1. Jill Schneeberg WI Dells CACFP Training July 19, 2011 1

2.  Infant record keeping requirement  Infant meal pattern  Creditable foods  Babies developmental stages 2

3.  Infant MUST be enrolled  Infants must be offered the CACFP  Infant Formula Notification must be completed  Infant meal records must be completed at the “point of service” 3

4.  Infant meals must be offered by all child care centers  One type of iron-fortified infant formula must be offered by each center  Parent may accept or decline formula 4

5.  A signed form must be on file for each child under 1 year old. 5

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7.  Individual infant menus are required to be completed for every meal to be claimed on the CACFP  Must be completed by at the time of the meal or snack service. 7

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11. 11 Infant meal/snack requires ONLY breast milk or IFIF Claim (Regardless of who supplies the IFIF)

12.  Breakfast: ◦ IFIF or breast milk ◦ Iron-fortified Infant Cereal (when developmentally ready)  Lunch/Supper: ◦ IFIF or breast milk ◦ Iron-fortified Infant Cereal (when developmentally ready) ◦ Fruit and/or Vegetable (when developmentally ready)  Snack: ◦ IFIF or breast milk 12

13. 13 Infant meal/snack requires ONLY breast milk or IFIF Claim (Regardless of who supplies the IFIF)

14.  Semi-solid foods are introduced when the infant is developmentally ready, which is a decision made by the parents and infant’s doctor 14

15. 15 Infant meal requires breast milk/IFIF, IFIC* &/or fruit/vegetable* Parent supplies ALL components Center supplies ONE, TWO or ALL components Claim Do Not Claim * When developmentally ready

16.  Breakfast: ◦ IFIF or breastmilk ◦ Iron-fortified Infant Cereal ◦ Fruit and/or vegetable  Lunch/Supper: ◦ IFIF or breastmilk ◦ Fruit and/or Vegetable ◦ Iron-fortified Infant Cereal and/or ◦ Meat/Meat Alternate  Snack: ◦ IFIF, breastmilk, or 100% fruit juice ◦ Bread or crackers (when developmentally ready) 16

17. 17 Parent supplies ALL components Center supplies ONE, TWO or ALL components Do Not Claim Claim Infant breakfast requires breast milk/ IFIF, IFIC & fruit/vegetable Infant lunch requires breast milk/IFIF, fruit/vegetable & IFIC OR meat/meat alternate

18. 18 Infant snack requires breast milk or IFIF, cracker/ bread* If snack is both IFIF/breast milk and bread/cracker, the center must supply one or both components to claim If snack is only IFIF/breast milk, claim regardless of who supplies * When developmentally ready

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20.  Infants ages 8 through 11 months who are consuming all table foods and have a medical statement on file may be counted in the regular meal counts for the 1-12 year old children.  Individual infant menu records need not be completed for these infants.  However, the complete meal pattern must be met for each meal that is to be claimed. 20

21.  Meal pattern must be met to claim meal  Food components offered must be recorded to claim meal  The center must note which food(s) are provided by center/parent 21

22.  Full strength (100%) juice is reimbursable only at snack for 8 through 11 month old infants;  However, juice is NOT recommended to be served to infants under 12 months of age. 22

23. 23  Individual infant meal records are required to be completed for every meal to be claimed on the CACFP  These are the Point of Service meal counts for infants.

24. 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 oz IFIF / Breast Milk 7/5Tom Hanson3 mo 6 oz IFIF / Breast Milk 7/6Tom3 mo 6 oz IFIF / Breast Milk 7/7Tom3 mo 6 oz IFIF / Breast Milk TOTAL # of Reimbursable Meals: 24 666

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27. 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: 27 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

28. 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: 28 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

29.  Cross off any non-reimbursable meals and only claim reimbursable meals.  Total infant meal counts for the month and add into regular meal counts – preferably on bottom of Daily Participation Record. 29

30.  Fish Sticks?  Eggs? 30

31.  Combination dinners/foods, commercial baby food?  Baby food desserts? 31

32.  Soy formula?  Low-iron formula? 32

33.  Yogurt?  Cottage Cheese? 33

34.  Vegetable Juice?  Adult Cereals (Cheerios, Oatmeal) 34

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36. These:  Breast milk  Iron-fortified infant formula, including soy- based formula Instead of These:  Fruit juice  Cow’s milk, lactose-free milk or nutritionally equivalent nondairy beverages such as soy or rice milk for infants less than 12 months (unless medically necessary) 36 DrinkDrink

37.  Breast milk: ◦ Meets all nutritional needs of an infant and promotes health and development ◦ Protects infants from many illnesses and diseases including diarrhea, respiratory disease, SIDS, allergies and ear infections ◦ Reduces the risk of childhood obesity ◦ Is associated with improved mental development 37

38.  Iron-fortified infant formula: ◦ Is an acceptable alternative to breast milk and is specially formulated to have the right balance of nutrients ◦ Includes iron which is a very important nutrient during the first year  Does not protect infants against illness and disease as well as breast milk 38

39.  Fruit juice: ◦ Provides less nutrients and fiber than whole baby food fruits and vegetables because of what is lost when juice is processed ◦ Drinking too much may be linked to becoming overweight or obese and is associated with tooth decay and diarrhea  Cow, lactose-free, soy and rice milk do not contain the right amounts of nutrients infants need and can harm their health 39

40.  How to feed with a bottle ◦ Hold baby & bottle during feeding  Why propping a bottle is not allowed ◦ Choking, suffocation, ear infections, tooth decay, less cuddling & human contact  Do not let baby carry bottle around ◦ Tooth decay, drink too much, share bottles, liquid spoil, glass bottle can break 40

41.  Baby bottle tooth decay or early childhood caries ◦ Babies with teeth fall asleep with bottle in mouth ◦ Babies who drink from bottle (or sippy cup) with juice, sweet liquid, formula for long periods 41

42. To prevent tooth decay:  Feed only breastmilk or formula from a bottle  No juice in bottle, only in cup; do not feed more than 4 ounces of juice/day  Bottle only at feeding time, not naps  No bottles in crib, playpen, no propping  If pacifier, only plain, nothing on it  Do not use cold bottle of juice for teething pain  Do not let baby carry around sippy cup 42

43. To prevent tooth decay (continued)  No water with honey, sugar, or corn syrup, soda, sweet iced tea, juice drinks, or other sweet drinks in bottle or cup  Do not feed sweet or sticky foods  Gradually shift bottle feedings to cup feedings between 6 and 12 months  Discuss cleaning baby’s teeth/gums with parents/providers 43

44.  Do not introduce solid food and fruit juice before 4-6 months because it may lead to: ◦ a decrease in the intake of breast milk or formula ◦ choking, digestive problems, food allergies or intolerances 44

45.  Do not wait to introduce solid foods later than 6 months because it may lead to: ◦ the inability to accept different food textures ◦ reduced motor development (e.g. chewing) ◦ decreased nutrient intake 45

46. THESE:  Iron-fortified infant cereal INSTEAD OF THESE:  Commercially prepared cereal mixtures (cereal with fruit)  Low-iron infant cereals  Cereals designed for older children and adults (Cheerios™)  Sweetened grains/baked goods for breakfast (e.g. donuts, cinnamon rolls, toaster pastries, muffins)  Cereals that present choking hazards EAT

47.  Rice cereal is usually the best choice for the first cereal  Oat and barley cereals can be added at 1-week intervals after rice cereal  Wait to serve wheat cereal until 8 months because wheat is most likely to cause an allergic reaction 47

48.  Offer a variety of baby food fruits and vegetables including: Commercially prepared baby fruits and vegetables Fresh or frozen fruits and vegetables Canned fruits in their natural juices or water Canned vegetables with no added salt 48

49.  Must list vegetable or fruit as first ingredient  Plain vegetables and fruits are preferred 49

50. Not creditable  Cereals, desserts, puddings listing fruit as the first ingredient  Fruit or vegetable listing water as the first ingredient 50

51.  Avoid vegetables high in nitrates until 6 months:  Beets, carrots, collard greens, spinach, turnips 51

52.  Offer lean protein sources such as ground well-cooked lean beef, pork, skinless chicken and turkey, fish, legumes (e.g. cooked dry beans and peas), natural cheese, egg yolk 52

53. Do Not Serve  Processed meats such as bacon, beef jerky, bologna, hot dogs, liverwurst, pepperoni, sausage, Polish sausage  Fried or pre-fried breaded meats including chicken nuggets, chicken patties, corn dogs, fish sticks  Meat and meat alternates that present choking hazards or food allergies 53

54. Not creditable:  Fish Sticks  Hot dogs  “Baby Food” meat sticks  Home canned meats  Commercial-Prepared Combination Dinners 54

55. Sweeteners and Sweetened Foods:  “Baby Food” Desserts  Cakes, cookies, candy  Chocolate  Added sugar, syrup, etc. 55

56.  Honey and corn syrup: either plain or in foods  Artificial Sweeteners 56

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58.  The opportunities to provide young children with a healthy start are unlimited – and very rewarding – for parents and caregivers 58

59.  USDA Feeding Infants http://www.fns.usda.gov/tn/resources/feeding_infants.html http://www.fns.usda.gov/tn/resources/feeding_infants.html  Ellyn Satter How to Feed Children http://www.ellynsatter.com/how-to-feed-i-24.html 59