Welcome to this Webinar on Milk Requirements in the Child and Adult Care Food Program.
I am Laurie Pennings. And I am Kelley Knapp.
We are both Nutritionists in the California Department of Education.
We are also joined by Mootilda, the cow. She will be summarizing the important points for us. Moooo!
Awesome. She is an adorable talking cow! Kelley, Mootilda wants this Webinar to be
fun so she is starting off with a joke.
She wants to know what you call a cow that doesn't make milk.
I don't know Mootilda, what kind of cow doesn't make milk?
A milk dud!
Mootilda, I am so glad you joined us today.
Me too. Maybe she'll tell another joke later.
Meanwhile, let's get serious.
Throughout this Webinar we will be referring to the Child and Adult Care Food Program as the CACFP.
The CACFP is administered by the California Department of Education Nutrition Services Division.
We will refer to the Nutrition Services Division as the NSD.
The funding for the CACFP comes from the U.S. Department of Agriculture which we will refer
to as the USDA.
Child care providers are required to follow USDA regulations.
Specifically, they must make sure that the foods they are providing meet the CACFP meal pattern requirements.
The food items, including milk, that may be counted toward meeting the meal pattern requirements
for a reimbursable meal, are called Creditable Foods.
Sponsoring organizations will come to a child care provider's home and check to make sure
that the foods they are serving are creditable.
If one of the food items, including milk, is not creditable, the entire meal is not reimbursable.
This means child care providers cannot claim that meal for reimbursement.
Laurie and I have found the requirements related to milk in the CACFP can sometimes be confusing.
We hope this Webinar will help child care providers understand the basic requirements
for serving milk and what to do when special situations arise.
Here are some basic questions we will answer today.
What kind of milk is allowable in the CACFP?
What nutrients are in milk?
How much milk should I serve?
When can I provide a nondairy milk substitute and obtain reimbursement for the meal?
When is a medical statement required?
What challenges will occur with the new meal pattern related to milk?
We will start with infants.
Between birth and one year of age, infants should only be served breastmilk from their
own mother, banked human milk, infant formula fortified with iron, or a combination of both.
What is banked human milk?
Good question Laurie.
Some mothers produce more breastmilk than their infants need so they donate it to a mother's milk bank.
There the milk is pasteurized and then made available for babies and others who are under
the care of a health care professional.
Breastmilk is best for babies because it contains antibodies and fatty acids that help protect
babies from getting sick.
It helps with digestion and contributes to brain development.
When a parent brings a child care provider breastmilk, child care providers should let
them know that they support their efforts.
The NSD encourages all mothers to provide breastmilk for their babies for at least the
first year, and even longer if both mother and child desire to continue breastfeeding.
Child care providers can make a difference in how long a mother breastfeeds by providing
encouragement and a supportive environment.
Infants should also be offered solid foods somewhere around six months of age. It depends.
For some infants it may be a little earlier and for others it may be a little later.
Each parent will work with their health care provider to decide what is best for their infant.
It depends on the infant's developmental readiness for solids.
This Webinar is not intended to cover infant nutrition as that is an entire topic of its own.
If child care providers have questions about feeding infants, they should contact their
day care home sponsoring organization.
Kelley, did you know there will be a new CACFP meal pattern that will take effect on October 1, 2017?
Yes, this is great news!
In this webinar we will cover the changes that will take place in the new CACFP meal pattern related to milk.
In the new meal pattern that starts October 1, 2017, child care providers will be able
to claim a meal if a mother directly breastfeeds her infant at the provider's site as long
as the infant is under age one.
Keep in mind that providers still cannot claim more than two meals and one snack for infants.
Yes, that is true.
If a mother breastfeeds her infant at the child care provider's site before she leaves
for work and then again when she returns home from work, it can help her to maintain her
milk supply because she will be missing less feedings.
She may then need to pump less at work by breastfeeding right before she leaves and
after she arrives to pick up her infant.
I can see that it would be really helpful for a child care provider to offer breastfeeding
mothers a comfortable and clean place to breastfeed.
Some mothers may want privacy and should not be asked to use a bathroom.
That is a great point.
I would not want to feed my child in a bathroom!
Child care providers are encouraged to make mothers feel welcome to breastfeed their babies anytime.
Toddlers should be offered whole milk from one year until their second birthday.
The extra calories in whole milk are needed for growth and the extra fat helps support
continued brain development.
Did you know that mothers can still provide breastmilk as an alternative to whole milk
after one year of age without a medical statement?
Yes, I did Kelley.
These mothers should be applauded for their commitment to maintaining their milk supply
for so long even when separated from their child.
The American Academy of Pediatrics recommends breastfeeding for at least the first year, and preferably longer.
Beginning October 1, 2017 the new CACFP meal pattern will require that children between
ages 1 and 2 be served whole milk.
As I mentioned, right now it is highly recommended, but not required.
Here are the milk requirements in the CACFP meal pattern for children age two and older.
Milk must be either fat-free or low-fat.
Fat-free is also referred to as skim milk or nonfat milk.
Low-fat is often referred to as 1 percent milk.
Two percent milk and whole milk are not allowed.
Other nonfat and low-fat milks can be served such as lactose reduced, lactose free, acidophilus
milk, and buttermilk.
There are also a few nondairy milk substitutes that are nutritionally equivalent to milk
and can be given without a medical statement but only in certain situations.
We will discuss this in detail later.
Kelley, I see on the right side of the slide that milk must be pasteurized.
Why is that a requirement?
Pasteurization is a process where milk is heated to kill harmful bacteria that can be
present in raw milk.
It has the same nutrients as raw milk but is safer.
That makes sense. I do not want bacteria from a cow in my child's milk.
What about flavored milk?
Is that creditable in the CACFP meal pattern?
In the CACFP meal pattern, non-fat flavored milks, like chocolate milk, is currently creditable,
however, it will not be creditable after October 1, 2017 for children ages 2 through 5 years.
What will happen if a CACFP reviewer sees a child care provider serving chocolate milk before Oct. 1, 2017?
The reviewer will provide technical assistance to ensure that the provider understands that
licensing regulations do not allow flavored milk.
The reviewer will not disallow meals because the milk complies with the CACFP meal pattern
currently and that is what the reviewer is checking during an administrative review.
In order to comply with state licensing regulations, child care providers should not serve flavored
milks or any other sweetened beverages.
OK, let's recap.
Currently, California licensing regulations do not allow any sweetened beverages for children in care.
Prior to October 1, 2017, flavored milk is creditable in the CACFP meal pattern, but
beginning October 1, 2017, flavored milk will not be creditable for children 2 through 5 years of age.
Flavored milk will be creditable for children 6 years of age and older if it is non-fat.
What nutrients are in milk, Laurie?
There are many nutrients in milk; however, there are four key nutrients that are important
for growth and good health.
- Calcium is a mineral that is needed for proper bone and tooth development, muscle
growth, healthy blood pressure, and other basic body functions.
- Protein is needed for growth and for body repair and maintenance.
- Vitamin A is important for healthy skin and eyes and
- Vitamin D helps the body absorb calcium and phosphorus, which are needed to build
strong bones and teeth. Vitamin D is added to milk.
There are other nutrients in milk as well that play a role in proper growth and development,
such as magnesium and phosphorus.
A common myth is that low-fat milk is not as healthy or nutritious as whole milk.
I've heard that before.
Whole milk may look richer but that's only because it has more fat.
It is like having extra butter in milk.
Extra butter might taste good, but it is not as healthy.
Let's look at the different amount of nutrients in each type of milk to see for ourselves
which type of milk has the most nutrients.
This slide shows four different types of milk based on their fat content.
The green square on the top left shows fat-free milk and the green square on the top right show low-fat milk.
These two milks are creditable in the CACFP meal pattern.
The milk in the red squares are two percent milk and whole milk.
These milks are not creditable in the CACFP meal pattern.
Wow, whole milk in the red square on the bottom right has a whopping 8 grams of fat in 8 ounces
or one cup.
There are 8 grams of fat in two teaspoons or pats of butter.
That's a lot.
One percent milk only has two grams of fat and of course, fat-free milk has almost no fat.
Fat has a lot of calories; therefore, whole milk contains more calories than either nonfat or 1 percent milk.
Consuming too many calories can lead to unwanted weight gain, obesity, cancer, and Type II diabetes.
I can see that it would be important for a child to develop a taste for the healthier
low fat milks when they are young.
It is sometimes difficult for an adult to switch to a lower fat milk when they were
raised drinking whole milk.
Yes, early childhood is the perfect time to develop a preference for healthy food choices.
Child care providers are in a unique situation to influence children's eating habits for a lifetime!
What about Calcium? Is there less calcium in lower fat milks?
All of the different types of cow's milk are good sourced of calcium.
Surprisingly, the lower fat milks have more calcium than whole milk.
This is because the fat does not contain calcium and when it is removed it is replaced with
more of the milk solids that contains calcium.
You can see that one cup of whole milk meets 30 percent of the calcium that is needed each day.
One percent milk meets almost 40 percent of our calcium needs.
What about protein? Does whole milk have more protein than one percent milk?
No, the lower fat milks actually have a little more protein than whole milk for the same
reason there is more calcium.
Fat does not contain protein, so when the fat is removed it is replaced with more of
the milk solids which contains protein.
I see in the chart that one cup of 1 percent milk has 10 grams of protein and whole milk
has 8 grams per cup.
So, 1 percent milk has less fat, and a little more calcium and protein than whole milk.
Based on what we just reviewed for the amount of fat, calcium and protein in the different
types of milk, we now know that 1 percent milk is more nutritious than whole milk!
We have been talking about the nutrients in milk.
What about other milks like soy milk or almond milk. Are they considered milk?
That is a very good question Laurie and it has an interesting answer.
The California Department of Food and Agriculture defines milk as the unadulterated lacteal
secretion which is obtained from the udder of a cow, water buffalo, goat, sheep, or other hooved mammal.
What?!
Did you just say milk is defined as the lacteal secretion which is obtained from the udder
of a cow, water buffalo, goat, sheep, or other hooved mammal?!
Yes, I did.
This means that goat's milk is creditable so long as it is pasteurized and fortified
with Vitamins A and D and is either nonfat or 1 percent.
I do not know anyone that drinks goats milk, but I know a lot of people that drink soy milk.
Since soy milk comes from soybeans and soybeans do not have hooves, last time I checked,
that means soy milk is not considered milk in the CACFP meal pattern, right?
Yes, Laurie.
Soy milk is considered a nondairy milk substitute.
If a parent requests that their child receive a nondairy milk substitute, such as soy milk
for example, instead of cow's milk, not because they have a disability, but because their
parent prefers it, can a child care provider serve it?
For example, let's say the parent wants their child to eat a vegan diet which is a strictly
vegetarian diet which does not allow them to have animal products.
Good question Laurie.
In this case, there is no medical reason why the child needs a nondairy milk substitute.
In order to serve soy milk without a medical statement, there are two things that must occur.
First, the parent must make the request in writing.
There is a form called the Parental Request for Fluid Milk Substitution form.
Child care providers can get this form from their day care home sponsoring organization.
The written request must identify the medical or other special dietary need that restricts the child's diet.
The parent could write in Vegan Diet for special dietary need.
Is the child care provider required to provide this substitution?
No. If the child does not have a disability by a medical statement, the child care provider
is not required to honor the parent's request and purchase the milk substitution.
But they could ask the parent to bring the milk substitute if cost is an issue.
However, there is another requirement.
If there is no disability, the soy milk would have to be nutritionally equivalent to milk
in order to be creditable.
Wow, I guess this is the part you said could be confusing!
Let me review what you have said so far.
If a child does not have a disability documented by a medical statement, but the parent requests
the child have soy milk because they are on a vegan diet, the provider does not have to
purchase special nondairy soy milk that costs the provider more money.
The provider could ask the parent to purchase the soy milk and bring it in.
The parent would need to make the request in writing by completing the Parental Request
for a Fluid Milk Substitution form and, in addition, the soy milk would need to be nutritionally
equivalent to milk.
Kelley, what does that mean?
The chart you are looking at is from the USDA and shows the minimum amount of nutrients
that must be in a milk substitute, such as soymilk, to be considered nutritionally equivalent to milk.
We need to compare the nutrition facts label from soy milk with this chart to see if it
has the minimum amount of nutrients.
OK. Let's compare the nutrients in one brand of soymilk, shown on the right, with the minimum
requirements of nutrients listed in the chart on the left.
Let's take a look at calcium first.
In column three, on the chart on the left, it shows that one cup of a nondairy milk substitute
must meet 27.6 percent of the RDI which stands for recommended daily intake-this is circled in red.
Now let's look at the nutrition facts label on the right to see how much calcium is in
one cup of this soy milk.
The nutrition facts label shows that 1 cup meets 30 percent of the daily value for calcium
this is also circled in red.
By the way, the daily value means the same thing as RDI.
Since 1 cup of this soy milk meets 30 percent of the daily value, which is more than the
minimum amount of 27.6 percent, it has enough calcium in 1 cup to meet the minimum requirement.
Exactly! But remember, the soy milk must meet the minimum requirements for all the nutrients listed,
not just calcium.
Wow, there is a lot to investigate.
Let's look at protein next to see if it has enough protein to meet the minimum requirement.
The chart on the left shows us that one cup must have at least eight grams of protein-this is circled in red.
The Nutrition Facts label of this soy milk shows us that one cup has only seven grams
of protein which is less than the minimum amount required.
So because it does not meet the minimum requirement for protein, we know that this soy milk is
not nutritionally equivalent to milk.
Right Kelley.
So there is no reason to keep checking the amount of the other nutrients because it must
meet all of the minimum amount of nutrientsto be considered nutritionally equivalent to milk.
I noticed the chart on the left has minimum requirements for magnesium, phosphorus, riboflavin
and vitamin B12.
What if you were checking another brand of soy milk which had enough calcium and protein
but the Nutrition Facts label did not give you information for these other nutrients?
Good question Kelley.
Not all of the nutrients listed in the chart are on the Nutrition Facts label.
In order to find out how much of those nutrients are in a non-dairy milk substitute, you would
need to contact the manufacturer.
Before checking with the manufacturer, however, I would check with your day care home sponsor
to see if they have already identified which non-dairy milks are nutritionally equivalent to milk.
That would make it much easier.
Yes, but it is still good to have an understanding of what is meant by the phrase nutritionally
equivalent to milk.
You are right.
If the day care home sponsor does not have a list, a child care provider could figure this out themselves.
I bet they would need to keep a copy of the Nutrition Facts label and any information
they receive from the manufacturer to document that the soy milk was nutritionally equivalent to milk.
Yes. Child care providers must always keep documentation to show that they are meeting the
requirements of the CACFP.
We've been talking about soy milk. What about almond milk?
If a parent requests almond milk, would a child care provider need to review the Nutrition
Facts label to make sure it is nutritionally equivalent to milk?
Well, I can save them some time because there is no almond milks on the market that meet
the nutrient requirements to be considered equivalent to milk.
Why is that Kelley?
This is a typical label for almond milk.
You can see that in one cup, there is only one gram of protein instead of the eight grams
needed, and the calcium is only 2 percent of the RDI instead of 27.6 percent.
Wow! Almond milk is not even close to being nutritionally equivalent to milk.
That is right!
We have been talking about the nutrients in milk.
Now let us talk about how much milk is required in the CACFP meal pattern.
The amount of milk required is listed on the CACFP meal pattern for each age group.
For one to two year olds, child care providers must serve at least one-half cup at breakfast,
lunch and during snacks if milk is one of the two components for a snack.
For 3-5 year olds, child care providers must serve at least three-quarters cup at breakfast
and lunch and at least one-half cup at snack if milk is one of the two components for a snack.
For 6-12 year olds, child care providers must serve one 8 ounce cup of milk at breakfast,
lunch and snack, if milk is one of the two components for a snack.
Kelley, can a child drink too much milk?
Yes Laurie.
Drinking too much milk can lead to extra calories and overweight.
Also, children may not be eating enough food if they were filling up on milk.
Milk is not a good source of iron so if a child is not eating enough nutritious foods,
the child may develop iron-deficiency anemia.
With iron-deficiency anemia, the blood does not carry enough oxygen to all parts of the body.
As a result, the child can feel tired and weak, and be more susceptible to infections.
Kelley, can a child get cavities from drinking milk in a bottle after one year of age?
Yes, toddlers that carry around a bottle of milk or juice or are put to bed with a bottle
are at risk for cavities.
I've seen children with their top teeth decayed.
It must be painful for the child.
So what should a child care provider do if a child asks for milk during the day when they are thirsty?
We recommend that children drink water when they are thirsty and serve milk only at mealtimes
in a cup.
Kelley, during a meal, can children pour their own milk?
Yes, Laurie.
Children can pour their own milk with either the family style meal service or the pre-plated
meal service method.
The NSD encourages child care providers to serve meals family style.
There must be enough milk on the table, or on a table next to the dining table to meet
the amount needed for all of the children, and the adults too, if they are eating.
Let us say that there are five children at the table and one adult and you have poured
milk into two small pitchers but the amount of milk you poured is not sufficient to meet
the total amount of milk required for all the children.
What should child care providers do?
That is a good question.
Child care providers can keep a larger container of milk at the table, or right next to the table.
So to review, milk can be poured into small pitchers and the rest of the milk that is
required can be in larger containers either on the table or next to the table.
The children should be offered milk but can choose not to have milk.
Yes, exactly.
It is a best practice for adults to eat meals with the children and serve as a role model.
They can encourage the children to drink milk, but not require it.
What should be done with the milk that is left over after the meal?
Any milk that is leftover in cups and small pitchers, must be thrown away at the end of
the meal service.
If a large container of milk, such as a half-gallon, or gallon, is kept in a bowl of ice at the
table or on a table next to the dining table, it can be put back into the refrigerator.
A child care provider can put milk back in the refrigerator after a meal only if it was
sitting in a bowl of ice?
Yes, in order to maintain the proper temperature of the milk at 41 degrees or lower, it must
be sitting in a bowl of ice if you want to put it back in the refrigerator.
Otherwise, child care providers must throw it out at the end of the meal service.
It is a good idea then to keep some milk on ice, particularly if you know that certain
children do not drink it.
Yes. The milk in this picture will stay cold during the meal service and therefore can go back
into the refrigerator.
When we talked about which milks are creditable, we stated that low-fat or nonfat lactose free,
lactose reduced milk and acidophilus milk are creditable in the CACFP meal pattern as milk.
Children who are lactose intolerant might benefit from one of these milks.
Laurie, can you talk about lactose intolerance?
Sure Kelley.
Lactose Intolerance is not considered a milk allergy because an allergy causes an immune
reaction to the protein in milk.
Lactose intolerance causes discomfort in the intestines because some people do not make
enough of the enzyme that breaks down the sugar in milk.
It is not life threatening but it sure is uncomfortable.
Let me explain why.
If the sugar in milk is not broken down and absorbed into the blood stream, it will stay
in your intestine.
Water is attracted to sugar in your intestine which causes diarrhea.
Bacteria also ferments the sugar creating gas and bloating.
Are some children more likely to have lactose intolerance than others?
Yes.
Children who are Asian, African American or Hispanic are more likely to have lactose intolerance
than Caucasian children.
It is also more common in adults overall, than children and it seems to get worse with age.
What kind of milk can help?
Milk that is lactose-free or lactose reduced could help.
You can also purchase acidophilus milk which reduces the lactose in milk.
These milks are creditable in the CACFP meal pattern as long as it is fat free or low-fat.
What about a child that is allergic to milk?
A milk allergy should not be confused with lactose intolerance.
A food allergy is an overreaction of the immune system to a specific food protein.
When the food protein is eaten, it can trigger an allergic reaction that may include a range
of symptoms from mild symptoms such as rashes, hives, itching, and swelling, to severe symptoms
such as trouble breathing, wheezing, and even loss of consciousness.
A food allergy can be potentially fatal.
Wow, that is scary.
What should a child care provider do if a child is allergic to milk?
Never serve milk or any other food to a child if the parent tells you they are allergic to it.
When is a child care provider required to provide a milk substitute?
When a child has a disability, child care providers must accommodate their needs.
What is the definition of a disability?
A person with a disability is defined as any person who has a physical or mental impairment
which substantially limits one or more major activities, has such a record of such impairment,
or is regarded as having an impairment.
A food allergy can impact life activities and that is why it is listed as a disability.
Kelley, when should a child care provider ask a parent to submit a medical statement?
If a parent tells a child care provider their child has a food allergy and cannot have one
of the required components in the CACFP meal pattern, a child care provider should ask
the parent to have the medical statement completed.
Without the medical statement, child care providers cannot claim the meal for reimbursement
in the CACFP.
For example, when a child is allergic to milk and the doctor does not want the child to
have soy milks that are nutritionally equivalent to milk, the parent must provide a medical statement.
When a medical statement is needed, are their requirements about who can sign it?
Yes. A medical authority must sign the form.
California has recently expanded the list of medical authorities to include a licensed
physician, a physician's assistant and a nurse practitioner.
What about a nurse?
Can they sign the medical statement?
No. It must be a nurse practitioner.
Well it is good news that a nurse practitioner or a physician assistant can sign the form
in addition to a physician.
I know that some families typically see either a nurse practitioner or a physician's assistant
instead of a physician.
Yes, this should make it easier for parents when a medical statement is necessary.
Kelley, where do child care providers get a medical statement?
Their day care home sponsor should provide them with this form.
So, to review.
In order to serve a meal that does not meet the meal pattern, child care providers must
obtain a medical statement that is completed and signed by a physician, physician's assistant
or a nurse practitioner and certain things must be included on a medical statement.
Let's review what must be included.
We will go over each portion of this sample Medical Statement form since it is too large
to show in one slide.
This slide shows the very top part of a sample form.
Your day care home sponsor may have a modified version of this form.
The information in Sections 1-7 should be completed and the top box in Section 8 must be checked
There are two boxes on this form. What is the difference?
In Section 8, the sentence next to the top box states: "Participant has a disability
or a medical condition that requires a special meal and/or accommodation."
When this box is marked and the other required parts of the form are completed, child care
providers are not required to meet the CACFP meal pattern.
Instead, they should follow the written instructions that are included on the signed medical statement.
Sections 9-12 must be answered in order for a medical statement to be complete.
This is the bottom portion of the form.
In Section 13, the foods to be omitted should be included and the suggested substitutions given.
For example, in the case of milk allergies, foods to be omitted might be milk, cheese,
yogurt or all dairy products.
The suggested substitution could be soy milk.
Does the soy milk need to be nutritionally equivalent to milk to get reimbursed?
No, whenever the top box in Section 8 is marked, which indicates the child has a disability,
child care providers do not need to follow the CACFP meal pattern.
They must comply with the suggested substitution.
What happens if this form is not fully completed but is signed by a physician, physician's
assistant, or nurse practitioner?
A child care provider should not accept this form if it's not fully completed, and therefore
should not submit a claim for reimbursement until it is returned completed.
When a CACFP reviewer comes to visit, and sees that a child is not served a required
meal component, will they ask to see a medical statement?
Oh yes! If a child care provider is not complying with the meal pattern for certain children,
they will ask the child care provider to provide them a copy of the medical statement.
Child care providers must have this form available.
It is important to be organized and keep CACFP paperwork handy.
Sometimes reviewers make unannounced visits.
What if a child care provider is not home when the reviewer arrives but their assistant is there?
If the child care provider is not home, they should make sure that their assistant knows
where the records for the CACFP are kept.
If a child care provider does not have a medical statement on file, and the meal did not meet
the meal pattern requirements, the meals for that child should be disallowed.
Boy, medical statements are an important part of recordkeeping.
However, it should not be difficult if you are organized.
How long should they be kept?
Kelley, generally child care providers should keep all records for the current program year,
which starts October 1, and the three previous program years.
This training has provided a lot of good information.
We are now going to answer eight common questions.
Here is the first question.
Is a medical statement permanently valid for a child or must it be renewed every year?
So long as the disability listed in a medical statement still applies to the child, it does
not need to be renewed annually.
If there is a change in the child's disability that affects their diet, a new medical statement
should be obtained.
Question 2.
What is the Parental Request for a Fluid Milk Substitution for Children in Child Care form?
This form should be used when a child does not have a disability, but the parent wants
their child to have a nondairy milk substitute that is nutritionally equivalent to milk.
The section at the bottom asks for the medical or other special dietary need requiring a
fluid milk substitution.
The parent should write down the reason that they do not not want their child to have cow's milk.
For example, if they follow a vegan diet, they can state, "My child follows a vegan diet"
You can obtain this form from your day care home sponsor.
Question number 3.
If a parent provides a creditable nondairy milk substitute, can the caregiver serve it
and still receive reimbursement?
Yes, if a parent provides a nondairy milk substitute that is nutritionally equivalent
to milk, the caregiver may serve the non-dairy milk substitute and still claim reimbursement
for the meal.
The parent must complete the Parental Request for a Fluid Milk Substitution for Children
in Child Care form.
Question number 4.
Will child care providers receive additional reimbursement for providing a nondairy milk
substitute that costs more than milk?
No, child care providers are reimbursed based on the number of reimbursable meals and snacks
they serve. There is no additional reimbursement.
Question 5.
If a parent can request a nondairy milk substitute that is equivalent to cow's milk, can the
parent also request that their child be served whole or reduced-fat, that is 2 percent milk?
No, any request for higher fat milk must be made through a medical statement, related
to a medical disability.
Question number 6.
If a parent agrees to provide a nondairy substitute, but brings in one that is not nutritionally
equivalent to milk, can a child care provider serve it and still receive reimbursement?
No, Child care providers should inform parents about the types of creditable nondairy milk substitutes.
If a nondairy milk substitute is served that is not nutritionally equivalent to milk, the
meal is not reimbursable.
Question number 7.
If a one-year-old and a two-year-old children sit together for the same meal, must they
be served different types of milk?
Yes.
Children two years old and older must be served low-fat or fat-free milk and it is recommended
that children one year of age be served whole milk up until their second birthday.
Child care providers should ensure that children of various ages seated at the same meal receive
the appropriate type of milk.
Question number 8.
What happens if a child care provider serves reduced-fat or whole milk to children two
years of age and older?
Meals served to participants two years of age and older that include reduced-fat or
whole milk are not reimbursable and must be disallowed.
Kelley, Mootilda wants to end the Webinar with one of her favorite jokes.
What did the mama cow say to the baby cow?
I don't know, Mootilda, what did the mama cow say to the baby cow?
It's pasture bedtime!
Mooo!
I love it.
This concludes the Webinar.
It covered a lot of information!
Yes, it did.
We hope that those of you listening understand the basic milk requirements and know what
to do when special situations arise.
This is a prerecorded Webinar.
So, if you have questions, please contact your day care home sponsor!
Always contact your day care home sponsor when you are unsure of CACFP requirements.
One of their responsibilities includes providing you with the assistance you need to successfully
implement the CACFP.
Thank you for all you do providing nutritious meals to children in your care.
Your efforts can lead to a lifetime of healthy eating habits for children.
For more infomation >> Purple House Cancer Support- Purple Heart Appeal https://www.purplehouse.ie - Duration: 0:23. 
For more infomation >> Salma Hayek opts for buttercup yellow gown for SAG Awards - Duration: 1:46. 
For more infomation >> Dane County can be model for criminal justice reform - Duration: 1:03. 
For more infomation >> Vinyasa Yoga for Beginners - Duration: 2:44. 
For more infomation >> Hatha and Vinyasa Yoga for Beginners - Duration: 2:45. 
Không có nhận xét nào:
Đăng nhận xét