West Virginia Child and Adult Care Food Program
On-Site Production Record
Name of Sponsor/Site: My Room to Grow
Completed by: Tracy Smith
Bkfst
Date (Day/Month/Year):
6/12/13
Requirements:
1. Menus must be maintained on a separate document;
2. Menus and production records must match and reflect actual meal service.
Actual Number Served
AM
PM
Lunch
Supper
Snack
Snack
1 – 2 Years:
8
8
8
3 – 5 Years:
14
14
14
6 – 12 Years:
-
-
12
22
22
34
Total Meals Served:
EVE
Snack
(#) Number of Children Planned for Minimum Serving Size/Total Amount Needed
1 – 2 Years
Menu Items
# of
Children
Serving
Size
Total
Amount
Needed
Whole Milk
3
½ cup
1 ½ cups
1% Milk
5
½ cup
2 ½ cups
8
¼ cup
(½ orange)
2 cups
(4 oranges)
Whole Grain Mini-Bagel
8
½ serving
(½ bagel)
4 servings
(4 bagels)
Other:
Peanut Butter
8
½ T.
4 T.
Whole
Whole Milk
3
½ cup
1 ½ cups
1% Milk
5
½ cup
2 ½ cups
14
¾ cup
Fruit/Vegetable
Kiwi
8
1/8 cup
(1/2 kiwi)
4 kiwi
14
Fruit/Vegetable
Pete’s Pizza (LOT)
8
1 serving
8 servings
Grain/Bread
Pete’s Pizza (LOT)
8
1 serving
Meat/Meat Alternate
Pete’s Pizza (LOT)
8
Strawberries (Fresh)
String Cheese
Components
Breakfast
Whole
3 components
3 – 5 Years
# of
Children
Serving
Size
6 – 12 Years
Total
Amount
Needed
# of
Children
Serving
Size
Total
Amount
Needed
Total
Amount
Prepared
Amount
Leftover
1 ½ cups
-
Milk
1% or Skim
Fruit/Vegetable
Grain/Bread
Orange Wedges
14
¾ cup
10 ½ cups
1 gallon
3 cups
14
½ cup
(1 orange)
7 cups
(14 oranges)
9 cups
(18 oranges)
-
14
½ serving
(½ bagel)
7 servings
(7 bagels)
11 servings
(11 bagels)
-
14
½ T.
7 T.
11 T.
-
1 ½ cups
-
10 ½ cups
1 gallon
3 cups
1/8 cup
(1/2 kiwi)
7 kiwi
11 kiwi
-
14
1 serving
14 servings
24 servings
2 servings
8 servings
14
1 serving
14 servings
24 servings
2 servings
1 serving
8 servings
14
1 serving
14 servings
24 servings
2 servings
8
½ cup
4 cups
14
½ cup
7 cups
12
¾ cup
9 cups
20 cups
(8 lbs)
-
8
½ oz.
(½ stick)
4 oz.
(4 sticks)
14
½ oz.
(½ stick)
7 oz.
(7 sticks)
12
1 oz.
(1 stick)
12 oz.
(12 sticks)
23 sticks
-
Milk
5 components
Lunch/Supper
1% or Skim
Other:
Whole
AM/PM Snacks
2 components
Milk
1% or Skim
Fruit/Vegetable
Grain/Bread
Meat/Meat Alternate
Other:
WVDE OCN Revised Winter 2013