Sarah Wood RD, LD/N Pasco County Schools Temporary Accommodation Meals for children with Special Nutritional Needs Sarah Wood RD, LD/N Pasco County Schools

Pasco County Schools Our Mission: Building a Healthier Student Body by providing nutritious meals to help students succeed & build a healthy foundation for a healthy lifestyle. Single presenter

Students with Allergy Alerts: Registered Dietitians Pasco Quick Facts Our Students: Over 75,000 Students with Allergy Alerts: Over 8,000 Registered Dietitians for Special Diets: 2 Student Population: Early Head Start Pre-K Head Start Pre-K Pre-K VE K-12th Grade ESE Single presenter

The Big 8 Allergens of Concern The eight most common allergens, Milk, Eggs, Peanuts, Tree Nuts, Soy, Wheat, Fish, or Crustacean Shellfish, cause more than 90% of all food-allergic reactions. Although these are the most commonly allergenic foods, more than 160 different foods have been indicated in food allergy reactions. 1 Single presenter

Our Resources Online menus POS Allergy Alerts Provides Description Indicates Carbohydrates Indicates Allergens POS Allergy Alerts Temporary Accommodation Meals Meal from Home With exception of Head Start Single presenter

FNS Diet Request Form Annual Form Food Allergy vs Food Intolerance Provides Clarifying Information Food Allergy vs Food Intolerance Milk allergy child cannot receive pizza on pizza day Lactose intolerance child can receive pizza on pizza day if documented Severity of the Allergy Avoid all sources or major sources Can this child consume baked goods that contain their allergy such as milk or egg? If yes, opens additional choices and decreases restrictions Single presenter

Temporary Accommodation Meals Purpose of Temporary Accommodation Meals: Ensure no child goes hungry Provide a Safe Meal Provide a meal that does not contain any of “The Big 8 Allergens of Concern” Eliminate waiting for District Office Approval Feed children in a timely matter Meet Head Start Program Regulations Single presenter

Temporary Accommodation Meals Breakfast Gluten Free Breakfast Cereal Oat or Rice Base Fruit Choice- Fresh or Prepared Café will check for additional fruit allergies (i.e. no strawberries) Fluid Cow’s Milk or cup for Water Depends on provided information If child does NOT have a milk allergy- provide Fluid Cow’s Milk If child has a Cow’s Milk Allergy- provide cup for water until proper documentation is received Single presenter

Temporary Accommodation Meals Lunch Protein Options- Provide appropriate protein per restrictions Grilled Chicken Strips Plain Beef Patty (i.e. no bun/no cheese) Plain Pinto Beans (Vegetarian option) Grain Unflavored Brown Rice Fresh Fruit or 100% Fresh Juice Fresh Plain Veggie (no coleslaw due to egg) Fluid Cow’s Milk or cup for Water Single presenter

Field Trip Accommodation Meal Field Trip Allergy Lunch Protein: Provide appropriate proteins per dietary restrictions IW Turkey Stick (1oz M/MA) IW Cheese Stick (1oz M/MA) If child cannot consume Milk, provide 2 Turkey Sticks Grain Tortilla Chips Fresh Fruit or 100% Fresh Juice Fresh Plain Veggie (no coleslaw due to egg) Fluid Cow’s Milk or Bottled Water Single presenter

Breakfast Club Provision 2 Breakfast Sites Breakfast Club Letter sent home to all children with allergy alerts Breakfast club does not go to breakfast carts Club meets in designated area to retrieve appropriate meal labeled with their name Single presenter

Be Prepared! Best Practice Pre-portion Temporary Accommodation Meals or Special Diet entrées in freezer safe, sealable bags Heat properly and quickly so child doesn’t have to wait Avoid opening a 5lb bag for 1 serving Helpful during high-volume times of diet requests (i.e. back to school, after break, etc.) Single presenter

Thank you! Sarah Wood RD, LD/N Nutrition & Wellness Specialist Pasco County Schools Single presenter

References U.S. Food & Drug Administration Website. Food Allergies: What you need to know. Accessed 9/2017 https://www.fda.gov/Food/IngredientsPackagingLabeling/FoodAll ergens/ucm079311.htm