Slide 1 Welcome to the CACFP Annual Training called “Recipe for Success during CACFP Reviews”, hosted by Oregon Recipe for Success Department of Education Child during CACFP Reviews Nutrition Programs. This session will Common Review Findings for discuss common review findings for Child Care Centers with Infants Child Care Centers with Infants in Care. in Care Fueling Oregon’s Future Slide 2 The first situation we will discuss Situation # 1 involves a child care center with infants CACFP Child Enrollment Form’s Infant in care. During the review, the Child Formula Selection area is blank Nutrition Specialist reviews the • Center did not list brand of formula they provide completed CACFP Child Enrollment • Boxes to accept or decline the center Form (CEF) for a 7 month old infant in provided formula not checked care during the test month. The Specialist noticed the CEF was missing Fueling Oregon’s Future 2 (click) the name of the formula listed in the “Infant Formula Selection” area, and (click) the parent had not checked one of the boxes to accept or decline the center provided formula. The sponsor explains that the center has a “house brand” formula they provide families with infants in care, but they don’t write the name of the formula on the CEFs. The sponsor further states that all families of infants choose to provide their own formulas to the center for their infants while they are in care.
Slide 3 Why Situation #1 is a finding. (click) The Infant Formula Selection Infant Formula Selection Section of the Section of the CEF is not CACFP Child Enrollment form is not completed for each infant • Program meals offered to all eligible completed for each infant in care children in care before claiming infant meals for • Claim meals for infants with a signed & complete CEF reimbursement. Chapter 5 - Section A; Chapter 9 – Sections A & E 7 CFR 226.20(b) Fueling Oregon’s Future 3 (click) Sponsors participating in CACFP must offer Program meals to all eligible children enrolled in their center. Program regulations define an enrolled child as a child whose parent or guardian has submitted to an institution a signed document which indicated that the child is enrolled in child care. A center may not avoid this obligation by stating that the infant is not enrolled in the CACFP, or by citing logistical or cost barriers to offering infant meals. Decisions on offering Program meals must be based on whether the child is enrolled for care, not if the child is enrolled in the CACFP. As long as an infant is in care during the meal service period, the center must offer the infant a meal that complies with Program requirements. Also, parents or guardians cannot be required or coerced to supply formula or solid foods for their infant who is participating in the CACFP. (click) Sponsors may not claim reimbursement for meals served to an infant without a signed and complete CACFP Child Enrollment Form on file. A complete CEF form includes when the brand name of sponsor offered formula is listed and the parent/guardian has checked either they accept or decline the offered formula.
(click) CACFP Child Enrollment Forms requirements for infants in care can be found in the CACFP Policy & Procedure Manual, Chapter 5 – Section A. Requirements for the obligation to offer meals to infants in care is in Chapter 9 – Section A and information regarding claiming infant meals is in Chapter 9 - Section E. (Click) The Federal regulation governing this topic is 7 CFR 226.20(b). Slide 4 Now let’s discuss corrections to prevent How To Correct this finding. Infant Formula Selection Section of the CEF is not To correct, the sponsor would need to completed for each infant (click) develop and implement a • Develop and implement a procedure procedure that ensures the Infant • Provide training to all pertinent staff Formula Selection Section of the CACFP Child Enrollment form is completed for Fueling Oregon’s Future 4 each infant in care. The procedure would need to include the staff position responsible for each step of the procedure. The center may choose to make a master copy of the CEF and put the name of the brand of infant formula the center provides on the form. This way all copies of the CEF will have the “house brand” of formula written on the form. Only parents with infants in care are required to complete the Infant Formula Selection area. (click) In addition, the sponsor needs to train site staff on ensuring the Infant Formula Selection area of the CACFP Child Enrollment Form is completed. Records of this training need to be available for review.
Slide 5 For the second situation, we will Situation # 2 discuss infant meals claimed for reimbursement that did not meet meal Infant menu records do not document formula on the Infant Menu record. pattern requirements. • Formula is documented on the CEF only The sponsor provides the Child Nutrition Specialist all infant menu records for the test month of February. Fueling Oregon’s Future 5 During the review of the records, the Child Nutrition Specialist observes that “formula” was not documented on the daily Infant Menu record for meals claimed for reimbursement. (click) The Sponsor explains to the Specialist the brand name of the formula is documented on the CEF. Since the parent indicated they accept the sponsor - provided formula offered, the sponsor did not think they had to document formula on the Infant Menu record. Slide 6 Why Situation #2 is a finding. (click) Infant Infant Meals claimed do meals claimed during the test month of not meet meal pattern February do not meet meal pattern requirements requirements. • Formula must be listed on the Infant Menu record (click) The meals served to the infant • Sponsor did not adequately train staff did not meet the infant meal pattern Chapter 9 – Sections A and D 7 CFR 226.20(b) requirements because “formula” was Fueling Oregon’s Future 6 not recorded on the daily Infant Menu record for meals claimed for reimbursement. The daily Infant Menu record must document all required components were offered to the infant. Since “formula” was missing from the Infant Menu record, the documented meal did not show compliance to the Infant meal pattern. (click) Additionally, the sponsor has not
adequately trained the infant room teachers and staff to fully complete the daily Infant Menu record, to include the infant formula for each meal or snack served. (click) Infant Feeding requirements can be found in the CACFP Policy & Procedure Manual Chapter 9 – Section A, which talks about Infant Meal Pattern requirements and Section D, which talks about Infant Feeding Recordkeeping requirements. (Click) The Federal regulation governing this topic is 7 CFR 226.20(b). Slide 7 Now let’s discuss corrections you can How To Correct make to prevent the finding in Situation #2. To meet infant meal pattern Infant Meals claimed do not meet meal pattern requirements, the sponsor should: requirements (click) Develop, implement and submit • Develop and implement a procedure to ODE CNP a procedure to ensure that • Provide training to staff only infant meals meeting meal pattern requirements are claimed for Fueling Oregon’s Future 7 reimbursement. Include in the procedure: • The position/title of the person(s) involved in documenting infant meals on infant menu production records. • A description of the double check method used to ensure that infant meals are accurately documented on the infant menu production record. • The timeline for recording infant meals on the infant menu production records. • The position/title of the person(s) responsible for determining that
the infant meal is reimbursable. (click) In addition, sponsors need to provide training to infant teaching staff on infant feeding record keeping requirements. At minimum training must include the CACFP infant meal pattern including non - creditable foods, point of service meal counts, distribution, collection, and completion of the Infant Formula Selection Section of the CACFP Child Enrollment Form, and completing Daily Infant Feeding Menu Records. Staff should also be trained on how to transition infants to the next meal pattern at the required time. Training documentation records must be maintain on file and available for review. Slide 8 All resources discussed during this Resources training, including: the CACFP Policy CACFP Policy & Procedure Manual: and Procedure Manual and the 7 CFR www.ode.state.or.us/wma/nutrition/cacfp/centermanu 226 are all available on ODE CNP public al.pdf website at the links included on the 7 CFR 226: 7 CFR 226 * * This link can also be found on this page: screen. http://www.ode.state.or.us/search/page/?id=3285 ODE CNP CACFP training page: http://www.ode.state.or.us/search/page/?id=3281 In addition, sponsors may access online Fueling Oregon’s Future 8 trainings that address Meal Counts, Menu Records and Meal Pattern compliance at the link located on the slide.
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