The Child and Adult Care Food Program (CACFP) Goal of the CACFP • Subsidize eligible institutions for serving nutritious meals to children and eligible adults • Foster lifelong healthy eating and physical activity habits Background of the CACFP The CACFP is a Federally funded Child Nutrition Program. • Authorized by the United States Congress • Federally administered by the United States Department of Agriculture (USDA) • Administered in Virginia by the Department of Health Who is Implementing the Program? • Afterschool Care Programs • At-Risk Afterschool • Outside School Hours Care • Child Care Centers • Adult Day Care Centers • Emergency Shelters • Family Day Care Homes USDA Handbooks • Serious Deficiency, Suspension, & Appeals for State Agencies and Sponsoring Organizations • Released: December 2013 • Users: State Agencies and Sponsors • At-risk Afterschool Care Handbook • Released: July 2013(revised) • Users: State Agencies and Sponsors • Guidance for Management Plans and Budgets • Released: December 2013 • Users: State Agencies and Sponsors USDA Handbooks • Adult Day Care Handbook • Released: January 2014 • Users: State Agencies and Sponsors • Independent Child Care Centers Handbook • Released: May 2014 • Users: State Agencies and Sponsors CACFP Resources on the Web http://www.fns.usda.gov/cacfp/child-andadult-care-food-program http://www.vahealth.org/DCN/cacfp/index.h tm Updates on the Child and Adult Food Care Program (CACFP) from VDH and the USDA Training Objectives • List the reasons that VDH might disallow meals and/or snacks for reimbursement. • Describe which deficiencies require VDH action. • Discuss changes to the USDA’s guidelines for CACFP programs related to milk • Explain what is required for smoothies to be deemed creditable items Reasons for Disallowing Meals/Snacks • • • • Claiming meals for participant not enrolled No written menu for claimed meals or snacks Required food component(s) missing Non-creditable items being counted as a component • Less than 2 servings of fruit and/or vegetable component being served for lunch or supper • Planned portion sizes not age appropriate Reasons for Disallowing Meals/Snacks • Day Care Home provider claiming own child for meals when no other child is present • Serving meals/snacks outside of approved hours • Meal counts exceed # of participants in attendance • Inadequate quantity of milk/food provided for # of meals served • Meals served with substitute of component for medical reasons without a proper medical note on file Reasons for Disallowing Meals/Snacks • Insufficient quantity of milk/food purchased to meet amount required for the claimed meal service • Meals claimed on a day institution is not in operation • Absence of daily attendance records, enrollment records, or daily meal counts to substantiate # of meals claimed • For-profit centers not meeting 25% eligibility requirement Deficiencies Requiring Fiscal Action • Expenditures not identified in approved budget • Expenditures for which there are no receipts available or for which receipts do not support the meals served; • Audit report findings of questioned costs Milk in the CACFP • Milk is a required component of all meals in the CACFP except for snack and supper in adult day care center. • With snacks, milk may be served as a component when the other component is not juice • When used as an ingredient in cooked meals, the milk serving requirement has not been met. Milk in the CACFP Allowable types for participants > 2 • Low fat (1% or fat free) • Lactose-reduced or lactose free, buttermilk or acidified milk • Unflavored or flavored, including chocolate or strawberry • Goat’s milk (only if pasteurized) • USDA-approved non-dairy milk substitutes products (e.g. some brands of soy milk) at the participant’s (or, for children, parent/guardian’s) request as long as it is nutritionally equivalent to cow’s milk. Milk in the CACFP: Exceptions Medical or Other Special Dietary Need • If a participant cannot consume fluid milk due to medical or other special dietary needs (e.g. vegetarian), non-dairy beverages may be served in lieu of milk • If the substitute is not nutritionally equivalent to milk (e.g. juice, water), a signed medical statement is required for the meal to be claimed. Milk Served in the CACFP: Exceptions Disability If a disability directly affects a participant’s ability to consume milk and a signed medical statement is on file, the facility must purchase and can claim alternatives that do not conform to the meal pattern. Statement must include: • Participant’s disability and why it restricts participant’s diet • Major life activity affected by the disability • Food(s) to be omitted from the participant’s diet; and • Appropriate substitutions Creditable Smoothies • Milk and fruit • Milk and pureed fruit **Milk used must be 1% or fat free for participants > 2 years old and whole for children 12-24 months Non-Creditable Smoothies • • • • • Vegetable Commercially prepared Served as a snack without a second component Added nutritional supplement Yogurt except when used to credit as a meat/meat alternate for the breakfast meal pattern Smoothies and Meal Components • May be credited toward the fluid milk requirements for lunch and breakfast. **Fluid milk must also be offered in the required quantity to meet the meal requirements. • Juice and pureed fruit may be credited as fruit juice **Program operators are strongly encouraged to offer additional fruit options. Questions?