CACFP Update Tina Namian Laura Carroll Child Nutrition Programs Food and Nutrition Service U.S. Department of Agriculture

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1 CACFP Update 2015 Tina Namian Laura Carroll Child Nutrition Programs Food and Nutrition Service U.S. Department of Agriculture

2 Strategic Priorities Strategic Priority 1 Help Americans Eat Smart and Maintain a Healthy Weight Implement all provisions of the HHFKA Meal Patterns Child Nutrition Integrity Proposed Rule CACFP Amendments Final Rule Increase use of local foods in CACFP/Farm to Child Care 2

3 Strategic Priorities Strategic Priority 4 Reduce Food Insecurity by Helping Feed Those in Need Goal 4.3: Reduce the gap between NSLP participation during the school year and participation in CN summer programs Summer meal expansion At-risk afterschool meals 3

4 Strategic Priorities Strategic Priority 5 Civil Rights: Ensuring Access, Equality and Respect in FNS Programs and Activities Goal 5.4: Revise food allergy guidelines for child nutrition programs 4

5 Recent Policy Guidance on Prohibition of Separation by Gender Local Foods in CACFP CN Labels Assessing Costs Health and Safety Inspection Requirements Area Eligibility in CNP Role and Requirements of Administrative Review Officials Duration of Income Eligibility Determinations Disaster Response Written Codes of Conduct 5

6 Allowable Costs Related to Physical Activity and Electronic Media Use HHFKA Expanded the purpose of CACFP to include wellness Directed USDA to encourage CACFP providers include physical activity and limit the use of electronic media Promotion of physical activity and limiting use of electronic media is encouraged but not required under CACFP Trainings and materials related to these topics may be an allowable use of CACFP funds 6

7 Infant Feeding in CACFP Extends length of time refrigerated breastmilk may be stored from 48 to 72 hours Updates guidance on creditable infant formulas; FNS will no longer maintain list Allows service of infant foods containing DHA Includes FAQs 7

8 Statements Supporting Accommodations Expands the list of acceptable medical professionals that may sign a medical statement for meal accommodations based on a disability Licensed physicians and State-recognized medical authorities State-recognized medical authority Licensed health professional authorized to write medical prescriptions under State law 8

9 Paperwork Reduction Work group of stakeholders CACFP policy guidance Additional State requirements Existing flexibilities Health and safety Monitoring for licensing Head Start issues 9

10 Paperwork Reduction Next Steps Report to Congress submitted this Spring Recommendations Promote local flexibility Emphasize technology and flexibilities to make monitoring and reporting more effective Encourage all States to support streamlining efforts 10

11 Nutrition and Wellness Quality in Childcare Settings (SNAQCS) HHFKA required study on: Nutritional quality of foods offered Physical activity Sedentary activity Barriers to and facilitators in CACFP USDA is also collecting: Dietary intake of children Costs and reimbursements for meals and snacks Plate waste 11

12 Nutrition and Wellness Quality in Childcare Settings Data collected from nationally representative sample Sponsors, center directors, food preparers, childcare provider staff Parents Children Timeline Recruitment: Fall 2015 Data collection: January - June 2016 Interim reports: 2017 Final Report:

13 CACFP Sponsor and Provider Characteristics Study First major study of sponsor and provider characteristics in 17 years Characteristics of sponsors, sites, participants Training, TA, and monitoring Days/hours of provider operations Types of meals and snacks served 23 States in sample; States have been notified Web/mail surveys will be sent to sponsors, centers, and family day care homes this spring/summer Final report: late

14 CACFP Erroneous Payments in Childcare Centers Study (EPICCS) FNS required to report annually on erroneous payments, including over- and under- payments First nationally representative study to examine errors in centers Data Collection and Timeline Samples selected: May 2015 Recruitment: February June 2016 Data Collection: September 2016 February 2017 Final report: Expected summer

15 Other CACFP Integrity Studies Tiering Study 10 th annual Focused on family day care homes 2015 Meal Claims Feasibility Study Focused on family day care homes 15

16 2015 Reauthorization Required every five years Timeline will be determined by Congress House Committee on Education and the Workforce Senate Committee on Agriculture, Nutrition and Forestry Stakeholders are encouraged to provide input 16

17 Child Care and Development Fund (CCDF) Reauthorization Reauthorized in November 2014 First significant reauthorization since 1996 Defines health and safety requirements Requires inspections of facilities Requires background checks States must have monitoring and inspection requirements for CCDF providers that include: Licensed providers: Pre-licensure and annual, unannounced inspections for licensing requirements License-exempt CCDF providers: Annual health and safety inspections 17

18 Child Care and Development Fund (CCDF) Reauthorization Intended to: Improve health and safety in child care Improve accessibility to information about providers States are developing plans based on new requirements Plans are due March 1, 2016 Holding public hearings and consulting stakeholders For more information: 18

19 Workshop Sessions USDA s Team Nutrition Resources Reasonable Accommodations and Food Allergies At-Risk Afterschool Promoting Year Round Feeding with SFSP Navigating the FNS Instruction Serious Deficiency Process Bringing the Farm to CACFP Area Eligibility A Primer 19

20 Proposed Rule to Update Meal Patterns in the Child and Adult Care Food Program USDA Food & Nutrition Service Child Nutrition Programs 20

21 Proposed Rule Title: Child and Adult Care Food Program: Meal Pattern Revisions Related to the Healthy, Hunger-Free Kids Act of 2010 Docket #: FNS Available at : S

22 Background Healthy, Hunger-Free Kids Act (HHFKA) requires USDA to: Update the CACFP meal patterns Align the meal patterns with: The most recent version of the Dietary Guidelines for Americans Most recent and relevant nutrition science Recommendations from an authorized scientific agency or organization 22

23 Background IOM recommendations Released Child and Adult Care Food Program: Aligning Dietary Guidance For All report in November 2010 Report can be accessed at: Program-Aligning-Dietary-Guidance-for-All.aspx 2010 Dietary Guidelines for Americans Stakeholder input 23

24 Proposed Infant Meal Pattern 24

25 Proposed Infant Meal Pattern New age groups: 0 through 5 months, 6 through 11 months Delays introduction of solid foods until 6 months Allows reimbursement when a mother breastfeeds her child onsite Requires fruit or vegetable at snack for 6-11 month age group Prohibits fruit juice, cheese/cheese products Allows ready-to-eat cereal to count towards grain component at snack 25

26 Proposed Child and Adult Meal Patterns 26

27 Age Groups Establishes a fourth age group for children: 1 through 2 years 3 through 5 years 6 through 12 years 13 through 18 years (new) 27

28 Fruits and Vegetables Fruits and vegetables are 2 separate components for lunch, supper and snack Allows fruit or vegetable juice to comprise entire fruit or vegetable component Does not allow fruit and vegetable juice to be served at the same meal Allows only one beverage to be served at snack 28

29 Grains At least one serving per day must be whole grain or whole grain-rich Breakfast cereal must meet WIC requirements Disallows grain-based desserts 29

30 Meat and Meat Alternates Allows a meat/meat alternate to be served in place of up to ½ of the grain component at breakfast Tofu is allowed as a meat alternate 30

31 Fluid Milk Allows only low-fat or fat-free milk to children 2 years of age and older and adults Allows only unflavored whole milk for children 1 year of age Requires flavored milk to be fat-free only 31

32 Fluid Milk Allows non-dairy substitutes that are nutritionally equivalent to cow s milk for participants with medical or special dietary needs Yogurt may serve as a fluid milk alternate once per day for adults only 32

33 Additional Proposed Revisions Prohibits frying as a method of onsite preparation Water must be available to drink when requested Parent/guardian may provide 1 component for medical or special dietary needs Family style meals practices Extends offer versus serve to at-risk afterschool sites 33

34 Additional Proposed Revisions Flavored milk served to children 2 through 4 years of age A1: Prohibit the service of flavored milk OR A2: Require flavored milk to contain no more than 22 grams of sugar per 8 fluid ounce serving 34

35 Additional Proposed Revisions Flavored milk served to children 5 years and older B1: Flavored milk must contain no more than 22 grams of sugar per 8 fluid ounce serving OR B2: Sugar limit is a best practice Yogurt (all age groups) C1: Yogurt served must contain no more than 30 grams of sugar per 6 ounce serving OR C2: Sugar limit is a best practice 35

36 Best Practices Highlight areas where centers and day care homes may take additional steps towards meeting nutrition and wellness standards Reflect recommendations from the Institute of Medicine (IOM) Optional 36

37 Best Practices: Breastfeeding Support and encourage breastfeeding by: Providing materials and other educational opportunities to breastfeeding mothers Encouraging mother to supply breastmilk to their infants while in care Providing mothers with a quiet, private area to breastfeed 37

38 Best Practices: Fruits & Vegetables Limit consumption of fruit juice to no more than 1 serving per day Make at least 1 of the 2 required components of every snack a fruit or vegetable Provide at least 1 serving each of dark green vegetables, red/orange vegetables and legumes per week 38

39 Best Practices: Grains Provide at least 2 servings of whole grain-rich grains per day Serve breakfast cereals that contain no more than 6 g of sugar per serving 39

40 Best Practices: Fluid Milk Serve only unflavored milk to all participants regardless of age 40

41 Best Practices: Meat and Meat Alternates Serve only lean meat, nuts and legumes Avoid or limit serving processed meats to no more than once per week Serve only natural cheese 41

42 Best Practices: Preparation Avoid or limit serving fried or pre-fried foods to no more than once per week 42

43 Other Child Nutrition Programs 43

44 Next Steps Comment period USDA analyzes comments Final Rule Implementation 44

45 Proposed Rule Resources CACFP Meal Pattern webpage: Proposed rule One-page summaries CACFP Meal Pattern Proposed Rule Webinar 45

46 Questions? 46