
2-4 fluid ounces formula1 and/or breast milk or fruit juice3
0 to ½ slice of crusty bread4
(optional)or 0 to 2 crackers4 (optional)
Refer to page 63 in the Creditable Foods Guide (Revised March 2007) for the footnotes 1, 2, 3, 4, 5 .
CACFP Infant Meal Pattern
Birth through 3 months
Required at all meals and snacks:
• Iron-fortified formula and/or
• Breast milk
OK to offer less than the minimum amount of breast milk
Age Breakfast Lunch and Supper Snack
Birththrough
3 months
4-6 fluid ounces formula and/or breast milk
4-6 fluid ounces formula
and/or breast milk4-6 fluid ounces formula
and/or breast milk
4 through 7 months
Required at all meals and snacks:
• Iron-fortified formula and/or
• Breast milk
Solid foods when developmentally ready
Age Breakfast Lunch and Supper Snack
4through
7months
4-8 fluid ounces formula1 and/or breast milk
0-3 Tbsp infant cereal2
(optional)
4-8 fluid ounces formula1 and/or breast milk
0-3 Tbsp infant cereal2
(optional)
0-3 Tbsp fruit and/or vegetable (optional)
4-6 fluid ounces formula1 and/or breast milk
8 through 11 months
Required at all meals and snacks:
Only Iron-fortified formula or
breast milk is required to be offered.
OK to offer less than the minimum amount of breast milk
Age Breakfast Lunch and Supper Snack
8through
11 months
6-8 fluid ounces formula1 and/or breast milkand 2-4 Tbsp infant cereal2 and 1-4 Tbsp fruit and/or vegetable
6-8 fluid ounces formula1 and/or breast milkand 2-4 Tbsp infant cereal2
and/or 1-4 Tbsp lean meat, fish, poultry, egg yolk, cooked dry beans or cooked dry peas5
or ½-2 ounces (weight) cheeseor1-4 ounces (volume) cottage cheese or1-4 ounces (weight) of cheese food or cheese spreadand 1-4 Tbsp fruit and/or vegetable
2-4 fluid ounces formula1 and/or breast milk or fruit juice3 0 to ½ slice of crusty bread4
(optional)
or 0 to 2 crackers4 (optional)
8 through 11 months
Required at Breakfast:• Iron-fortified formula and/or
breast milk
• Iron-fortified infant cereal (IFIC)
• Fruit and/or vegetable (not juice)
8 through 11 months
Required at Lunch and Supper:• Iron-fortified formula and/or breast
milk
• Fruit and/or vegetable (not juice)
• Iron-fortified infant cereal (IFIC) and/or
• Meat/meat alternate
Lean meat, fish, poultry, egg yolk, cheeses, and beans or peas
8 through 11 months
Required at Snacks:• Iron-fortified formula and/or
• Breast milk or
• Fruit Juice (full strength)
Optional at Snacks:
• Crusty bread or
• Crackers
Introducing Solids
Introduce new food one at a time:
• Allow 3 to 5 days between each new food.
• Observe infant closely for any reaction to new food items.
• Serve appropriate textures in small amounts.
Do not add sugar, salt, fat,
or spices to food.
Infant FormulaCenter/Provider must supply at least one
creditable infant formula.
Must be iron-fortified
To view the list of approved iron-fortified formulas, go online to:
This list is not comprehensive-- contact your State agency if you have questions.
www.fns.usda.gov/cnd/Care/Regs-Policy/InfantMeals/FormulaList.htm
Medical Statement
A signed statement by a recognized medical authority is required to support the use of:
• Low-iron infant formulas.• Follow-up formulas when
served to infants less than the specified age.
• Exempt infant formulas.
Medical Statements
Also required for serving:
• Cows milk to children under 1 year.
• Formula to children over 13 months.
• An alternate meal pattern.
Transitional Period
After the 1st Birthday
• Between the 12th and 13th month
Transition from IFIF to cows milk
• Offer as a mixture
Happy 1st Birthday!After the 1st Birthday
• Serve off of the 1-2 year old meal pattern
Medical statements required:
• Infants not ready to transition to cows milk after their 13th month
• Infants not ready to be served the1-2 year old meal pattern
Creditable Foods for Infants
Foods prepared at the center, with appropriate modifications.
Commercially prepared foods must be plain fruits, vegetables, and meats.
Infant cereal must be iron fortified.
Iron-fortified Infant Cereal
Creditable
•Infant cereals
Iron-fortified
Can be mixed with breast milk or formula
Non-Creditable
• Adult cereals
• Not iron-fortified infant cereals
• Infant cereals containing fruit
• Jarred infant cereals
Commercially Prepared Infant Food
Fruits and VegetablesCreditable
The fruit or vegetable is the first ingredient.
Contain multiple fruits or vegetables ingredient.
Water is not the first ingredient.
Non-CreditableBaby dinners.
Jarred cereal with fruit.
Desserts.
Water is the first ingredient.
Containing DHA.
Pasta Vegetable Medley4 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 ApplesBeech-Nut Naturals First Advantage4 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 1st ingredient. - Has 2 food components,
making it a dinner.
Not Creditable
Cereals with fruit not creditable.
Green BeansCorn & RiceBeech-Nut Naturals Stage 34 oz.Vegetables
Ingredients:Green beans, corn, water and rice flour.
Mixed VegetablesBeech-Nut Naturals Stage 24 oz.Vegetables
Ingredients:vegetables (carrots, green beans, peas) and water necessary for preparation.
Creditable
- Vegetable 1st ingredient. - Water okay.
- No other food components.
Not Creditable
- Vegetable 1st ingredient. - Water okay.
- Has rice flour, another food components, making it a “dinner”.
Commercially Prepared Infant Food
Meat & Meat Alternates
Creditable
Plain strained baby foodmeats - Including those with beef, chicken,
turkey, lamb, veal, and ham.
Non-Creditable
Combination dinners.
Meat sticks.
Breaded/battered seafood and canned fish with bones.
Yogurt.
Nuts, seeds, and nut/seed butters.
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. - Considered a “Dinner”.
Not Creditable
- Water 1st ingredient - More than 1 food component.
Making it a “dinner”.
Chicken &Chicken BrothBeech-Nut Naturals Stage 12.5 oz.Meats
Ingredients:Chicken, finely ground chicken, and chicken
broth.
Creditable
- Chicken is the only ingredient.
8 through 11 months
Optional at Snacks:
• Crusty bread or
• Crackers
Whole grain or enriched meal or flour
Not “Bread Alternates”
Not all grain and bread alternates are appropriate for infants!
Non-Creditable Breads and Crackers for Infants
Allergies (whole eggs):
• pancakes• waffles• muffins
Calories: • brownies• cakes• doughnuts
Choking: • hard pretzels• breadsticks• tortilla chips• granola bars• some ready to
eat cereals
Creditable Breads for Infants
Breads (without seeds, nuts, or hard pieces of grain kernels):
•white•wheat•whole wheat•French•Italian•other similar breads
Creditable Breads and Crackers for 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
Creditable Foods for Infants --
Fruit JuiceCreditable
• Full strength juice
• Only at snack for 8-11 month olds
Non-Creditable
• Unpasteurized fruit juice
• Vegetable juice
• Fruit juices with yogurt
Exempt Infant Formulas
i.e. Nutramigen, Pregestimil, Alimentum
• Specialty formulas required for:• inborn errors of metabolism• low birth weight• unusual medical or dietary problems
www.fda.gov and search
“exempt infant formula”
Meal Times for Infants
• No specified meal time
• May offer meal at more than one sitting
• Complete one meal before serving the next
Meal Times for Infants
• On-Demand Infant Feeding
• Feed when hungry
• Only approved meal types can be claimed
Infant menus must contain the following information:
• Food components offered.
• Names of infant.
• Infant’s age and date of birth.
• Meal type.
• Date of meal service.
8 through 11 Month Infant Menu
_____Ethan Collins________ _____Aug 2005____ _______May 2005__ Name of Infant Birth Date Month/Year
Breakfast A.M. Snack Lunch/Supper P.M. Snack
DATE
6-8 oz IFIF &/or
Breast Milk
1-4 Tbsp Fruit
or Vegetable
2-4
Tbsp IFIC
Count Meal
2-4 oz IFIF, Breast Milk or Fruit
Juice
Count Meal
6-8 oz IFIF
and/or Breast Milk
1-4 Tbsp Fruit
or Vegetable
2-4 Tbsp IFIC
and/or Meat/Alt *
Count Meal
2-4 oz IFIF,
Breast Milk or Fruit Juice
Count Meal
5/5 Lactofree Carrots Barley XX Lactofree XX Lactofree Banana Minced ham XX Lactofree
Total ---- ---- ---- ---- ---- ---- ---- -----
IFIF = Iron Fortified Infant Formula Write in appropriate box the food offered to the infant IFIC = Iron Fortified Infant Cereal
*1-4 Tbsp lean meat, fish, poultry, egg yolk, cooked dry beans or cooked dry peas, or ½ - 2 oz cheese, or 1-4 oz cottage cheese, cheese food, or cheese spread
Common MenuDocumentation Errors
Non-creditable foods
Missing required components
Breast fed infants are included in the meal counts (and no other component supplied by the site).
• Not moving to next set of meal pattern requirements at start of their 4th and 8th months.
• Infants are moved to the Toddler Room and their meals are no longer recorded on individual daily infant meal records or are fed the child meal pattern.
• Children over age 1 are still in the infant room and fed infant meal pattern.
Common MenuDocumentation Errors
Want more on infant feeding?
www.fns.usda.gov/tn/Resources/feeding_infants.html
Thank You
Infant Training PowerPoint: http://www.eed.state.ak.us/tls/cns/CACFP3.htmlInfant Forms: http://www.eed.state.ak.us/tls/cns/CACFP2.html
