Best Practice Toolkit for Improving the Quality of Food Served in Early Care and Education Centers CACFP NPA April 3, 2014 Bronwen McCormick Rainbow In My Tummy® Director Verner Center for Early Learning What is Rainbow In My Tummy®? Rainbow In My Tummy (RIMT) is a comprehensive strategy for improving the quality of food served in Early Care and Education Centers and for cultivating a food culture surrounding children that lays a foundation for lifelong health. Our current reality…. $10 billion spent on advertising unhealthy foods… most are aimed at children Top foods consumed by children: pizza, sweet snacks, and fruit juices 1/3 of Children in the US are overweight or obese Cheap, compliant, and fast ”Obesity prevention requires center based interventions early that include a combination of approaches…waiting until kindergarten is too late.” “We must pay attention to environmental factors.” Institute of Medicine History and Implementation Created by Verner Center for Early Learning as a way to provide a variety of nutrient dense foods that were healthy, delicious, and CACFP compliant. Implemented in 14 Early Care and Education Centers in Buncombe County, NC; currently working with 4 centers in McDowell County Focus on changing entire center culture around food — not just the food RIMT Components Menus, production guides, recipes, CACFP compliance documents Food production support and training Consensus building for key stakeholders RIMT Components Nutrition education for staff and parents Integration of nutritional literacy in the classroom RIMT Components Creation of a healthy center environment and support for modeling healthy behaviors “Posters, pictures, and decorations that communicate nutrition messages can help reinforce nutrition concepts taught by childcare providers and modeled during meals and snacks.” Academy of Nutrition and Dietetics Measurement and Observations 62-point assessment categorized into kitchen and food service, menus, environment, and center components Adoption of a center food policy and documentation of a continuous improvement process Implementation success and sustainability Evidence-Based Best Practice Widely Accepted and Respected Recommendations USDA Dietary Guidelines for Americans 2010 (DGA 2010) Child and Adult Care Food Program (USDA) Head Start and Early Head Start IOM recommendations for Early Child Care (2011) IOM recommended revisions for CACFP (2011) Academy of Nutrition and Dietetics Benchmarks for Nutrition in Child Care (2011) American Academy of Pediatrics Recommendations for Prevention of Childhood Obesity (2007) Harvard School of Public Health Nutrition Source Multi-phase Approach Building a foundation of nutritional literacy Program implementation Continuous support and improvement RIMT Principles Real kids eat real food Quality defined Eat your colors Education at all levels Menus reflect DGA 2010 nutrition recommendations ”All young children share the need for healthy food, optimum physical activity….and protection from the negative influences of too much sedentary behavior and marketing of unhealthy foods and beverages to children.” Institute of Medicine Impact “My child does not come home grumpy.” Parent “We are no longer junk food junkies.” Center Staff “Our food costs have not gone up!” Center Director “RIMT has inspired us to eat healthier at home.” Parent “We have increased the amount of fresh fruits and vegetables served by 85%.” Center Director Future Work Research collaborations to measure impact of program on healthy weights upon K-12 entry Implementation outside of Buncombe County, NC (McDowell County in early 2014) Rollout of RIMT Certification Program Development of family engagement components to support impact in home environment Partner programming to support obesity prevention and healthy food initiatives for young children For more information, contact Bronwen McCormick bmccormick@verneremail.org 828-298-0808 Verner 2586 Riceville Road, Asheville NC 28805