1. C LAIMING CACFP I NFANT M EALS FOR R EIMBURSEMENT Wisconsin Department of Public Instruction Child and Adult Care Food Program (CACFP) Guidance Memorandum #12C http://dpi.wi.gov/community-nutrition/cacfp/child-care/memos

2. I NFANT M EAL P ATTERN Birth through 3 months, breast milk or iron-fortified formula is required Infant meal times may vary with each infant 2

3. R EIMBURSABLE MEALS FOR B IRTH THROUGH 3 MONTHS Parent-provided breast milk Center-provided formula Parent-provided formula Non-reimbursable meal when mom breastfeeds her baby at the center 3

4. I NFANT M EAL R ECORDS Individual infant meal records must be maintained Time of Service meal counts for infants 4

5. Circle specific item served, and record amounts offered. Infant Production Record - Birth through 3 Months Month/Year July 200X Classroom/Site ___Tiny Tots_____ The minimum quantity of food must be available for the infant in order to qualify for reimbursement, but may be served during a span of time consistent with the infant's eating habits DateFirst & Last Name of ChildAgeBreakfast Iron-Fortified Infant Formula (IFIF) or Breast Milk 4-6 oz. Lunch/Supper Iron-Fortified Infant Formula (IFIF) or Breast Milk 4-6 oz. Snack Iron-Fortified Infant Formula (IFIF) or Breast Milk 4-6 oz. 7/5Katie Smith2 mo 4 oz IFIF / Breast Milk 4 oz IFIF / Breast Milk 7/6Katie2 mo 4 oz IFIF/Breast Milk 4 oz IFIF / Breast Milk 5 oz IFIF / Breast Milk 7/7Katie2 mo 5 oz IFIF / Breast Milk 5 oz IFIF / Breast Milk 5 oz IFIF / Breast Milk 7/8Absent oz IFIF / Breast Milk 7/9Katie2 mo 5 oz IFIF / Breast Milk 5 oz IFIF / Breast Milk 5 oz IFIF / Breast Milk TOTAL # of Reimbursable Meals: 5 444

6. I NFANT M EAL P ATTERN 4-7 MONTHS OLD Breakfast: 4-8 fl oz IFIF or breastmilk when developmentally ready 0-3 T Iron-fortified Infant Cereal Lunch/Supper: 4-8 fl oz IFIF or breastmilk when developmentally ready 0-3 T Iron-fortified Infant Cereal and 0-3 T Fruit and/or Vegetable Snack: 4-6 fl oz IFIF or breastmilk 6

7. R EMINDER Ages 4-7 months: Iron-fortified infant cereal or veg/fruit (when developmentally ready) When the child is ready to eat that food, and the parents want you to serve it, that component must be served at the meal(s). 7

8. R EIMBURSABLE MEALS FOR INFANTS 4 THOUGH 7 MONTHS OLD If the infant is only drinking formula or breastmilk, you may claim meals containing: Parent-provided breast milk or formula Center-provided formula 8

9. R EIMBURSABLE MEALS FOR INFANTS 4 THOUGH 7 MONTHS OLD If the infant is developmentally ready to eat solid foods, infant meals may be claimed only when: (1) at least one food component is supplied by the center; (2) the center maintains infant meal records; and (3) all meal components the infant is developmentally ready to eat are provided 9

10. 10 Parent provides formula Circle and/or record specific food items served and amounts offered. * Item provided by parent

11. 11 Parent provides formula Circle and/or record specific food items served and amounts offered. * Item provided by parent

12. 12 Parent provides formula Circle and/or record specific food items served and amounts offered. * Item provided by parent

13. 13 Parent provides formula Circle and/or record specific food items served and amounts offered. * Item provided by parent 444

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16. I NFANT M EAL P ATTERN 8 THROUGH 11 MONTHS Breakfast: 6-8 fl oz IFIF or breastmilk 2-4 T Iron-fortified Infant Cereal 1-4 T Fruit and/or vegetable Lunch/Supper: 6-8 fl oz IFIF or breastmilk 1-4 T Fruit and/or Vegetable 2-4 T Iron-fortified Infant Cereal and/or Meat/Meat Alternate Snack: 2-4 fl oz IFIF, breastmilk, or 100% fruit juice Bread or crackers (when developmentally ready) 16

17. R EIMBURSABLE MEALS FOR 8 THROUGH 11 MONTH OLDS To claim reimbursement: Center must supply at least one of the meal components and All meal components must be offered in accordance with the CACFP Infant Meal Pattern 17

18. Date`First & Last Name of Child AgeBreakfast 1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz 2. Iron Fortified Infant Cereal (IFIC) 2-4 Tbsp 3/ Fruit and/or Vegetable 1-4 T Lunch/Supper 1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz 2.Fruit and/or Vegetable 1-4 Tbsp 3.Iron Fortified Infant Cereal 2-4 Tbsp; and/or Meat, fish, poultry, egg yolk, or cooked dry beans/peas 1-4 T; or cheese ½ -2 oz; or cottage cheese, cheese food, or cheese spread 1-4 oz Snack 1.IFIF or Breast Milk or full strength fruit juice 2-4 oz 2.Crusty bread 0-1/2 sl or whole- grain/enriched crackers 0-2 crackers (when developmentally ready) 7/5Elizabeth Thomas 8 mo 8 oz IFIF / Breast Milk 3 Tbsp IFIC T Fruit or Veg_______ 6 oz IFIF / Breast Milk 3 T Fruit or Veg sweet potatoes and/ Tbsp IFIC or ____2__T Meat/Alt Meatloaf 4 oz IFIF / Br Milk / Juice Bread or Crackers 7/6Elizabeth8 mo 6 oz IFIF / Breast Milk 3 Tbsp IFIC 2 T Fruit or Veg Banana 6 oz IFIF / Breast Milk 3 T Fruit or Veg beans and/ 3 Tbsp IFIC or _______T Meat/Alt _________ 4 oz IFIF / Br Milk / Juice 1 Bread or Crackers Total#of Reimbursable Meals: 18 Infant Production Record - 8 Months through 11 Months Month/Year July 20XX Classroom/Site _________Busy Bears______________________ The minimum quantity of food must be available for the infant in order to qualify for reimbursement, but may be served during a span of time consistent with the infant’s eating habits Circle and/or record specific food items served and amounts offered. * Item provided by parent

19. Date`First & Last Name of Child AgeBreakfast 1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz 2. Iron Fortified Infant Cereal (IFIC) 2-4 Tbsp 3/ Fruit and/or Vegetable 1-4 T Lunch/Supper 1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz 2.Fruit and/or Vegetable 1-4 Tbsp 3.Iron Fortified Infant Cereal 2-4 Tbsp; and/or Meat, fish, poultry, egg yolk, or cooked dry beans/peas 1-4 T; or cheese ½ -2 oz; or cottage cheese, cheese food, or cheese spread 1-4 oz Snack 1.IFIF or Breast Milk or full strength fruit juice 2-4 oz 2.Crusty bread 0-1/2 sl or whole- grain/enriched crackers 0-2 crackers (when developmentally ready) 7/5Elizabeth Thomas 8 mo 8 oz IFIF / Breast Milk 3 Tbsp IFIC T Fruit or Veg_______ 6 oz IFIF / Breast Milk 3 T Fruit or Veg sweet potatoes and/ Tbsp IFIC or ____2__T Meat/Alt Meatloaf 4 oz IFIF / Br Milk / Juice Bread or Crackers 7/6Elizabeth8 mo 6 oz IFIF / Breast Milk 3 Tbsp IFIC 2 T Fruit or Veg Banana 6 oz IFIF / Breast Milk 3 T Fruit or Veg beans and/ 3 Tbsp IFIC or _______T Meat/Alt _________ 4 oz IFIF / Br Milk / Juice 1 Bread or Crackers Total#of Reimbursable Meals: 19 Infant Production Record - 8 Months through 11 Months Month/Year July 20XX Classroom/Site _________Busy Bears______________________ The minimum quantity of food must be available for the infant in order to qualify for reimbursement, but may be served during a span of time consistent with the infant’s eating habits Circle and/or record specific food items served and amounts offered. * Item provided by parent 1 2 2

20. Date`First & Last Name of Child AgeBreakfast 1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz 2. Iron Fortified Infant Cereal (IFIC) 2-4 Tbsp 3/ Fruit and/or Vegetable 1-4 T Lunch/Supper 1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz 2.Fruit and/or Vegetable 1-4 Tbsp 3.Iron Fortified Infant Cereal 2-4 Tbsp; and/or Meat, fish, poultry, egg yolk, or cooked dry beans/peas 1-4 T; or cheese ½ -2 oz; or cottage cheese, cheese food, or cheese spread 1-4 oz Snack 1.IFIF or Breast Milk or full strength fruit juice 2-4 oz 2.Crusty bread 0-1/2 sl or whole- grain/enriched crackers 0-2 crackers (when developmentally ready) 7/5Tony Emmitt11 mos 8 oz IFIF / Breast Milk Tbsp IFIC 4 T Fruit or Veg_ Applesauce 8 oz IFIF / Breast Milk 4 T Fruit or Veg sweet potatoes and/ Tbsp IFIC or ____4__T Meat/Alt Meatloaf 4 oz IFIF / Br Milk / Juice 2 Bread or Crackers 7/6Tony11 mos 8 oz IFIF / Breast Milk 4 Tbsp IFIC Cheerios 4 T Fruit or Veg applesauce 8 oz IFIF / Breast Milk 4 T Fruit or Veg beans and/ Tbsp IFIC or __ ____4_T Meat/Alt Spaghetti with meat sauce 4 oz IFIF / Br Milk / Juice 1 Bread or Crackers Total#of Reimbursable Meals: 20 Infant Production Record - 8 Months through 11 Months Month/Year July 20XX Classroom/Site _________Busy Bears______________________ The minimum quantity of food must be available for the infant in order to qualify for reimbursement, but may be served during a span of time consistent with the infant’s eating habits Circle and/or record specific food items served and amounts offered. * Item provided by parent

21. Date`First & Last Name of Child AgeBreakfast 1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz 2. Iron Fortified Infant Cereal (IFIC) 2-4 Tbsp 3/ Fruit and/or Vegetable 1-4 T Lunch/Supper 1.Iron-Fortified Infant Formula (IFIF) or Breast Milk 6-8 oz 2.Fruit and/or Vegetable 1-4 Tbsp 3.Iron Fortified Infant Cereal 2-4 Tbsp; and/or Meat, fish, poultry, egg yolk, or cooked dry beans/peas 1-4 T; or cheese ½ -2 oz; or cottage cheese, cheese food, or cheese spread 1-4 oz Snack 1.IFIF or Breast Milk or full strength fruit juice 2-4 oz 2.Crusty bread 0-1/2 sl or whole- grain/enriched crackers 0-2 crackers (when developmentally ready) 7/5Tony Emmitt11 mos 8 oz IFIF / Breast Milk Tbsp IFIC 4 T Fruit or Veg_ Applesauce 8 oz IFIF / Breast Milk 4 T Fruit or Veg sweet potatoes and/ Tbsp IFIC or ____4__T Meat/Alt Meatloaf 4 oz IFIF / Br Milk / Juice 2 Bread or Crackers 7/6Tony11 mos 8 oz IFIF / Breast Milk 4 Tbsp IFIC Cheerios 4 T Fruit or Veg applesauce 8 oz IFIF / Breast Milk 4 T Fruit or Veg beans and/ Tbsp IFIC or __ ____4_T Meat/Alt Spaghetti 4 oz IFIF / Br Milk / Juice 1 Bread or Crackers Total#of Reimbursable Meals: 21 Infant Production Record - 8 Months through 11 Months Month/Year July 20XX Classroom/Site _________Busy Bears______________________ The minimum quantity of food must be available for the infant in order to qualify for reimbursement, but may be served during a span of time consistent with the infant’s eating habits Circle and/or record specific food items served and amounts offered. * Item provided by parent 0 22

22. R EMINDERS Meal pattern must be met to claim meal Record food components offered Center must note which food(s) are provided by center and/or parent 22

23. R EMINDERS Amounts of offered foods must be recorded Record specific type of fruit, vegetable and meat/meat alternate You do not have to serve the entire infant meal at one time 23

24. R EMINDERS On the first of each month, start a new infant meal record Do not combine months File each month of infant meal records with the respective month’s claim 24

25. R EMINDERS Cross off any non-reimbursable meals and only claim reimbursable meals Total infant meal counts for the month and add into regular meal counts 25

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27. Infant Meal Records/Total # of Reimbursable Meals* * Record total monthly infant meal counts here if not included in daily counts Daily Participation Record 525560 27

28. 28 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.program.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.