DCH Handbook Section 10000
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Section 11000 Resources Table of Contents 11100 Administration 11110 11120 11130 11140 11150 11200 County Codes by Community Operations Office Food and Nutrition Community Operations Offices Time Distribution Report 11130.1 Instructions – Time Distribution Report Universal Numbering System Invitation for Bid and Contract for Purchased Meals Income Eligibility and Enrollment 11210 11220 11230 11240 Provider’s Monthly Income 11211 Monthly Record of Income and Expenses 11212 Verifying Provider’s Income via IRS Form 1040 11213 Worksheet to Determine Current Monthly Income Tier Determination and Claims 11221 Tier I Determination Based on Household Size and Income 11222 Claiming Percentages and Blended Rates Participant Enrollment 11231 Even Start Family Literacy Program 11231.1 Statement of Child’s Enrollment in the Even Start Family Literacy Program – Example 11232 Head Start or Early Head Start Program 11232.1 Statement of Child’s Enrollment in the Head Start or Early Head Start Program – Example Shared Income Eligibility Documentation – Form and Instructions Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 1 11300 Training 11310 11400 Financial Management 11410 11420 11430 11500 Training Registration 11311 Training Registration and Activity Report for Sponsor Staff 11312 Civil Rights Training Material 11313 Nutrition Workshops 11314 SNAPS Online Training 11315 Online Training – Tiered Reimbursements Performance Bond 11411 Performance Bond for Day Home Applicants 11412 Performance Bond for Day Home Applicants – Instructions 11413 Performance Bond Letter Related Parties Business Mileage Record Program Administration 11510 11520 11530 11540 11550 11560 Resources – 2 Parental Notification 11511 Parental Notification Flyer Alternate Forms 11521 Alternate Forms Checklists 11522 Daily Infant Food Record Other Resources 11531 Obtaining a Day Care Homes Handbook 11532 Food Buying Guide 11533 Child Care Recipes 11534 Meal Planning 11535 IRS Standardized Deduction Rates 11536 Day Care Homes Monitor Job Responsibilities Manual 11537 USDA Team Nutrition Materials 11538 Sample Household Contact Form Frankfurter Fact Sheet (Revised) Meat Versus Protein Fact Sheet Sample Product Formulation Statements 11561 Prepared Grain/Bread 11562 Meat/Meat Alternate 11562.1 Review Checklist for Meat/Meat Alternates Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11600 Sample Provider Serious Deficiency Letters 11610 11620 11630 11640 11650 Notice of Serious Deficiency Notice of Proposed Termination and Proposed Disqualification Notice of Termination and Disqualification 11631 Provider Fails to Appeal 11632 Sponsor Wins Appeal Notice of Rescission 11641 Provider Wins Appeal 11642 Notice of Successful Corrective Action Imminent Threat to Health or Safety 11651 Notice of Serious Deficiency, Suspension, Proposed Termination and Proposed Disqualification 11652 Notice of Termination and Disqualification – Sponsor Wins Appeal 11653 Notice of Termination and Disqualification – Provider Fails to Appeal 11654 Notice of Rescission – Provider Wins Appeal 11700 Sample CACFP Infant Feeding Preferences – Provider 11800 Additional Information 11810 11820 11830 11840 11850 Imported Plastic ware Safety Child Nutrition Label Violations Iron Fortified Infant Formulas that do not Require a Medical Statement Food Buying Guide Information for Seventh Day Adventists Texas Department of Family and Protective Services – Sample print screen Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 3 11000 Resources 11100 Administration 11110 County Codes by Community Operations Office Andrews Armstrong Bailey Borden Brewster Briscoe Brown Callahan Carson Castro Childress Cochran Coleman Collingsworth Comanche Crane Crosby Culberson Dallam Dawson Deaf Smith Dickens Donley Eastland Ector El Paso Fisher Floyd Resources – 4 002 006 009 017 022 023 025 030 033 035 038 040 042 044 047 052 054 055 056 058 059 063 065 067 068 071 076 077 El Paso Gaines 083 Garza 085 Glasscock 087 Gray 090 Hale 095 Hall 096 Hansford 098 Hartley 103 Haskell 104 Hemphill 106 Hockley 110 Howard 114 Hudspeth 115 Hutchinson 117 Jeff Davis 122 Jones 127 Kent 132 King 135 Knox 138 Lamb 141 Lipscomb 148 Loving 151 Lubbock 152 Lynn 153 Martin 156 Midland 165 Mitchell 168 Moore 171 Motley Nolan Ochiltree Oldham Parmer Pecos Potter Presidio Randall Reeves Roberts Runnels Scurry Shackelford Sherman Stephens Stonewall Swisher Taylor Terrell Terry Throckmorton Upton Ward Wheeler Winkler Yoakum 173 177 179 180 185 186 188 189 191 195 197 200 208 209 211 215 217 219 221 222 223 224 231 238 242 248 251 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Anderson Archer Baylor Bell Bosque Bowie Camp Cass Cherokee Clay Collin Cooke Coryell Cottle Dallas Delta Denton Ellis Erath Falls Fannin Foard Angelina Austin Brazoria Brazos Burleson Calhoun Chambers Colorado DeWitt Fort Bend Galveston Goliad Gonzales Grimes 001 005 012 014 018 019 032 034 037 039 043 049 050 051 057 060 061 070 072 073 074 078 Fort Worth Franklin 080 Freestone 081 Hamilton 097 Hardeman 099 Grayson 091 Gregg 092 Harrison 102 Henderson 107 Hill 109 Hood 111 Hopkins 112 Hunt 116 Jack 119 Johnson 126 Kaufman 129 Lamar 140 Lampasas 142 Limestone 147 Marion 155 McLennan 161 Milam 166 Mills 167 003 008 020 021 026 029 036 045 062 079 084 088 089 093 Houston Hardin 100 Harris 101 Houston 113 Jackson 120 Jasper 121 Jefferson 123 Lavaca 143 Leon 145 Liberty 146 Madison 154 Matagorda 158 Montgomery 170 Nacogdoches 174 Newton 176 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Montague Morris Rockwall Rusk Navarro Palo Pinto Panola Parker Rains Red River San Saba Smith Somervell Tarrant Titus Upshur Van Zandt Wichita Wilbarger Wise Wood Young 169 172 199 201 175 182 183 184 190 194 206 212 213 220 225 230 234 243 244 249 250 252 Orange Polk Robertson Sabine San Augustine San Jacinto Shelby Trinity Tyler Victoria Walker Waller Washington Wharton 181 187 198 202 203 204 210 228 229 235 236 237 239 241 Resources – 5 Aransas Bee Brooks Cameron Duval Hidalgo Jim Hogg County Atascosa Bandera Bastrop Bexar Blanco Burnet Caldwell Coke Comal Concho Crockett Dimmitt Edwards Fayette Frio Resources – 6 Pharr 125 131 137 149 162 178 196 004 013 024 031 066 108 124 Jim Wells Kenedy Kleberg Live Oak McMullen Nueces Refugio Code 007 010 011 015 016 027 028 041 046 048 053 064 069 075 082 San Antonio County Code Gillespie 086 Guadalupe 094 Hays 105 Irion 118 Karnes 128 Kendall 130 Kerr 133 Kimble 134 Kinney 136 La Salle 139 Lee 144 Llano 150 Mason 157 Maverick 159 McCullough 160 San Patricio Starr Webb Willacy Zapata 205 214 240 245 253 County Medina Menard Reagan Real Schleicher Sterling Sutton Tom Green Travis Uvalde Val Verde Williamson Wilson Zavala Code 163 164 192 193 207 216 218 226 227 232 233 246 247 254 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11120 Food and Nutrition Community Operations Offices Austin Food and Nutrition Community Operations Office (Region 4 Satellite Office) Texas Department of Agriculture Food and Nutrition Division 1700 North Congress Avenue Austin, TX 78701 P.O. Box 12847 Austin, Texas 78711 Telephone: (888) 839-6325 Fax: (888) 223-8645 Corpus Christi Food and Nutrition Community Operations Office (Region 5 Satellite Office) Texas Department of Agriculture Food and Nutrition Division 5155 Flynn Parkway, Suite 100 Corpus Christi, TX 78411 Telephone: (361) 851-2745 Fax: (800) 909-8223 El Paso Food and Nutrition Community Operations Office (Region 1) Texas Department of Agriculture Food and Nutrition Division 401 E. Franklin, Suite 410 El Paso, TX 79901 P.O. Box 981017 El Paso, Texas 79998-1017 Telephone: (915) 834-7506 Fax: (915) 834-7612 or (915) 834-7525 Houston Food and Nutrition Community Operations Office (Region 3) Texas Department of Agriculture Food and Nutrition Division Elias Ramirez State Office Building 5425 Polk Street, Suite G-40 Houston, TX 77023 Telephone: (713) 921-8201 Fax: (888) 244-9764 Lufkin Food and Nutrition Community Operations Office (Region 3 Satellite) Texas Department of Agriculture Food and Nutrition Division 1210 South Chestnut Lufkin, TX 75901 Telephone: (936) 637-7533 Fax: (936) 633-3686 Tyler Food and Nutrition Community Operations Office (Region 2 Satellite) Texas Department of Agriculture Food and Nutrition Division 3323 South SW Loop 323 Tyler, TX 75701 Telephone: (903) 939-3999 Fax: (888) 223-9037 Dallas/Fort Worth Metroplex Food and Nutrition Community Operations Office (Region 2) Texas Department of Agriculture Food and Nutrition Division 1501 Circle Drive, Suite 155 Fort Worth, TX 76119 Telephone: (817) 321-8101 Fax: (888) 223-9037 Lubbock Food and Nutrition Community Operations Office (Region 1 Satellite Office) Texas Department of Agriculture Food and Nutrition Division West Texas Regional Office 4502 Englewood Ave. Lubbock, TX 79414 Telephone: (806) 799-8555 Fax: (806) 799-0547 Pharr Food and Nutrition Community Operations Office (Region 5) Texas Department of Agriculture Food and Nutrition Division 1503 W. Polk Pharr, TX 78577 Telephone: (956) 702-5541 Fax: (956) 702-5460 or (956) 702-5585 San Antonio Food and Nutrition Community Operations Office (Region 4) Texas Department of Agriculture Food and Nutrition Division 8918 Tesoro Drive, Suite 120 San Antonio, TX 78217 Telephone: (210) 820-0288 Fax: (888) 244-9763 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 7 11130 Time Distribution Report TIME DISTRIBUTION REPORT Employee Name WORK HOURS Day Start End Position FOOD SERVICE ADMINISTRATION TASKS A. B. C. Managing Planning Organizing Normal Work Hours Month/Year FOOD SERVICE OPERATIONS TASKS D. Menu Planning E. Meal Prep/Serve F. Meal CleanUp G. Supervise Meal H. Meal Records I. Non Food Service J. Total Hours 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Monthly Totals Resources – 8 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Total Food Service Hours________________ + Total Non Food Service Hours _________________ = Total Hours Worked ____________ (form continues on next page) □ Alternate Certification Statement: I certify that I am on a fixed work schedule. My workdays are_____________through____________. My work hours are________a.m. to_________p.m. I did not work outside the hours of my fixed schedule, and all my work hours were spent performing Food Service duties. I certify that all information is true and correct. ________________________________ Signature – Employee ____________________ Date Approval: ________________________________ Signature – Supervisor ____________________ Date Form Revised October 2007 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 9 11130.1 Instructions - Time Distribution Report PURPOSE To document the amount of time spent performing Food Service and Non-Food Services tasks for each day of the month. This information is used to establish the portion of costs that may be claimed as Food Service labor. PROCEDURE When to Prepare All full-time and part-time employees whose compensation in whole or in part is paid with Food Service funds must complete this report. The Information must account fort the total activity for which each employee is compensated. The reports must reflect an after-the-fact determination of the actual activity of each employee. A separate report is required for each employee. Number of Copies Complete one original for each employee for each month. Work Hours – The employee enters the start and end time for each workday. More than one time may be entered if the employee has a break in work hours other than normal lunch and break times. Food Service Administration Tasks and Food Service Operations Tasks – The employee enters the amount of time spent performing Food Service tasks in the column that best describes the nature of the activity. Time must be reported in 15 minute intervals. Employees should round up or down to the nearest half-hour. This should reflect an after-the-fact determination of the actual time spent in each activity. Non Food Service – The employee enters the amount of time spent performing tasks that ARE NOT related to the administration or operation of the Food Service. Time must be reported in 15 minute intervals. Time should be rounded up or down to the nearest halfhour. This should reflect an after-the-fact determination of the actual time spent in each activity. Total Hours – The employee enters the total number of hours worked that day. It should agree with the total of the hours entered under the task columns. Monthly Total – Enter the total time spent performing the task identified in each column. Transmittal Keep the completed and signed form in your files. Form Retention Keep the Time Distribution Report for three years from the end of the contract period. Exception: If audit findings, claims, or litigation have not been resolved by the end of the retention period, all forms and records must be retained until all issues are resolved. DETAILED INSTRUCTIONS Employee Name – Enter the name of the employee whose time distribution is being recorded. Total Food Service Hours – Enter the total of columns A, B, C, D, E, F, G, and H. Total Non Food Service – Enter the total time noted in column I. Total Hours Worked – Enter the total hours worked during the month. This entry should agree with the total of column J. Alternate Certification Statement – This certification statement may be completed in lieu of the detailed daily time distribution entries if the employee did not work outside of the fixed schedule and all hours were spent performing Food Service duties. Signature and Date – Employee – The employee must sign and date the document to certify that all information is true and correct. Signature and Date – Supervisor – The employee's supervisor must sign and date the document to show approval of the form. Position – Enter the title of the position for this employee. Normal Work Hours – Enter the normal start and end time for this employee. Month/Year – Enter the month and the year covered by this time distribution report. Day – No entry is required. This column indicates that day of the month. Resources – 10 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11140 Universal Numbering System Non-federal agencies and organizations that do business directly with the Federal government must use the Dun and Bradstreet Data Universal Numbering System (DUNS) as their identifier. The DUNS will not necessarily replace the Federal Employer Identification Number (FEIN), but will become an identifier for a non-federal entity to apply for funding under a Federal assistance program. The use of the DUNS as a universal identifier is not new. Vendors previously doing business with the Federal government or entities applying for Federal Grants have had to obtain a DUNS number/identifier in order to receive Federal funds. TDA is not presently requiring contractors to obtain a DUNS number/identifier. However, we may be required to obtain that information from contractors in the future. If so, we will notify you. If you choose, you may obtain a DUNS number at no cost by calling the dedicated toll-free DUNS Number request line at 1-866-705-5711. 11150 Invitation for Bid and Contract for Purchased Meals The Invitation for Bid and Contract for Purchased Meals can be found at www.snptexas.org, select “Program Resources”, and locate it under Child and Adult Care Food Program (CACFP) at the bottom of the page, or by clicking on the following link: http://netx.squaremeals.com/SNP/resources/documents/Invitation.doc. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 11 11200 Income Eligibility and Enrollment 11210 Provider’s Monthly Income 11211 Monthly Record of Income and Expenses MONTHLY RECORD OF INCOME AND EXPENSES FOR ___________________________, DAY CARE HOME PROVIDER (attach receipts) Month:_________________ Income Description Resources – 12 Year:________________ Amount Expenses Description Amount Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11212 Verifying Provider’s Income via IRS Form 1040 In the CACFP for Day Care Homes, all providers' households will include at least one self-employed person - the provider. Because of difficulties that may exist in verifying income for self-employed persons, Internal Revenue Service (IRS) Form 1040 may be a good source for verifying a provider's household income. When Is It Appropriate/Not Appropriate To Use IRS Form 1040? — IRS Form 1040 is an excellent tool for sponsors to use in verifying the income of any of the provider's household members who are selfemployed. Because they are self-employed, these individuals will lack the normal documentation of earnings (such as wage stubs or other records of pay) that are readily available to most wage earners. Although the use of the prior year's tax form to verify self-employment income does not provide information which is quite as current as a biweekly pay stub for a wage earner, it often represents a reasonable estimate of a day care provider's current income. In some cases, however, a provider's household income may have changed significantly between the end of a tax year and the time when the provider applies for Tier I status on the basis of their household income. In such circumstances, it may be necessary for a sponsor to utilize sources other than, or in addition to, Form 1040 to verify current household income. If, for example, there were two income earners in a household, Form 1040 would not be useful as the sole source for verification if either person's income had changed substantially. Other examples of such circumstances could include: Change in Household Composition - The household's composition has changed since the end of the prior tax year, due to a spouse's death or a change in marital status. In this case, Form 1040 might still be an accurate representation of the remaining spouse's income, but the other spouse's income from the prior tax year would have to be excluded. In calculating and verifying current household income in such instances, please remember that the loss of some type of income may be at least partially replaced by other sources of income (e.g., separation or death will cause the loss of spousal income, but may be at least partially offset by other sources of income, such as child support, alimony, or survivor's benefits). Change in Household Income - Household income has changed markedly due to one member's loss or gain of regular employment. (Here, too, it is important to remember that Form 1040 may still serve as verification of income for another household member whose circumstances may not have changed, and that at least some portion of lost income may be offset by welfare benefits, unemployment compensation, or the like.) Change in Provider’s Income - The provider's own income has changed as a result of gaining or losing children in day care. In this situation (where the sponsor should already be aware of this change as a result of changes to the provider's enrollment and meal claims), a reasonable attempt should be made to use Form 1040 (and attached forms showing business expenses) as a basis for calculating the provider's new income for verification purposes. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 13 Change in Provider’s Income, cont. - For example, the current income of a provider whose prior year earnings were based on providing care for two children for the entire year might reasonably be estimated to have doubled if the provider added two day care children on January 1st. However, sponsoring organizations are not expected to sort through boxes of receipts or to retain the services of tax consultants for the purpose of determining the provider's current household income. In some cases, such as when the provider has added several day care children with variable hours of care, it may be advisable for the sponsor to require the provider to fill out an estimate of his/her current year income and expenses on Schedule C of Form 1040 ("Profit or Loss from Business") or some similar statement of earnings and expenses. Unemployment - A new day care home provider who was either unemployed or employed in different pursuits in the prior year. In this case, IRS Form 1040 would not serve as a useful tool for verifying provider income (though it might, in some circumstances, suffice to verify other household members' income). Finally, when using Form 1040 for verification purposes, sponsoring organizations should take care to ensure that the entire household's income is reflected on the prior year's Form 1040. If, for example, the provider has used filing status "3" (Married, filing Separately), the sponsor would also have to review Form 1040s for other income holders in the household. How to Use IRS Form 1040 to Verify a Provider's Household Income The IRS and the CACFP define income differently; therefore, there is not a single line on Form 1040 that adequately captures "household income" for CACFP purposes. Although losses from self-employment, farming, other businesses, etc, and deductions from IRAs, pensions, and Social Security distributions are allowed for IRS purposes, they are not allowed for the CACFP. Business losses cannot be deducted when determining household income. For CACFP purposes, the income of a household member reporting a loss must be treated as "zero income." Example: A provider's spouse reports earnings of $30,000 and the self-employed provider reports a business loss of $5,000 (-$5,000) on Form 1040. Although IRS would allow the provider's business loss to be deducted from the spouses’ income to determine their total income ($30,000 - $5,000 = $25,000 total income), the CACFP does not allow the provider's business loss to be deducted from the spouses’ income. The CACFP considers the provider's income to be "0" not "$5,000" therefore, the household income for CACFP purposes is $30,000, not $25,000. If you use Form 1040 to verify a provider's household income, you must always look at lines 7-22 of Form 1040 and: Treat all negative numbers reported on lines 12, 13, 14, and 18 as "zero income," NOT as losses. Use the income reported on lines 15a, 16a, and 20a, NOT the adjusted income reported on lines 15b, 16b, and 20b. Resources – 14 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Calculate the total household income, by adding lines 7-11, 17, 19, and 21, any positive numbers (gains) reported on lines 12, 13, 14, and 18, and the distributions reported on lines 15a, 16a, and 20a. Record Retention You must retain copies of IRS forms and any other information you use to verify a provider's household income for 3 years from the end of the program year. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 15 11213 Worksheet to Determine Current Monthly Income WORKSHEET TO DETERMINE CURRENT MONTHLY INCOME (without a tax return) Last Month’s Gross Income of a Provider Parent fees (provide copy of payment records) Other Child Care income (i.e., funded day care) $ $ Other income (if applicable) Salary received from outside employment Child Support (provide copy of court decree) Other $ $ $ CHILD AND ADULT CARE FOOD PROGRAM $ The amount of your reimbursement from last month (if applicable) GRAND TOTAL OF PROVIDER INCOME $ Last Month’s Business Expenses of Provider (You must attach itemized receipts for any expense you wish deducted) Day Care Home food & food-related supplies $ Day Care business-related expenses $ Advertising $ Toys/Books/Art supplies $ Bank/Legal Fees $ Utilities (% Time & Space % age) $ Child Care Supplies (diapers, clean-up supplies) $ Mileage (miles from log x state rate) $ Other $ GRAND TOTAL OF ALL BUSINESS EXPENSES GROSS INCOME Resources – 16 $ = BUSINESS EXPENSES CURRENT NET INCOME “provider only” Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11220 Tier Determination and Claims 11221 Tier I Determination Based on Household Size and Income If the provider does not qualify for Tier I based upon geographic area, they may qualify based upon "Household Size and Income." Sponsors must: Determine provider's household size. Determine household income. Verify income. What Form Will You Use To Determine Eligibility? Form H1531-P, Day Care Home Provider Application for Tier I Eligibility, is used when you want to qualify the provider's home as Tier I based on household size and income. Household size and income will be compared with Form H4504, Income Standards for Determining Free and Reduced Price Eligibility, to determine whether the provider is eligible for free or reduced price meals, or the provider may be determined to be categorically eligible. Note: You will use Form H1531-H, Child Nutrition Program Application, to qualify enrolled day care children for Tier I meal reimbursement in Tier II homes. Difference The main difference between the eligibility forms (H1531, H1531-H, and H1531-P) is that you must VERIFY the household income or obtain documentation that the provider is categorically eligible for Tier I when using Form H1531-P. You will be qualifying the Home rather than a child in this process. Example Some providers do not have any children of their own living in the home, yet if they qualify as a Tier I home based on household size and income, they will receive Tier I reimbursement for all of the participating enrolled day care children. Important Note! Verification must take place PRIOR to approving a home as Tier I! Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 17 DETERMINING HOUSEHOLD SIZE Definition For our purposes a "household" includes all persons, related or unrelated, who are living as one "economic unit" (except for foster children). Example Marie Smith, a provider, lives in her home with her boyfriend, Andy, and Andy's 14 year old son, Josh. Marie's only child, daughter Emily, recently married and is living away from home. Both Marie and Andy have income from regular employment and Josh works occasionally mowing yards. The couple shares household expenses, and Josh is saving his lawn mowing earnings to buy a car. What is the size of this household? In the scenario above, there are three members in the household living as an economic unit. Completion of Form H1531-P When completing Form H1531-P to indicate household members and size, Marie, Andy, and Josh would be listed as members of the household, and the total would be "three" household members. Other Notes A household member does not have to be contributing income in order to be counted as a member of the unit. Examples include minor children, unemployed adults, etc. There may be more than one economic unit in the same house if they are living economically independently of one another (house expenses are prorated). There are special situations that may need to be considered, such as the following: Adopted Child - An adopted child for which a household has legal responsibility is considered to be a member of the household. Child Attending an Institution - A child who attends but does not reside in an institution is considered a member of the household in which he resides. Child Away at School - A child who is temporarily away at school (i.e., attending boarding school or college) should be counted as a member of the household. Resources – 18 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Child Living with One Parent, Relative, or Friends - In cases where no specific agency or court is legally responsible for the child and the child is living with one parent, other relative, or friends, they are considered to be a member of the household with whom they reside. Children of divorced or separated parents are generally part of the household that has custody. Emancipated Child - A child living alone or as part of a separate economic unit is not considered to be a member of a provider household. Foster Child - Foster children who reside in the provider's home are not reported as a member of the household on Form H1531-P, and income received by the provider to care for the foster child is not reported on Form H1531-P. Foreign Exchange Student - A foreign exchange student is considered to be a member of the household in which they reside, i.e., the "host" family. Family Members Living Apart - Family members living apart on a temporary basis are considered household members. Family members living apart for extended periods are not considered members of the household for the purposes of determining eligibility, but money made available by them to the household is considered income to the household. Example: extended overseas military duty. Institutionalized Child - If a child resides in an institution, i.e., a state school or other residential facility that is not a boarding school or college, the child would NOT be considered to be a member of the provider household. CATEGORICAL ELIGIBILITY Definition The provider's home may be classified as Tier I if the provider receives benefits for any one or more of the following: Supplemental Nutrition Assistance Program (SNAP) (Formerly Food Stamp Program). Temporary Assistance for Needy Families (TANF). Head Start or Early Head Start for their child. Example Provider Irene Cantu is a single parent that cares for her own two young children and two day care children. Irene qualifies for and receives SNAP based upon the income she receives from child support and child care earnings. Irene is categorically eligible and her home can be classified as Tier I. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 19 DETERMINING HOUSEHOLD INCOME Definition For our purposes "income" is any money received on a recurring basis. The list below indicates typical sources of income, but may not be all inclusive: Wages/salaries Commissions Tips Net income from self-owned business/farm Pensions/retirement Veteran's benefits Income from trusts and estates Social Security Supplemental Security Income benefits Disability income Strike benefits Child support Rental income Interest income Unemployment or Workers’ Compensation Public assistance payments (not the value of SNAP) Regular contributions from someone outside household Examples of income that would not need to be reported include: Occasional income, i.e., from mowing yards Loans, student loans, and grants Value of SNAP or WIC benefits Value of in-kind compensation, i.e., medical, travel, military housing Foster care payments Resources – 20 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Important Notes When assisting your providers in completing Form H1531-P, ensure that they report the household income accurately according to FND/USDA guidelines. Make sure that the following is provided: Income from all household members, as defined above. Income by source. Current income, defined as income received during the month prior to completing the form (except for self-employment; see below). Gross income amount(s) before taxes, benefits, etc., are withheld (see self-employment exception below). Self-Employment Most, if not all, of your providers are self-employed because they operate a child care service in their home. Other types of self-employment may include independent store owners, plumbing/repair company owners, beauticians, etc. Note the following: Self-employed persons may (but are not required to) report net income after deductions. Net income for self-employment is arrived at by subtracting business expenses from gross income. CACFP reimbursement and parent fees for child care are counted as income. Expenses such as food, toys, mileage, etc., are then deducted to come up with a net income amount. Income from self-employment may be based upon last year's income to project the current year's income, if income from the prior month would not accurately reflect the earnings. If self-employment has a net loss, the amount of loss cannot be subtracted from the rest of the household income. Sample Aids This section also includes sample worksheets providers may use to assist them in determining their net child care income: Monthly Record of Income and Expenses Business Mileage Record Worksheets to Determine Current Monthly Income Seasonal Income Seasonal workers, or persons whose income varies during different parts of the year, may project their annual income, or use last year's income if it will accurately reflect the current year's projection. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 21 Example Provider Phyllis Young's husband does woodworking on the side. He makes large wood cut-out lawn decorations for Christmas and sells the majority of his works during October through December. In this case we would average his earnings to come up with a monthly figure, or use last year's actual of this year's projected annual income. Income Conversion To obtain monthly income amounts, multiply weekly income by 4.33 and biweekly income by 2.15. VERIFICATION OF INCOME AND CATEGORICAL ELIGIBILITY Sponsors Must: Verify all income reported on Form H1531-P prior to approving as Tier I. Obtain documentation to show that the provider is categorically eligible. Types of Verification Sponsors can verify income in the following ways: Obtain written evidence of income. Make collateral contacts. Obtain information from a public agency. Written Evidence The following documents may be obtained in order to verify household income: Copies of or original pay stubs. Copies of or original W-2 forms. Copy of last year's income tax return, if it reflects current income. Letter from employer stating wage amount and schedule. Verification of government benefits from funding source. Copy of benefit determination letter for TANF, SNAP, or Head Start. Copies of current gross income receipts in addition to business expense deductions expected to reflect income. Copy of court decree to show child support and or alimony payments. Copy of benefit letter for Social Security, unemployment, or Workers’ Compensation. Resources – 22 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Collateral Contacts Sponsors may contact persons who are able to verify household member's income or receipt of benefits. Be sure to keep good documentation of your contacts, including name of contact person, date of contact, phone number or note of personal contact, and detail of information provided. Approval for Tier I If you are able to approve a provider for Tier I based on household size and income, the determination is good for 12 months. Notification of Approval You must send Form H1659, Notice to Providers of Tier Determination, to the provider informing them of the eligibility determination for Tier I or Tier II status. 11222 Claiming Percentages and Blended Rates ENROLLMENT AND ATTENDANCE LIST EXAMPLES Enrollment List When a sponsor elects to use an enrollment list to obtain one month's data for calculating a home's claiming percentage or blended rate, each provider would submit a list of all children who: (1) were enrolled for care (provider must have requisite paperwork); (2) were present for the purpose of child care at least once during the month; and (3) had eaten at least one meal during the month. In this example, the provider has nine children enrolled for the month. The sponsor has determined that four of the children are income-eligible. Tier I claiming percentage: 4/9 = .4444 = .444 Tier II claiming percentage: 1.0 - .444 = .556 (For discussion of how to calculate blended rates, see separate attachment on "Computing Reimbursement for a Tier II Mixed Home.") Attendance List When a sponsor elects to use an enrollment list to obtain one month's data for calculating a home's claiming percentage or blended rate, each provider submits an enrollment list, as in the example above, which also contains the participation by each child, measured either in days or meals. Both methods will produce weighted results. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 23 Attendance List Based on Meals Child Total Meals in Month (breakfast, lunch/supper, snack) Child Total Meals in Month (breakfast, lunch/supper, snack) 1* 5 6 54 2* 20 7 50 3* 60 8 42 4* 32 9 10 5 10 * Children determined income-eligible by sponsor Total Meals in Month: 283 To calculate the Tier I Claiming Percentage, divide the total number of meals served to income-eligible children by the total meals served in the month. 117/283 = .4134, which rounds to .413 For the Tier II Claiming Percentage, subtract the Tier I Claiming Percentage from 100 percent. 1.00 - .413 = .587 Attendance List Based on Days Child Total Days in Attendance in Month Child Total Days in Attendance in Month 1* 5 6 18 2* 20 7 15 3* 8 8 22 4* 16 9 10 5 10 * Children determined income-eligible by the sponsor Total Days in Attendance: 124 Resources – 24 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook To calculate the Tier I Claiming Percentage, divide the total number of days that income-eligible children were in attendance by the total days of attendance in the month. 49/124 = .3951, which rounds to .395 For the Tier II Claiming Percentage, subtract the Tier I Claiming Percentage from 100 percent. 1.00 - .395 = .605 Computing Reimbursement for a Tier II Mixed Home A day care home has nine enrolled children, four of whom have been determined to be eligible for free or reduced-price meals. A total of 180 lunches were served in the month (20 to each child). For purposes of the calculations, the Tier I rate used is $1.97 and the Tier II rate is $ 1.19. Actual Counts - Reimbursement Rate x Total Lunches = Total Income-eligible $1.97 x (Tier I) 80 = $157.60 Non-income- $ 1.19 x eligible (Tier II) 100 = $ 119.00 TOTAL - $276.60 - The sponsor would claim 80 Tier I lunches and 100 Tier II lunches to the state agency on behalf of this provider. Claiming Percentages To calculate the Tier I Claiming Percentage, divide the number of income-eligible children by the total number of enrolled children. Round the result to three decimal places using standard rounding procedures (round up if value is five or greater; down if four or less). For the Tier II Claiming Percentage, subtract the (rounded) Tier I Claiming Percentage from 100 percent. Tier I Claiming Percentage: 4/9 = .4444 = .444 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 25 Tier II claiming percentage: 1.00 - .444 = .556 - Percent x Tier I .444 x Total Lunches Rounded to whole meals* x Rate = Reimbursement Amount 180 = 79.92 80 x $1.97 = $157.60 Tier II: Total Meals (180) - Tier I Meals (80) = 100 x $ 1.19 = $ 119.00 TOTAL: $276.60 * The sponsor would claim 80 Tier I lunches and 100 Tier II lunches to the state agency on behalf of this provider. Blended Rates To arrive at the blended rate, first calculate the claiming percentages as shown above. Then multiply each of the percentages by the appropriate reimbursement rate. Round to three decimal places. Add the results. This is the blended lunch rate for the home. Percent x rate Percent x Reimbursement Rate = Tier I .444 x $1.97 = $ .875 Tier II .556 x $1.19 = $ .662 TOTAL - - $1.537 The sponsor will multiply the claiming percentages by the total meals, as above, to arrive at the 80 Tier I and 100 Tier II lunches to claim to the state agency on behalf of this home. Based on the claim, the state would pay the sponsor $276.66. To pay the provider, the blended rate is multiplied by the total lunches served. The result is rounded to two decimal places (cents). $1.537 x 180 = $276.66 Resources – 26 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11230 Participant Enrollment 11231 Even Start Family Literacy Program 11231.1 Statement of Child’s Enrollment in the Even Start Family Literacy Program – Example Statement of Child's Enrollment in the Even Start Family Literacy Program This is to verify that ______________________________ is currently (name of child) enrolled as a participant in the Even Start Family Literacy Program and that the child has not yet entered kindergarten. ______________________________________ Name of Even Start Program ___________________________________________ _____________________ Signature of Even Start Program Director or Official Date 11232 Head Start or Early Head Start Program 11232.1 Statement of Child’s Enrollment in the Head Start Program or Early Head Start Program – Example Statement of Child's Enrollment in the Head Start or Early Head Start Program This is to verify that ______________________________ is currently (name of child) enrolled as a participant in the Head Start Program or Early Head Start Program provided by _________________________________________________. (Name of Head Start or Early Head Start Program) ________________________________________________________________ _____________________ Signature of Head Start or Early Head Start Program Director or Official Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Date Resources – 27 11240 Shared Income Eligibility Documentation – Form and Instructions Texas Department of Agriculture January 2009 SHARED INCOME ELIGIBILITY DOCUMENTATION (CACFP and SFSP) PART I: School Food Authority (SFA) Information Name of SFA: Address of SFA: Telephone Number of SFA: Date: Name of SFA Representative: PART II: Student and Eligibility Information Name of Student (Last, First): Date of Birth – month/day/year (if applicable): SNAP Number: TANF Number: Total Number of Household Members: Total Household Monthly Income: The above student’s eligibility category is: Free Reduced-Price Paid PART III: Disclosure The above income eligibility information is being disclosed for use in the following USDA Child Nutrition Program: CACFP SFSP Disclosure of Information: The above income information may be disclosed for the purpose of determining eligibility in the Child and Adult Care Food Program (CACFP) or the Summer Food Service Program (SFSP). I understand that the privacy and confidentiality of personal data must be protected and we will take the decision to obtain eligibility information seriously. This eligibility information will be securely stored and will not be shared with any other entity. Signature of CACFP/SFSP Representative Date Name of CACFP/SFSP Representative Title of CACFP/SFSP Representative Resources – 28 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook SHARED INCOME ELIGIBILITY DOCUMENTATION (CACFP and SFSP) Instructions 01-2009 PURPOSE To obtain eligibility information from school food authorities (SFAs) so that Child and Adult Care Food Program (CACFP) contractors and centers/facilities and sponsors and Summer Food Service Program (SFSP) sponsors can determine individual child eligibility and/or site eligibility. When to Prepare SFAs have the option to disclose eligibility information to CACFP contractors and centers/facilities and SFSP sponsors. Number of Copies The contractor/sponsor and/or center/facility completes and/or maintains one original. The original must be attached to Form H1531 or H1531-H (CACFP only). Transmittal The contractor/sponsor and/or center/facility has two options to obtain eligibility information from the SFA: 1) The Shared Income Eligibility Documentation form can be provided to the SFA to complete and return to the contractor/sponsor and/or center/facility. 2) The contractor/sponsor and/or center/facility can complete the Sharing Income Eligibility Documentation form while obtaining eligibility information from the SFA verbally (i.e., via telephone). How to Obtain Copies Make additional copies as needed. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 29 Form Retention Keep the Shared Income Eligibility Documentation form for three years from the end of the program year. Exception: If audit findings, claims or litigation have not been resolved by the end of the retention period, you must retain all forms and records until all the issues are resolved. DETAILED INSTRUCTIONS Part I: School Food Authority (SFA) Information Name of SFA — Enter the name of the SFA in which the student is enrolled. Address of SFA — Enter the address of the SFA in which the student is enrolled. Telephone Number of the SFA— Enter the telephone number of the SFA in which the student is enrolled. Date — Enter the date the information was obtained. Name of the SFA Representative — Enter the name of the representative of the SFA who provided the eligibility information. Part II: Student and Eligibility Information Name of Student — Enter the name of the student for whom the information is being obtained. Date of Birth — Enter the date of birth for the student for whom the information is being obtained. The date of birth should only be entered if more than one child with the same name is enrolled at the SFA. SNAP Number — Enter the SNAP number, if applicable. TANF Number — Enter the TANF number, if applicable. Total Number of Household Members — Enter the total number of members in the student’s household based on the H1531 or H1531-H. Total Household Monthly Income — Enter the total household monthly income based on Form H1531 or H1531-H. Resources – 30 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook The above student’s eligibility… — Mark the box indicating the eligibility category of the student for whom the information is being obtained. Part III: Disclosure Self-explanatory 11300 11310 Training Training Registration Information on training sessions, for both general nutrition education and program-specific courses, is available at the TDA web site at www.snptexas.org and click on “Program/Nutrition Training” in the menu on the left side of the page. The FND Training Unit uses a web-based Learning Management System (LMS) located on the Training web site. The LMS is used to locate upcoming classes and register or cancel seats at upcoming training events. Class details show the cities, dates, times and locations of the classes. The web site also includes links to maps showing the location of the training site. You must have an active Personal User Code (PUC) to self-register for training. To request a PUC download the FND Training Request Form and fax it to the FND Training Unit at 1-888-2375030. Non-mandatory nutrition training events are scheduled throughout the state each year. Although FND and USDA have not established an annual nutrition training requirement, the FND Training Unit may implement such requirements in the future. Mandatory and optional program training events are presented each program year. The FND Training Unit establishes a schedule for these events and develops curricula in conjunction with other FND sections. The curricula are based on needs assessments, suggestions from TDA, and USDA requirements. The FND Training Unit adheres to the following standard procedures to ensure success at our training events: Sign-in begins 30 minutes before each training event. Classes start promptly at the scheduled start time. Late arrivals are only accepted during the first 30 minutes of each class. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 31 Participants arriving later than 30 minutes after the class has started will need to reschedule for another event and will not be allowed to remain in the class. Register early for FND Training events. The on-line self-registration/cancellation cut-off is three (3) days before a class. Since seating limitations occur at most sites, it is important to guarantee your seat as soon as possible. If you choose to register within 3 days of an event, you must download a “FND Training Request Form”, enter the requested information and fax the form to the Training Unit at 1-888-237-5030. Current contractors are expected to self-register for training to guarantee preregistration seating. Current contractors receive one complimentary enrollment when they submit a “FND Training Request Form” to the FND Training Unit with their request for an active Personal User Code and account in the FND Learning Center. Potential contractors are not granted self-registration rights and must submit a “FND Training Request Form” to the FND Training Unit for each training event until a contract is awarded. Substitutions will be accepted if they are attending in place of a pre-registered employee. (See additional policy related to Substitutions below.) Please notify the FND Training Unit, at FNDTrainingUnit@tda.state.tx.us, immediately in the event there is an emergency or unforeseen circumstance that requires a change in personnel attending a training event. Walk-ins are only accepted on a space-available basis. (See additional policy related to Walk-Ins below.) There is no guarantee that adequate seating and/or training materials will be available for non-registered participants. The best way to ensure accommodations is to register early. Both Substitutions and Walk-ins Are subject to the same late arrival guidelines and must arrive before class or not later than the first 30 minutes of each class. Resources – 32 Must complete a “Walk-In” Form. Must meet the eligibility and/or pre-requisite criteria for the course to receive completion credit. Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Receive certification following the training event. A hard copy of potential contractor training completion certificates will be sent by mail or fax from the FND Training Unit. Current contractors may print a copy of their training transcript (certification) for the event from the FND Learning Center. Before awarding credit for completing the class, the FND Training Unit must obtain the trainer’s documentation, ensure course eligibility and/or prerequisite criteria are met, and validate Walk-In/Substitution status in the learning database. Providing accurate information on the Walk-In Form will help expedite the process to receive credit. We do not provide childcare services and children are not allowed to attend FND Training Unit events. Please arrange for childcare when you schedule your training event(s). During our classes we ask that cell phones and pagers be turned off or placed on “silent mode”. If you must take a call, we ask that you do so outside the classroom to avoid disrupting both the trainer and other participants. Training cancellations do occur. The FND Training Unit reserves the right to cancel optional (non-mandatory) events due to low enrollment. If this should occur to a class for which you are enrolled, you will be notified (by telephone, email, postal mail, or fax) and offered an optional date/location, if available. Contractors are encouraged to enroll in nutrition classes of interest once they become available on our Website. This is the primary and preferred way that training is provided. However, on a limited basis, one of the nutrition workshops may be provided upon request if the following requirements are met: Funds are available; At least 25 participants will attend the class; The contractor provides the training space; and The workshop topic is not scheduled for the contractor’s area. A sample training registration and activity report can be found on the next page. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 33 11311 Training Registration and Activity Report for Sponsor Staff Texas Department of Agriculture Child and Adult Care Food Program Training Registration and Activity Report For Sponsoring Organization Staff Sponsor Name: Program (TX) No: Location of Training: Instructor(s): Date: Training Topic(s): Name of Participant (Please print name clearly) Resources – 34 Position Signature Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11312 Civil Rights Training Material Visit the location below to download a self-study edition of the Civil Rights Guide for Food and Nutrition Division Programs: Access the Texas Department of Agriculture (TDA) website at www.snptexas.org, select Program/Nutrition Training in the menu on the left hand side of the page. Then click on Information for Current Contractors. Lastly, click on Additional FND training materials for contractors. This document requires Adobe Reader. The free software may be downloaded from Adobe Systems at: http://www.adobe.com/products/acrobat/readstep2.html You can also access the TDA Civil Rights Training video at www.squaremeals.org to meet your civil rights training requirements. 11313 Nutrition Workshops Nutrition workshops will be offered for current contractors as funds become available. Currently there are two workshops available – Feeding Infants and Kitchen Math. You can access the dates and locations of available nutrition workshops by going to the TDA website at www.snptexas.org, and click on the “Program/Nutrition Training” link. Choose the “Scheduled Classes” link from the left hand navigation bar to enter the FND Learning Center. You must have an active Personal User Code (PUC) to self-register for training. You may request a PUC by downloading the “FND Training Request Form” from the left hand side of the training website, filling it out, and faxing the form to the FND Training Unit at (888) 237-5030. We encourage sponsors to enroll in nutrition classes of interest when they become available on our website, however; on a very limited basis, we may be able to provide one of our nutrition workshops upon request if the following requirements are met: Funds are available; At least 25 participants will attend the class; The sponsor provides the training space; and The workshop topic is not scheduled for the sponsor’s area. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 35 11314 SNAPS Online Training SNAPS is a consolidated web-based data input system that must be used by contractors to submit claims for reimbursement electronically. Online training is available www.snptexas.org. Click on “Program/Nutrition Training” under Contract Support; Select “Minimum System Requirements (READ before starting online training!)” to ensure your system has the appropriate settings for successful online training; Return to FND Learning Center; Choose the “Scheduled Classes” link from the left hand navigation bar; Select “Course Search” (NOTE: this online training is listed as a Course, not an individual class event); Select “All Courses”; Choose course code “AUT-*SNAP1”. You must have a Personal User Code (PUC) to access and begin the online training. You can request a PUC by downloading the “FND Training Request Form” from the left-hand navigation bar on the training website or the link on the FND Learning Center. Fax your completed form to the FND Training Unit at 888-237-5030. You will be notified by mail when your form is entered and your PUC is active. 11315 Online Training – Tiered Reimbursements Tiered Reimbursement (A Quick Refresher Course for CACFP Day Care Homes Sponsors) reviews the correct way to determine the tier status of day care home providers and the eligibility of children in their care. Key administrative staff would benefit from completing this training. This optional training is available on the www.snptexas.org website under “Program/Nutrition Training”. Select “Scheduled Classes”, “Course Search” and then “DCH-*TIER” under CACFP –Day Care Home – Sponsors event. You must have a Personal User Code (PUC) to access and begin the online training. You can request a PUC by downloading the “FND Training Request Form” from the left-hand navigation bar on the training website or the link on the FND Learning Center. Fax your completed form to the FND Training Unit at 888-237-5030. You will be notified by mail when your form is entered and your PUC is active. Resources – 36 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11400 Financial Management 11410 Performance Bond 11411 Performance Bond for Day Home Applicants 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 STATE OF TEXAS § § § BOND NO.______________ 17 18 19 20 Signed, sealed, and dated the _______ day of ________________, 20_____. Whereas, the Texas Department of Agriculture has agreed to pay monies to the Principal, DBA ________________________________________, under TAC Title 4, Part 1, Chapter 25 covering the ________________________________. 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 NOW, THEREFORE, the conditions of the obligation are such, that if (a) the Obligee has completed the audit of the Principal and the said Principal faithfully satisfies all net audit exceptions which may have been taken by the Texas Department of Agriculture for any audit period covered by the period duration of this bond, (b) the Obligee has attempted an audit of the Principal as discussed in (a) above and the said Principal’s records were unavailable or unauditable and said Principal faithfully satisfies all exceptions determined to be owing as a result of Principal’s failure to keep records substantiating its performance, or (c) the Obligee completes any other research, including but not limited to investigations, administrative reviews, or management evaluations, into the contractual performance of the Principal and said Principal shall satisfy all monetary exceptions for the contract period covered by the period of duration of this bond, this obligation shall be null and void, otherwise to remain in full force and effect. If the conditions of this obligation remain in full force and effect, the Surety is obligated to pay any net obligations shown to be owed to the Obligee within thirty days of receiving a demand letter from the Obligee. COUNTY OF KNOW ALL BY THESE PRESENTS: RE: Name of legal entity: ________________________________________________ Street address: _____________________________________________________ City and State: _____________________________________________________ Date of Incorporation: _______________________________________________ That we, ________________________________________________ As Principal (hereinafter called “Principal) and _________________________________________, as Surety (hereinafter called “Surety”) are held firmly bound unto the Texas Department of Agriculture, as Obligee (hereinafter called “Obligee”) in the sum of _________________________Dollars ($_______________) for the payment whereof, the payment whereof, well and truly to be made, we do here bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 37 1 2 3 4 Bond No. ______________ ______________________ ______________________ Page 2 5 6 7 8 Liability under this bond shall terminate as of the ____________________ day of _________________, 20 ___, as to any acts subsequent thereto, unless said bond is continued in force from year to year by the issuance of a Continuation Certificate signed by the Surety. 9 10 11 12 Provided, this bond may be canceled as a future liability by the Surety upon sixty (60) days written notice to the Principal and the Obligee; however such cancellation shall not discharge the Surety’s liability accrued during the term of this bond or which shall accrue in said sixty (60) day period. 13 14 ______________________________ Legal Name of Principal 15 16 ______________________________ Signature 17 18 ______________________________ Printed Name of Person Signing 19 20 ______________________________ Title of Person Signing 21 22 ______________________________ Name of Surety 23 24 ______________________________ By: Signature of Attorney in fact 25 26 ______________________________ Printed Name of Person Signing 27 Name and address of Surety’s local representative: 28 ______________________________________ 29 ______________________________________ 30 ______________________________________ 31 ______________________________________ Resources – 38 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11412 Performance Bond for Day Home Applicants – Instructions PERFORMANCE BOND FOR DAY HOME APPLICANTS PURPOSE To provide security for public funds paid to Child and Adult Care Food Program (CACFP) sponsors of day care homes. PROCEDURES When To Prepare Complete the Performance Bond to apply or reapply for participation in the CACFP until relief is granted from the bonding requirement. Number of Copies Complete an original and one copy. Transmittal Send the original and the copy together with two copies of the signed agreement and other forms included in the packet to TDA. How To Obtain Copies A copy of this performance bond is available in Item 10411 of this section. Form Retention Keep the Performance Bond for three years from the end of the program year. EXCEPTION: If audit findings, claims, or litigation has not been resolved by the end of the retention period, all forms and records must be retained until all issues are resolved. DETAILED INSTRUCTIONS PAGE 1 Line 1 - Bond No. — The surety company issuing the bond will enter the number of the bond. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 39 Line 5 - Name of Legal Entity — Enter the full legal name of the applicant organization that will assume full administrative and financial responsibility for the agreement with the Texas Department of Agriculture (TDA). The organization's legal name is the name that appears on the organization's notification of tax-exempt status from the Internal Revenue Service. Line 6 - Street Address — Enter the street address of the applicant organization. Line 7 - City and State — Enter the city, state, and ZIP code of the applicant organization. Line 8 - Date of Incorporation — Enter the date applicant organization was incorporated as it appears on the organization's Articles of Incorporation. Line 9 - Principal — Enter the full legal name of the applicant organization. Line 10 - Surety — Enter the full legal name of the surety company as it appears in the most current version of U.S. Department of the Treasury Circular 570. Line 13 - Sum — Enter the full value of the bond in words and in numbers. Line 17 - Signed, Sealed, and Dated — Enter the date on which the bond was executed. Line 19 - DBA — Enter the name the applicant organization does business under. If the name is the same as the name entered on Line 5 on Page 1, enter that name. Line 20 - Program — Enter the name of the Program (Child and Adult Care Food Program) for which the applicant is obtaining the bond. PAGE 2 Line 1 - Bond No. — The surety company issuing the bond will enter the number of the bond. Line 2 — Enter the full legal name of the applicant organization. Line 3 — Enter the applicant organization's Payee Identification Number. Line 5-6 - Date of Termination — The surety company will enter the date the bond is scheduled to terminate unless the surety company signs and issues a Continuation Certificate. The termination date on the bond or on a Continuation Certificate must be September 30 of the contract period for which application is being made. Line 13 - Legal Name of Principal — Enter the full legal name of the applicant organization. Resources – 40 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Line 15 - Signature — The person designated to act on behalf of the applicant organization to execute this bond must sign the document. Line 17 - Printed Name of Person Signing — Type or print the name of the person signing on behalf of the applicant organization. Line 19 - Title of Person Signing — Enter the title of the person signing on behalf of the applicant organization. Line 21 - Name of Surety — Enter the full legal name of the surety company as it appears in the most recent publication of U.S. Department of the Treasury Circular 570. Line 23 - By: Signature of Attorney in Fact — The attorney in fact is the representative of the surety and must sign the document. Line 25 - Printed Name of Person Signing — Type or print the name of the person signing on behalf of the surety. Line 27-31 - Name and Address of Surety's Local Representative — Enter the full physical and mailing address of the surety's representative nearest to the applicant organization. 11413 Performance Bond Letter Print the performance bond letter on the next page as needed. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 41 Resources – 42 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11420 Related Parties A related party is a person who maintains kinship by blood (consanguinity) or marriage (affinity). The following additional stipulations apply in determining the degree of relationship: An adopted child is treated as a natural child of the adoptive parent. Divorce from or death of a spouse terminates relationships by affinity created by that marriage unless a child of that marriage is living, in which case the marriage is treated as continuing to exist as long as a child of that marriage lives. To avoid conflict, TDA has established the following additional requirements for non-relative relationships: A step-relationship is considered the same degree as the associated relationship (for example, step-brother is the same degree as brother; step-parent is the same degree as parent; step-grandparent is the same degree as grandparent). The following additional situation is treated as relationship within the first degree by marriage (affinity): o the spouse of an employee's step-son or step-daughter. The following additional situations are treated as relationships within the second degree by marriage (affinity): o an employee's spouse's brother's wife. o an employee's spouse's sister's wife. Consanguinity & Affinity Relationship Chart - 1st Degree Officer and Child and Spouse spouse Parent 2nd Degree Grandchild and spouse 3rd Degree Great-Grandchild and spouse 4th Degree Great, Great-Grandchild and spouse Sister/Brother and Niece/Nephew and spouse spouse Grandniece/Nephew and spouse Grandparent 1st Cousin and spouse Aunt/Uncle Great - Grandparent Great Aunt/Uncle Great, Great-Grandparent Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 43 11430 Business Mileage Record Business Mileage Record for______________________________________, Day Care Home Provider Month/Year:_________________ Date: Resources – 44 Destination Purpose Beginning Mileage Ending Mileage Total Miles Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11500 Program Administration 11510 Parental Notification 11511 Parental Notification Flyer Flyers in English and Spanish are ready to print on the following pages. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 45 February 2009 Building for the Future This child care center/facility receives Federal cash assistance to serve healthy meals to your children. Good Nutrition today means a stronger tomorrow! Meals served here must meet nutrition requirements established by USDA’s Child and Adult Care Food Program Questions? Concerns? Call USDA at 1-800-795-3272 or Food and Nutrition Division at 1-800-TELL-TDA (835-5832) or Your child care center’s/facility’s contracting organization at In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Adjudication and Compliance, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call 866-632-9992 (toll free), 202-260-1026, or 202-401-0216 (TDD). USDA is an equal opportunity provider and employer. Resources – 46 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook February 2009 Nos preparamos para el futuro Este centro de cuidado de niños recibe asistencia económica federal para servir comidas nutritivas a sus hijos. La Buena nutrición hoy significa un mañana más saludable. Las comidas que se sirven aquí tienen que cumplir con los requisitos de nutrición establecidos por el Programa de Alimentos para Adultos y Niños del Departamento de Agricultura de los Estados Unidos (USDA). ¿Tiene preguntas o inquietudes? Comuíquese con el USDA al 1-800-795-3272 o División de Alimentación y Nutrición al 1-800-TELL-TDA (835-5832) o la organización que contrata al centro de cuidado de niños de su hijo al Conforme a la ley federal y a la política del Departamento de Agricultura de Estados Unidos (USDA), se prohíbe a esta institución discriminar por raza, color, origen nacional, sexo, edad o discapacidad. Para presentar una queja por discriminación, escriba al USDA, Director, Office of Adjudication and Compliance, 1400 Independence Avenue SW, Washington, D.C. 20250-9410 ó llame al 866-632-9992 (llamar gratis), o al 202-260-1026, o al 202-401-0216 (TDD). El USDA es un proveedor y empleador que ofrece igualdad de oportunidades. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 47 11520 Alternate Forms 11521 Alternate Forms Checklist ALTERNATE FORMS CHECKLIST For Day Care Homes Each alternate form you submit to TDA for consideration must include instructions for the use of the alternate form. In addition, you must ensure that neither your alternate forms nor their instructions include any reference to the Texas Department of Agriculture (TDA) that would suggest they are official TDA forms. For example, you may refer to your form as an "Alternate TDA Form H1530-A," but you may not refer to it as a "TDA Form H1530-A." Note: This restriction does not apply to electronically reproduced versions of TDA forms, which are not considered to be "alternate forms" and which must be identical to the TDA form. Alternate Forms Checklists are contained on the pages below. H1530A, Daily Meal Production Record for Infants Your alternate for TDA Form H1530-A must include the information on the checklist. Check the box by each required data element as you include that element in the design of your alternate form: □ Name of form: Identify the form, either with the name of the form, or by "Alternate Form Number H1530A." Remove all references to TDA from the form. □ Name of the contractor □ Name of the facility (only required for multiple facilities or if the facility name differs from contractor) □ Program number (this is the same as the TX number) □ Date of meal service □ Ages served □ Food components □ Approved meal types □ Menu(s) □ Quantity used (optional for Day Care Home Providers) □ Planned participation (optional for Day Care Home Providers) □ Program meals by age categories (must include program adults) □ Non-program meals Resources – 48 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook □ Instructions – detailed instructions must include the following: □ References to TDA – remove all references to TDA from the instructions to the alternate form - □ When to prepare - □ Transmittal - □ Form retention - □ Detailed instructions match form H1534 (Page 1), Documentation For Claimed Costs - Meals Served Your alternate for TDA Form H1534 (Page 1) must include the information on the checklist. Check the box by each required data element as you include that element in the design of your alternate form: □ Name of form: Identify the form, either with the name of the form, or by "Alternate Form Number H1534, Page 1." Remove all references to TDA from the form. □ Name of the contractor □ Program number (this is the same as the TX number) □ Month and year □ Name of provider □ Registration/license number □ Attendance (by Tier) □ Number of meals served (by meal type and tier) □ Total dollars paid □ Total (for above data) □ Instructions – detailed instructions must include the following: □ References to TDA: remove all references to TDA from the instructions to the alternate form - □ When to prepare - □ Transmittal - □ Form retention - □ Detailed instructions (consistent with your alternate form) Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 49 H1534 (Page 2), Budget Reconciliation Your alternate for TDA Form H1534 (Page 2) must include the information on the checklist. Check the box by each required data element as you include that element in the design of your alternate form: □ Name of form: Identify the form, either with the name of the form, or by "Alternate Form Number H1534, Page 2." Remove all references to TDA from the form. □ Period of budget coverage □ Budget categories (as they appear on TDA Form H1534 Page 2, or as they appear on your approved Management Plan Budget) □ Line items (as they appear on TDA Form H1534 Page 2, or as they appear on your approved Management Plan Budget) □ Claim month costs incurred □ Year to date cost incurred □ Approved annual budget □ Remaining balance □ Grand total □ Certification statement (as it appears On TDA Form H1534 Page 2) □ Signature (date of signature, and title of person signing the form) □ Instructions – detailed instructions must include the following: □ References to TDA: remove all references to TDA from the instructions to the alternate form - □ When to prepare - □ Transmittal - □ Form retention - □ Detailed instructions (consistent with your alternate form) Resources – 50 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook H1539 (Page 1), Day Care Home Meal Service Record Your alternate for TDA Form H1539 (Page 1) must include the information on the checklist. Check the box by each required data element as you include that element in the design of your alternate form: □ Name of form: Identify the form, either with the name of the form, or by "Alternate Form Number H1539, Page 1." Remove all references to TDA from the form. □ Name of facility □ Sponsor name □ Agreement number (this is the same as the TX number) □ Month and year □ For Sponsor Use Only (space to capture tiering data) □ Child's name □ Residential/provider's own child □ Age/date of birth □ Day and date of service □ Attendance (capture separate from meal counts) □ Approved meal types □ Total Tier I meals □ Total Tier II meals □ Certification statement (as it appears on Page 1 of TDA Form H1539) □ Signature (of person signing the form) □ Date (of signature) □ Instructions – detailed instructions must include the following: □ References to TDA: remove all references to TDA from the instructions to the alternate form - □ When to prepare - □ Transmittal - □ Form retention - □ Detailed instructions (consistent with your alternate form) Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 51 H1539 (Page 2), Menus Your alternate for TDA Form H1539 (Page 2) must include the information on the checklist. Check the box by each required data element as you include that element in the design of your alternate form: □ Name of form: Identify the form/page, either with the name of the form, or by "Alternate Form Number H1539, Page 2." Remove all references to TDA from the form. □ Food components □ Approved meal types □ Day and date of service □ Food items used □ Quantity used (optional) □ Certification statement (as it appears on Page 2 of TDA Form H1539) □ Signature (of person signing the form) □ Date (of signature) □ Instructions – detailed instructions must include the following: □ References to TDA: remove all references to TDA from the instructions to the alternate form - □ When to prepare - □ Transmittal - □ Form retention - □ Detailed instructions (consistent with your alternate form) Resources – 52 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook H1568, Record Of Recycled Meals Your alternate for TDA Form H1568 must include the information on the checklist. Check the box by each required data element as you include that element in the design of your alternate form: □ Name of form: Identify the form, either with the name of the form, or by "Alternate Form NumberH1568." Remove all references to TDA from the form. □ Name of contractor □ Name of facility (only required for multiple facilities or if the facility name differs from contractor) □ Agreement number (this is the same as the TX number) □ Month and year □ Date prepared □ Date first served □ Date recycled food served □ Type of recycled food □ Weight or quantity of recycled food □ Instructions – detailed instructions must include the following: □ References to TDA: remove all references to TDA from the instructions to the alternate form - □ When to prepare - □ Transmittal - □ Form retention - □ Detailed instructions (consistent with your alternate form) Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 53 H1603, Changes In Day Care Home Participation Your alternate for TDA Form H1603 must include the information on the checklist. Check the box by each required data element as you include that element in the design of your alternate form: □ Name of form: Identify the form, either with the name of the form, or by "Alternate Form Number H1603." Remove all references to TDA from the form. □ Name of contractor □ Program number (this is the same as the TX number) □ Month and year □ New Day Care Homes - □ Name of Day Care Home - □ Tier - □ Licensing case file number - □ Effective date of registration - □ Date of pre-approval visit (initial applications only) - □ Date Form H1542 signed - □ Beginning effective date of sponsor/provider agreement - □ TDA USE ONLY: Effective date to begin claiming □ Day Care Home Changes - □ Name of Day Care Homes - □ Licensing case file number - □ Type of change - □ Effective date □ Deleted Day Care Homes - □ Name of Day Care Home - □ Licensing case file number - □ Termination date - □ Reason for termination □ Certification statement as it appears on TDA Form H1603 □ Signature - representative of sponsoring organization □ Date of signature – representative of sponsoring organization □ TDA approval Resources – 54 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook □ Instructions – detailed instructions must include the following: □ References to TDA: remove all references to TDA from the instructions to the alternate form - □ When to prepare - □ Transmittal - □ Form retention - □ Detailed instructions (consistent with your alternate form) H1658, Documentation Of Provider's Tier Determination Your alternate for TDA Form H1658 must include the information on the checklist. Check the box by each required data element as you include that element in the design of your alternate form: □ Name of form: Identify the form, either with the name of the form, or by "Alternate Form Number H1658." Remove all references to TDA from the form. □ Name of provider □ License/registration number □ Program number (this is the same as the TX number) □ Provider address (street, city, state, zip) □ Provider's Tier determination □ Basis for Tier determination □ Date of Tier determination □ Certification statement (as it appears on TDA Form H1658) □ Signature (sponsor organization’s representative) □ Date (of signature) □ Instructions – detailed instructions must include the following: - □ References to TDA: remove all references to TDA from the instructions to the alternate form - □ When to prepare - □ Transmittal □ Form retention - □ Detailed instructions (consistent with your alternate form) Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 55 11522 Daily Infant Food Record The form on the next page is a TDA FND approved alternate form that providers may use as an alternate to Form H1530-A, Daily Meal Production Record for Infants. The form requires no further approval from TDA FND. Resources – 56 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Texas Department of Agriculture December 2008 Daily Infant Food Record Name of Contracting Organization: Program Number: Name of Facility: Date: AGE GROUP NAME OF INFANT Date of Birth Formula/Breast Milk BIRTH THROUGH 3 MONTHS MENU BREAKFAST A.M. SNACK LUNCH Iron Fortified Infant Formula (IFIF) and/or Breast Milk (BM) IFIF and/or BM IFIF and/or BM IFIF and/or BM IFIF and/or BM IFIF/BM/Fruit Juice and Other Foods IFIF and/or BM P.M. SNACK SUPPER EVENING SNACK IFIF and/or BM IFIF and/or BM IFIF and/or BM Name: DOB: IFIF /BM: Name: DOB: IFIF/BM: Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Planned participation: Quantity Used: 4 THROUGH 7 MONTHS IFIF and/or BM Other Foods Other Foods IFIF and/or BM Formula and/or Breast Milk Other Foods IFIF and/or BM Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Planned participation: Quantity Used: 8 THROUGH 11 MONTHS IFIF and/or BM IFIC Fruit and/or Veg Fruit and/or Veg IFIC and/or Meat/Alt IFIF/BM/Fruit Juice and Other Foods IFIF and/or BM Fruit and/or Veg IFIC and/or Meat/Alt IFIF/BM/Fruit Juice and Other Foods Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Planned participation: Quantity Used: Meals Claimed Breakfast: __________ A.M. Snack: ___________ Lunch: ___________ P.M. Snack: __________ Supper: __________ Evening Snack: __________ Instructions Daily Infant Food Record 06-2008 PURPOSE To document that infant meals served daily at child care centers, emergency shelters and day care homes are eligible for program reimbursement. PROCEDURE When to Prepare The menu may be planned in advance; however, complete the entire form daily at the time of meal service. Number of Copies Day care home providers and child care facilities complete one original and one copy. Independent centers and emergency shelters complete one original. Transmittal Day care home providers and sponsored child care facilities retain the copy for their files and submit the original to their sponsor. Sponsors keep the original in their files. Independent centers and emergency shelters keep the original in their files. How to Obtain Copies Make additional copies as needed. This form is located in Section 11000 of the Child Care Center and Day Care Home handbooks. Form Retention Keep the Daily Infant Meal Record for three years from the end of the program year. Exception: If audit findings, claims or litigation have not been resolved by the end of the retention period, all forms and records must be retained until all issues are resolved. Resources – 58 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook DETAILED INSTRUCTIONS Name of Contracting Organization – Enter the name of the contracting organization. Name of Facility – Enter the name of the child care center or day care home provider or emergency shelter at which meals are prepared. Program Number – Enter the contracting organization’s seven-digit program number. Date – Enter the date the meals were prepared. Age Group – Enter the name, date of birth (DOB) and brand of Iron-Fortified Infant Formula (IFIF) and/or breast milk (BM). Menu – Enter the menu to be prepared at each meal type on the date of service. Planned Participation – Enter the number of infants, by age group, for whom meals are prepared at each meal type. Quantity Used – Enter the amount of each food item served. This entry is optional for day care homes. Note: Refer to the handbook for meal pattern requirements to ensure the correct required food components are served. Meals Claimed – Enter the number of meals claimed for each meal type. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 59 11530 Other Resources 11531 Obtaining a Day Care Homes Handbook FND provides sponsors an initial paper copy of the program handbook. If you wish to obtain additional copies you can make copies of the initial paper copy provided to you, or you can download and print the handbook from the TDA website at www.snptexas.org, choose Program Handbooks and click on the Child and Adult Care Food Program – Day Care Homes Handbook link. 11532 Food Buying Guide FND provides day care home sponsors an initial paper copy of the Food Buying Guide with their approval for participation. To obtain additional copies, you can either download and print copies or follow the ordering instructions provided on the internet at http://schoolmeals.nal.usda.gov/FBG/buyingguide.html. You may also contact TDA about receiving an additional copy. 11533 Child Care Recipes The United States Department of Agriculture (USDA) website provides child care recipes that meet program requirements for CACFP meal patterns when prepared and served as indicated. These recipes can be a useful resource when planning healthy and nutritious meals for the children you serve while offering a variety of foods to keep children interested. Always ensure you are using the most updated recipes provided by USDA. The recipes can be accessed at the links below: Alphabetically at the following link: http://www.nfsmi.org/Information/cc_recipe_index_alpha.htm By recipe number at the following link: http://www.nfsmi.org/Information/cc_recipe_index_number.htm Resources – 60 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11534 Meal Planning Below are resources to assist you with planning healthy snacks and incorporating fruits and vegetables into your menus. http://www.iptv.org/kids/grownups/resources/downloads.cfm http://illinoisearlylearning.org/tipsheets/healthysnacks.htm http://teamnutrition.usda.gov/kids-pyramid.html http://www.healthierus.gov 11535 IRS Standardized Deduction Rates The IRS allows day care home providers to use a standardized rate to claim deductions for meals and snacks served to children in their care. These rates are currently the same as the CACFP Tier I reimbursement rates. This is beneficial to providers because they no longer have to keep every personal and business receipt and use complicated math formulas to estimate food expenses for income tax purposes. This change went into effect for tax years beginning after December 31, 2002. You and your providers can get more details on the standardized deduction, IRS Revenue Procedure 2003-22 on the IRS website at http://www.irs.gov/pub/irsdrop/rp-03-22.pdf or by contacting the IRS at www.irs.gov or by phone at (800) 829-1040. 11536 Day Care Homes Monitor Job Responsibilities Manual The National Food Service Management Institute (NFSMI) Applied Research Division completed a research study and developed a manual that outlines the job duties of day care home monitors. The manual is an effort to respond to the growing needs for standard job descriptions, job duties, and competencies, knowledge, and skills for individuals providing oversight to day care homes. You are not required to use the manual but may find it is a useful tool. The manual can be viewed and downloaded in PDF format on the NFSMI website at http://www.nfsmi.org/Information/sponsor_monitors.pdf. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 61 11537 USDA Team Nutrition Materials USDA has the following Team Nutrition Materials available for sponsors and providers: MyPyramid for Kids, Tips for Families flyer. The flyer can be ordered online by accessing the Team Nutrition website at www.fns.usda.gov/tn, selecting “Resource Library” in the menu on the left hand side of the page, and selecting “online order form” in the menu on the right hand side of the page. The USDA # is USDA171 – Tips for Families. This flyer comes in sets of 25 and contains the MyPyramid for Kids graphic and messages on one side and physical activity tips on the other side. Resources – 62 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11538 Sample Household Contact Form Child and Adult Care Food Program HOUSEHOLD CONTACT FORM Facility Name: Name of Staff Member Conducting the Household Contact: Child/Children Names: Name Of Person Interviewed: Reason for Initiating Household Contact: Attempt #1 Attempt #2 Attempt #3 Date: _______________________ Date: _________________________ Date: _________________________ Type of Contact: _______________ Type of Contact: ________________ Type of Contact: ________________ Contact: Contact: Contact: Yes No Yes No Yes No Initiate Secondary Contact: State circumstances for no contact: State circumstances for no contact: _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ Yes No State circumstances for no contact and initiation of secondary contact: _______________________________ _______________________________ _______________________________ Information Obtained from Household Contact: Action Taken: Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 63 11540 Frankfurter Fact Sheet (Revised) (Also includes bologna, knockwurst and vienna sausage) There are several different types of meat frankfurters, poultry frankfurters, and corn dogs available for use in the Child Nutrition Programs. The meat frankfurters are produced under standards established by the Food Safety and Inspection Service (FSIS); the poultry frankfurters are not. There are several different formulations that may be used in producing frankfurter products, and not all of these frankfurter products are listed in the Food Buying Guide for Child Nutrition Programs (FBG). Consequently, questions have been raised concerning the use of various frankfurter products and their contribution towards the child nutrition meal pattern requirements. The following is intended to clarify the information for frankfurter products in the Food Buying Guide and to provide guidance on the use of these products in the child nutrition programs. Q. What types of frankfurters are listed in the Food Buying Guide and what is their contribution toward meal pattern requirements? A. The Food Buying Guide currently recognizes red meat (beef, pork, etc.) and poultry (turkey, chicken) frankfurters that do not contain meat byproducts1, variety meats2, cereals, binders, or extenders. Meat and poultry frankfurters that meet this standard are credited on an ounce per ounce basis, or 1 ounce product provides 1 ounce cooked lean meat. For example, a 2 ounce frankfurter provides 2 ounces of cooked lean meat. (To check the weight of a frankfurter, weigh it on a scale.) Meat byproducts are pork stomachs or snouts; beef, veal, lamb or goat stripe; beef, veal, lamb, goat or pork hearts, tongues, fat, lips, weasand, and spleen; and partially defatted pork fatty tissue or partially defatted beef fatty tissue. 1 Variety meats are defined the same as meat byproducts except that the term variety meats is used specifically in reference to frankfurters, hot dogs, bologna, and similar cooked sausages. A label which states “Frankfurter with Variety Meats” indicates the use of meat byproducts. 2 Frankfurters containing limited amounts of fortified vegetable protein product (VPP) are also being allowed to receive this ounce per ounce credit. The fortified VPP used must meet the FNS regulations as stated in 7 CFR Parts 210, 225 and 226 Appendix A – Alternate Foods for Meals; Vegetable Protein Products. The specific limits allowed are 3.5 percent for VPP containing soy flour or soy protein concentrate and 2.0 percent for VPP containing isolated soy protein. If additions are made above these limits, the product must be labeled as “Imitation Frankfurter” Resources – 64 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook and it is not creditable. No other binders or extenders may be used to receive this ounce per ounce credit. Q. What specific ingredients are considered binders and extenders? A. Cereal Dried milk Isolated soy protein* Sodium caseinate Dry or dried whey Whey protein concentrate Soy flour* Soy protein concentrate* Starchy vegetable flour Vegetable starch Wheat gluten Tapioca dextrin A complete listing of binders and extenders and the limitations regarding their use in meat products may be found in 9 CFR 318.7 (c). * These products can be generally categorized as vegetable protein products (VPP), and only when fortified and used according to FNS regulations can they be credited as a meat alternate toward the meal pattern requirements. Q. Must binders and extenders always be listed in the ingredient statement on the product’s label? A. Yes, binders and extenders must be listed in the ingredient statement and will be listed in descending order of their predominance along with the other ingredients. Q. How can you tell if a product is available to receive ounce per ounce crediting? A. There are several ways to identify these products. First, look at the product name. If the name on the label does not state “with byproducts” or “with variety meats,” then the product may be eligible for ounce per ounce crediting. For example, a product named “Frankfurter – Variety Meats Added” would not be eligible for this crediting. Second, look at the ingredient statement on the product. If any ingredients are listed on the product label that also appear on the above list of binders or extenders (except VPP, which include fortified soy flour, fortified soy protein concentrate, or fortified isolated soy protein), then the product is not eligible for ounce per ounce crediting. Third, if the product name is frankfurter, frank, furter, hot dog, wiener, vienna sausage, bologna, garlic bologna or knockworst (with no byproducts), and the only binder appearing in the ingredient statement is VPP, then verify that this ingredient is fortified. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 65 FNS regulation requires that VPP contain specific levels of a number of nutrients in order to be credited as a meat alternate, making it necessary for VPP manufacturers to fortify their products with some or all of these nutrients. If the VPP is fortified, then the nutrient fortification along with the type of soy product will be sublisted (in parentheses) in the ingredient statement immediately after the words “vegetable protein product.” The following examples of frankfurter ingredient statements illustrate products that can be credited on an ounce per ounce basis and also the proper sublisting of fortified VPP on a product label. Frankfurter without added binders or extenders: Ingredients: Beef, water, pork, corn syrup, salt, dextrose, flavorings, sodium phosphate, sodium erythorbate, sodium nitrite. Frankfurter containing vegetable protein product: Ingredients: Beef, water, pork, salt, corn syrup, vegetable protein product (soy protein concentrate, zinc oxide, niacinamide, ferrous sulfate, copper gluconate, Vitamin A palmitate, calcium panthothenate, thiamine mononitrate (B.), pyridoxine hydrochloride (B6), riboflavin (B2) cyanocobalamin (B2)), flavorings, sodium erythorbate, sodium nitrite. The following frankfurter example cannot be credited on an ounce per ounce basis. Frankfurter with added binders/extenders (not creditable): Ingredients: Beef, water, pork, starchy vegetable flour, nonfat dried milk, corn syrup, flavoring, sodium phosphate, sodium erythorbate, sodium nitrite. This frankfurter would not be creditable because it contains starchy vegetable flour and nonfat dried milk which are binders and/or extenders. CORN DOGS Q. Is there a standard for corn dogs? A. Yes, the standard established for corn dogs specifies only the maximum percentage of batter/breading (65 percent) and the minimum percentage of frankfurter (35 percent); the standard does not specify the type of frankfurter to be used. Resources – 66 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Q. Are corn dogs listed in the Food Buying Guide? A. No, corn dogs are not listed in the Food Buying Guide; however, both the frankfurter and the batter/breading may be credited toward meal pattern requirements. The frankfurter is credited on an ounce per ounce basis provided that it contains no variety meats, meat byproducts, binders or extenders, with the exception of fortified vegetable protein products which meet FNS requirements for use in Child Nutrition Programs. The batter/breading provides one serving of bread credit when cornmeal and enriched flour are the primary ingredients. Q. Are there any requirements the corn dog batter/breading must meet to be credited toward the meal pattern requirements? A. Yes, to be credited toward the bread requirement, the cornmeal and enriched flour combined must be a greater percentage of the batter/breading than the water. Q. How can you tell if the cornmeal and enriched flour are the primary ingredients in the batter? A. If the cornmeal and/or enriched flour are listed before water and all other ingredients in the ingredient listing, then they are the primary ingredient(s). However, often the cornmeal and enriched flour will be listed after the water because individually neither the cornmeal nor the enriched flour is greater than the water. Therefore, the ingredient listing on the label will state: water, cornmeal, enriched flour, etc. In this case, to accurately determine if the if the percentage of the cornmeal and enriched flour combined is greater than the water, the percentages of these ingredients would need to be contained from the manufacturer. For example, 40% water, 25% cornmeal, 25% enriched flour. In this case, 25% cornmeal plus 25% enriched flour combined is 50%. Therefore, the cornmeal plus enriched flour at 50% is greater than the water at 40%. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 67 11550 Meat Versus Protein Fact Sheet The below clarifies the differences between meant and protein. It is important to remember that the terms meat and protein are not always synonymous and that the meal pattern requirements specify the meat/meat alternate component in terms of lean cooked meat, not protein. Q. What is meat and what is protein? A. Meat is a general term used to cover the flesh of beef, sheep and pigs. Although the different components of meat will vary depending on species of the animal and the cut of the meat, among other factors, an average picture of the composition of meat can be made. Meat is composed of water, protein, fat and various amounts of minerals and vitamins. The protein in meat is found in the muscle tissue. The protein content of meat ranges from 15% to 20% of the piece of meat. Fat content is more variable, generally from 5% to 40%, depending on several factors including the type of animal and its diet, the cut of meat and the extent of trimming of the fat. Water content also varies from 55% to 70%. Q. Are meat and protein the same thing? A. No. Often the term protein is used interchangeably for the term meat. Protein, however, is only one component of meat. Although meat is a protein rich source, protein still only makes up about 18% of the meat. The terms should not be interchanged as they are not equivalent. Q. What do the meal pattern requirements specify? A. Providers must serve meals that meet meal pattern requirements established in Federal Regulations. The types of foods authorized include those that are specified within one of the four food categories (meat/meat alternate, vegetable and/or fruit, grains/bread and milk). 11560 Sample Product Formulation Statements Currently there are two sample product formulation statements available, Grain/Bread and Meat/Meat Alternates. Below are the two statements that sponsors can use to determine a products contribution toward meeting meal pattern requirements. Resources – 68 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11561 Sample Product Formulation Statement: Prepared Grain/Bread (Place information on company letterhead with signature of a legally authorized representative of the company) SAMPLE PRODUCTION FORMULATION STATEMENT: PREPARED GRAIN/BREAD Product Name: _______________________________________________________________________ Code No.: ____________________________________________________________________________ Case Weight and Pack/Count: ___________________________________________________________ Total weight (grams or ounces) of one ready to eat serving of product: _________________________ List the exact types and weights of each enriched and/or whole grain meal, flour, brand or germ per product serving: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ I certify that the above information is true and correct and that one ____________ (specify serving weight) ready to eat serving of the specified product contains __________ serving(s) of Grains/Breads* for the USDA Child Nutrition Programs. _________________________________________ SIGNATURE ____________________________________ TITLE _________________________________________ PRINTED NAME ____________________________________ DATE PHONE NUMBER: ________________________________________________________________ Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 69 * For crediting as a Grain/Bread Component, Food and Nutrition Services (FNS) Child Nutrition Programs require: 1) all grains/breads items must be enriched or whole grain, made from enriched or whole-grain and/or flour. If using a cereal, it must be whole-grain, enriched or fortified. Bran and germ are credited the same as enriched or whole-grain meal or flour; 2) the exact or minimum amount of creditable grains must be documented to assure that 14.75 grams of creditable grains equals one grains/breads serving. Grains/Breads may be credited in ¼ serving increments. See FNS Food Buying Guide: revised November 2001. 11562 Sample Product Formulation Statement (Product Analysis) for Meat/Meat Alternate (M/MA) Products Provide a copy of the label in addition to the following information on company letterhead signed by an official representative of the company. Product Name:____________________________________ Code No.:_______________ Manufacturer:____________________________Case/Pack/Count/Portion/Size:________ I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate Description of Creditable Ingredients per Food Buying Guide Ounces per Raw Portion of Creditable Ingredient Multiply Food Buying Guide Yield Creditable Amount * X X X A. Total Creditable Amount1 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the Food Buying Guide yield. Resources – 70 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook II. Alternate Protein Product (APP) If the product contains APP please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used. Description of APP, manufacture’s name, and code number Ounces Dry APP Per Portion Multiply X X X % of Protein As-Is* Divide by 18** Creditable Amount APP*** ÷ by 18 ÷ by 18 ÷ by 18 B. Total Creditable Amount1 C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein asis divided by 18. Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting both M/MA and APP, you do not need to round down in box A until after you have added the creditable APP amount from box B. 1 Total weight (per portion) of product as purchased ____________________________ Total creditable amount of product (per portion) _____________________________ (Reminder: Total creditable amount cannot count for more than the total weight of product) I certify that the above information is true and correct and that a _____ ounce serving of the above product (ready for serving) contains _____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.. _________________________________________ Signature ___________________________ Title _________________________________________ Printed Name ______________ ____________ Date Phone Number Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 71 Example: Soy Company X Soy Protein Concentrate Product Y Documentation for Company X Products Used as Alternate Protein Products (APP) for Child Nutrition Programs a) Company X certifies that Product Y meets all requirements for APP intended for use in foods manufactured for Child Nutrition Programs as described in Appendix A of 7 CFR 210, 220, 225 and 226. b) Company X certifies that product Y has been processed so that some portion of the nonprotein constituents have been removed by fractionating. This product is produced from soybeans by removing the majority of the soybean oil and some of the other non protein constituents. c) The Protein Digestibility Corrected Amino Acid Score (PDCAAS) for Product Y is 0.99. It was calculated by multiplying the lowest uncorrected amino acid score by true protein digestibility as described in the Protein Quality Evaluation Report from the Joint Expert Consultation of the Food and Agriculture Organization/World Health Organization of the United Nations, presented December 4-8, 1989, in Rome, Italy. The PDCAAS is required to be greater than 0.8 (80%) of casein). d) The protein level of Product Y is at least 18% by weight when fully hydrated at a ratio of 2.43 parts water to one part product. e) The protein level of Product Y is certified to be at least 61.8% on an “as-is” basis for the aspurchased product. (Note: Protein is often provided on a moisture free basis (mfb) which is not the information FNS requires.) All of the above information is required for APP and must be presented for approval. Note: It is also helpful to have the ingredients statement for Product Y. For example, if the product is uncolored and unflavored the ingredients statement might be “soy protein concentrate” or if the product is colored and textured the ingredients statement might be “textured vegetable protein (soy flour, caramel color)”. Resources – 72 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11562.1 Review Checklist for Meat/Meat Alternates Reviewer Checklist for Evaluating Manufacturer Completed Product Formulation Statements (Product Analysis) for Meat/Meat Alternate (M/MA) Products Circle Steps for Evaluation Y or N Y N GENERAL INFORMATION A copy of the product label is attached The label should have the product name, ingredients statement, net weight, manufacturer/distributor name and address, and for meat/poultry products an inspection legend. The nutrition facts panel is voluntary for institutional product labels, unless a nutrition or health claim is made. Y N Product Name is provided and matches the name on the product label Y N Product Code Number is provided and matches the code number on the product label Y N Manufacturer name is provided Y N case/ pack/ count/ portion/ size are included as applicable Y N MEAT/ MEAT ALTERNATE I have my copy of the Food Buying Guide for Child Nutrition Programs (FBG) and it has the written in corrections as noted in the Pen & Ink Changes document provided by FNS Available at http://teamnutrition.usda.gov/Resources/foodbuyingguide.html Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 73 MEAT/ MEAT ALTERNATE (continued) Y N The food items in section I. Meat/Meat Alternate match a description in Column 1 (Food As Purchased) of the FBG Example: “Beans, Kidney, dry” matches a description in Col 1 of the FBG, but “Kidney Beans” does not match a description in Col 1 of the FBG (you don’t know if the kidney beans are dry, canned, or frozen). Y N The description doesn’t match Column 1, but it does match a description in Column 4 (Serving Size Per Meal Contribution) or Column 6 (Additional Information) of the FBG If the answer is Y, then you will need to convert the yield data from column 6, see examples for black beans, drained and tuna, drained. Y N The FBG Yield (servings per purchase unit) provided aligns with the correct description in Column 1, the description of how the food is served in Column 4, and the correct unit for the serving size in Column 4 to provide answers in units of 1 ounce. For meat/poultry, use the percent yield in Column 6. Example 1: A burrito is being evaluated. Kidney beans, dry, canned, whole (pg 1-7 FBG) matches a description in Column 1, the product is served heated which matches a description as served in Column 4; therfore the FBG yield that should be used is 38.9 ¼ cups heated beans for 108 oz No. 10 can (38.9/108). The yield for drained beans (which is unheated) should not be used. For dry beans/legumes/peas/lentils, keep in mind that ¼ cup cooked drained beans/legumes/peas/lentils is equivalent to 1.0 oz meat alternate Example 2: A sandwich is being evaluated. Peanut butter (pg 1-40 FBG) matches a description in Column 1, and 2 tbsp (1 oz meat alternate) matches the unit we want our answer in. For this example, there are three acceptable yield ratios 1) 97.5 1-oz servings per 108 oz, or 2) 28.8 1-oz servings per 28 oz, or 3) 14.4 1-oz servings per 16 oz. When purchase units are 1 lb, always use 16 oz in the yield ratio. Do not use the yield ratios for 3 tbsp peanut butter, since this will put the answer in units of 1½ oz. Example 3: A chicken patty is being evaluated. Chicken, boneless, raw (pg 1-31FBG) matches a description in Column 1, cooked matches a description in Column 4. The yield in Column 6 is 70% (you will multiply using the decimal form which is 0.70) Y N The answer provided in the Creditable Amount column for each separate ingredient has been verified using a calculator and the answer was not rounded up Resources – 74 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook MEAT/ MEAT ALTERNATE (continued) Y N The total creditable amount for the meat/meat alternate section, Total A, is correct and the answer was not rounded up Y N All of the creditable ingredients listed on the form match ingredients listed in the ingredients statement on the product label Example: it is not acceptable for the documentation to list “ground beef (not more than 30% fat)” if the label only lists “beef.” This means that the manufacturer does not have to actually use ground beef (not more than 30% fat) but can use any type of beef. “Beef” is not creditable since there is no one single FBG yield that can cover all beef items. Because the correct description is not on the label the product cannot be accepted with the documentation. ALTERNATE PROTEIN PRODUCT (APP) Y N The APP’s listed are single ingredients such as soy flour, soy protein concentrate, soy protein isolate, whey protein concentrate, and non-fat dry milk Examples of ingredients that do not meet the APP requirements are: wheat proteins, tofu, surimi, soy burgers, soy crumbles. Y N The product itself is an entrée item or an integral part of an entrée item Example: entrée items are sandwich patties, meat fillings or crumbles, pizzas, burritos, etc. Entrée items are not drinks, smoothies, desserts, muffins, cakes, protein bars, bread, chips, etc. DOCUMENTATION (refer to the sample documentation letter) Y N The APP documentation is on letterhead of the manufacturer that actually makes the APP Documentation should not be accepted on distributor letterhead or from the food company making your purchased product (except in the rare case that the food company making the finished product actually manufacturers the APP itself.) Y N a) The documentation states that the APP meets requirements found in 7CFR Parts 210, 220, 225, and 226 Y N b) The documentation indicates that non-protein constituents have been removed Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 75 DOCUMENTATION (continued) Y N c) The PDCAAS (Protein Corrected Amino Acid Score) is provided and the score is greater than 0.80 (80) The PDCAAS score should be provided in decimal form (ie, 0.92), but sometimes the PDCAAS is reported as a whole number (ie, 92) instead. If the PDCAAS is less than 0.8 (80), then the product does not meet the protein quality requirements and cannot be used for credit even if the percent as-is protein is greater than 18%. Y N d) The hydration ratio is provided in the documentation and was calculated correctly: (percent protein as-is divided by 18) minus 1 part dry APP = parts water Example, if the percent as-is protein is 64.8, the calculation is as follows: [(64.8 ÷ 18) – 1 part dry APP] = 2.6 parts water to hydrate the product down to 18% protein. The ratio of dry APP:water for this example will be 1:2.6. Y N e) The percent protein is provided on an as-is basis and is greater than 18% If the documentation states MFB or moisture free basis – you cannot use this protein value. The as-is protein value must be used in calculating the meat alternate credit for APP. Y N APP documentation meeting all of the above requirements is provided for each separate APP listed on the product analysis form CHECK THE CALCULATION FOR EACH APP INGREDIENT USED Y N The whole number percent protein (not the decimal form of the percent) is used in the calculation Example: if the percent as-is protein is 64.8%, use 64.8 in the calculation not 0.648 Y N The answer for each separate APP calculation is correct and was not rounded up Y N The amount of credit from APP, total B, is correct and was not rounded up Y N The whole number percent protein (not the decimal form of the percent) is used in the calculation Example: if the percent as-is protein is 64.8%, use 64.8 in the calculation not 0.648 Resources – 76 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook TOTAL CREDITABLE AMOUNT Y N The sum of Total A (meat/meat alternate) plus Total B (APP credit) is correct and was not rounded up Y N The total weight per portion of the product is provided and matches portion information provided on the label Y N The total credit is rounded down to the nearest 0.25 ounce Y N The Total Creditable Amount is not greater than the total weight of the portion of the product. (The credit may be equal to or less than the portion weight served.) When using APP with high concentrations of protein, sometimes the calculation provides an answer that is greater than the weight of the product served, in this case you must reduce the credit so that it is equal or less than the weight of the product served. Example, if a soy burger uses soy isolate and whey protein concentrate, and the weight of the heated burger weighs 1.75 oz but the calculations show a total of 2.3 oz meat alternate, you can only count a maximum of 1.75 oz meat alternate for the burger because that is the weight of the meat alternate food being served. AUTHORIZATION INFORMATION Y N The phone number was called and the number is valid for the company that manufacturers the food product purchased, and it is the correct contact number for the name of the person who signed the documentation Ask for clarifications if needed. Y N Overall – the product analysis form is acceptable without further information Do not accept products that do not have acceptable documentation. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 77 I. EXAMPLE Meat/Meat Alternate (M/MA) and APP Calculations Description of Creditable Ingredients per Food Buying Guide Beans, black (turtle), dry, canned, whole Beans, black (turtle), dry, canned, whole, drained (Column 6 conversion) Beans, kidney, dry, whole Beef Ground (not more than 18% fat) raw Beef Brisket, without bone, practically free of fat, raw Cheese, Mozzarella Cheese, Cottage Chicken, boneless, fresh Chicken, drumstick with bone, fresh Egg, frozen whole, pasteurized, liquid Egg, whole, dried Fish fillet, fresh Ham water added Nuts, almonds Peanut butter Pork Ground (not more than 30% fat) Tuna, chunk style, water packed Tuna, chunk style, drained (Column 6 conversion) Turkey, cooked, diced, light and dark meat in natural proportions (no skin, wing meat, neck meat, giblets, or kidneys) Turkey ham, fully cooked Turkey ham, 15% water added Resources – 78 Ounces per Raw Portion of Creditable Ingredient 1.0 oz Multiply Creditable Amount * X Food Buying Guide Yield 27.8/110 1.0 oz X 27.8/62.0 0.44 1.0 oz 1.0 oz X X 24.8/16 0.74 1.55 0.74 1.0 oz X 0.69 0.69 1.0 oz 1.0 oz 1.0 oz 2.0 oz X X X X 16/16 8/16 0.70 0.49 1.0 0.5 0.7 0.98 1.0 oz X 18/16 1.125 0.25 oz 1.0 oz 1.0 oz 1.0 oz 1.0 oz 1.0 oz X X X X X X 64/16 0.70 0.82 16/16 14.4/16 0.70 1.0 0.7 0.82 1.0 0.9 0.7 1.0 oz 1.0 oz X X 51.2/66.5 51.2/51.2 0.769 1.0 1.0 oz X 16/16 1.0 1.0 oz 1.0 oz X X 0.70 0.59 0.7 0.59 0.252 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook II. Alternate Protein Product (APP) Products containing APP must also provide the documentation described in the checklist Description of APP, manufacture’s name, and code number Ounces Dry APP Per Portion 0.25 oz 0.25 oz Multiply % of Protein As-Is* Divide by 18** Creditable Amount APP*** Soy flour, ABComp 1234 X 52.0* ÷ by 18 0.72 Soy protein concentrate, X 64.8* ÷ by 18 0.9 ABComp 45 Soy protein isolate, 0.25 oz X 85.0* ÷ by 18 1.18 XYComp 333 Whey protein concentrate, 0.25 oz X 45.0* ÷ by 18 0.625 Dairy 3 Nonfat dry milk, Dairy 789 0.25 oz X 21.0* ÷ by 18 0.29 * Percent of Protein As-Is is provided the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein asis divided by 18. Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are also crediting APP, you do not need to round down in box A until after you have added the creditable APP amount from box B. Total weight (per portion) of product as purchased ____________________________ Total creditable amount of product (per portion) _____________________________ (Reminder: Total creditable amount cannot count for more than the total weight of the product) Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 79 11600 Sample Provider Serious Deficiency Letters 11610 Notice of Serious Deficiency Prototype Letter: Notice of Serious Deficiency [Note: You must send this letter by certified mail/return receipt and by regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns the [brief description of the basis for the serious deficiency determination – review, audit, etc. and date] of your operation of the Child and Adult Care Food Program (CACFP). SERIOUS DEFICIENCY DETERMINATION Based on the [review/audit/etc.], we have determined that you are seriously deficient in your operation of the CACFP. If you do not fully and permanently correct all of the serious deficiencies and submit documentation of the corrective action by the due date, we will: Propose to terminate your agreement to participate in the CACFP for cause, and Propose to disqualify you from future CACFP participation. If you voluntarily terminate your agreement after receiving this letter, we will proceed with the proposal to disqualify you from future CACFP participation. If disqualified, you will be placed on the National Disqualified List. While on the list, you will not be able to participate in the CACFP as a day care home provider. In addition, you will not be able to serve as a principal in any CACFP institution or facility. You will remain on the list until such time as the Texas Department of Agriculture Food and Nutrition Division determines that the serious deficiencies have been corrected or until 7 years after your disqualification. However, if any debt relating to the serious deficiencies has not been repaid, you will remain on the list until the debt has been repaid. [Insert if applicable: “We suspect that you submitted false claims and that you owe a debt of (dollar amount).] Resources – 80 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook SERIOUS DEFICIENCIES AND REQUIRED CORRECTIVE ACTION The following paragraphs detail each serious deficiency and the corrective action required. [Insert discussion of serious deficiencies and required corrective action. (See list of serious deficiencies in the attached Policy Alert). If you suspect that the provider submitted and was paid for false claims include the dollar amount that the provider must repay in order to achieve corrective action.] SUMMARY We have determined that you are seriously deficient in your operation of the CACFP. You must provide us documentation that shows you have taken the required corrective action for each of the serious deficiencies cited in this letter. The documentation must be received (not just postmarked) by [corrective action deadline; may establish different deadlines for different serious deficiencies, but no more than 30 days]. If we do not receive the documentation of your corrective action by the due date, or if we determine that the actions taken do not fully and permanently correct all of the serious deficiencies, we will propose to terminate your CACFP agreement for cause and will propose to disqualify you. You may not appeal the serious deficiency determination. However, if we propose to terminate your agreement for cause or propose to disqualify you, you will be able to appeal those actions and you will be advised of your appeal rights and the appeal procedures at that time. You may continue to participate in the CACFP during the corrective action period. We will pay any valid claims for reimbursement submitted by you for this period. You must submit the claims by the normal deadline. [Insert if applicable: “If we receive the documentation of your corrective action by the due date and determine that it fully and permanently corrects all of the serious deficiencies, then we will conduct an unannounced follow-up review to verify the adequacy of the corrective action.”] If we find in [insert if applicable: “the follow-up review or”] any subsequent review that any of these serious deficiencies have not been fully and permanently corrected, we will immediately propose to terminate your agreement for cause and propose to disqualify you without any further opportunity for corrective action. Sincerely, Sponsor Employee Name & Title cc: TDA Community Operations office Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 81 11620 Notice of Proposed Termination and Proposed Disqualification Prototype Letter: Notice of Proposed Termination and Proposed Disqualification [NOTE: You must send this letter by certified mail/return receipt and regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns the determination in our [date of Serious Deficiency Notice] letter (Serious Deficiency Notice) that you are seriously deficient in your operation of the Child and Adult Care Food Program (CACFP). We received the documentation you sent us detailing the actions you have taken to correct these serious deficiencies on [date], before the corrective action deadline. [Insert if applicable: “We conducted a follow-up review on [date] to verify the adequacy of the corrective actions.”] Based on our review of the documentation [insert if applicable: “and the follow-up review”], we have determined that you have not fully and permanently corrected the serious deficiencies that were cited in the Serious Deficiency Notice. PROPOSED TERMINATION AND PROPOSED DISQUALIFICATION As a result, we are: Proposing to terminate your agreement to participate in the CACFP for cause effective [date], and Proposing to disqualify you from future CACFP participation effective [date]. [The effective date for the termination/disqualification must be no earlier than 30 days from the date of this letter.] If you voluntarily terminate your agreement after receiving this letter, we will proceed with the proposal to disqualify you from future CACFP participation. If disqualified, you will be placed on the National Disqualified List. While on the list, you will not be able to participate in the CACFP as a day care home provider. Resources – 82 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook In addition, you will not be able to serve as a principal in any CACFP institution or facility. You will remain on the list until such time as the Texas Department of Agriculture Food and Nutrition Division determines that the serious deficiencies have been corrected or until 7 years after your disqualification. However, if any debt relating to the serious deficiencies has not been repaid, you will remain on the list until the debt has been repaid. [Insert if applicable: “We suspect that you submitted false claims and that you owe a debt of (dollar amount).] STATUS OF SERIOUS DEFICIENCIES The following paragraphs detail each serious deficiency and its status based on our review of the corrective action documentation [insert if applicable: “and the [date] follow-up review”]. [Insert discussion of each serious deficiency and the reasons why corrective action was inadequate (the corrective action may be adequate for some items and not for others; make sure you specify the status of the corrective action for each serious deficiency). APPEAL OF PROPOSED TERMINATION AND PROPOSED DISQUALIFICATIONS You may appeal the proposed termination of your agreement for cause and your proposed disqualification. A copy of the appeal procedures is enclosed. If you decide to appeal the proposed actions, make sure you follow the appeal procedures exactly because the failure to do so could result in the denial of your request for an appeal. SUMMARY You have not fully and permanently corrected the serious deficiencies identified in the Serious Deficiency Notice. For this reason, we are proposing to terminate your CACFP agreement for cause and proposing to disqualify you. If you appeal the proposed termination and the proposed disqualification, the proposed actions will not take effect until the hearing official issues a decision on the appeals. If you do not make a timely request for an appeal, your agreement will be terminated for cause on [date]. If you do not appeal your proposed disqualification, you will be disqualified from future CACFP participation effective [date] and placed on the National Disqualified List. You may continue to participate in the CACFP until [termination/disqualification effective date] or, if you appeal the proposed actions, until the hearing official issues a decision on the appeal. We will pay any valid claims for reimbursement submitted by you for this period. You must submit the claims by the normal deadline. Sincerely, Sponsor Employee Name & Title Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 83 Enclosure Appeal Procedures cc: TDA Community Operations office Resources – 84 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11630 Notice of Termination and Disqualification 11631 Provider Fails to Appeal Prototype Letter: Notice of Termination and Disqualification (following failure to appeal) [NOTE: You must send this letter by certified mail/return receipt and regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns our [date of Notice of Proposed Termination & Proposed Disqualification] letter (Notice of Proposed Termination & Proposed Disqualification), which proposed to terminate your agreement to participate in the Child and Adult Care Food Program (CACFP) for cause. In that letter, we also proposed to disqualify you from further CACFP participation. These actions were based on the determination in our [date of Serious Deficiency Notice] letter (Serious Deficiency Notice) that you are seriously deficiency in your operation of the CACFP. You received the Notice of Proposed Termination & Proposed Disqualification on [date received]. You had until [insert deadline for requesting appeal] to submit any requests for appeals of the proposed actions. No requests for appeals were submitted by that deadline. TERMINATION AND DISQUALIFICATION Because the time to request an appeal has now expired, we are: Terminating your agreement to participate in the CACFP for cause effective [date], and Disqualifying you from future CACFP participation effective [date]. [The effective date for the agreement termination and disqualification must match the date given in the Notice of Proposed Termination & Proposed Disqualification.] Upon disqualification, you will be placed on the National Disqualified List. While on the list, you will not be able to participate in the CACFP as a day care home provider. In addition, you will not be able to serve as a principal in any CACFP institution or facility. You will remain on the list until such time as the Texas Department of Agriculture Food and Nutrition Division determines that the serious deficiencies have been corrected or until 7 years after your disqualification. However, if any debt relating to the serious deficiencies has not been repaid, Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 85 you will remain on the list until the debt has been repaid. [Insert if applicable: “We suspect that you submitted false claims and that you owe a debt of (dollar amount).] SUMMARY We are terminating your CACFP agreement for cause and disqualifying you. You may not appeal the termination of the agreement for cause or the disqualification. You may continue to participate in the CACFP until [termination/disqualification effective date]. We will pay any valid claims for reimbursement submitted by you for this period. You must submit the claims by the normal deadline. Sincerely, Sponsor Employee Name & Title cc: TDA Community Operations office Resources – 86 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11632 Sponsors Wins Appeal Prototype Letter: Notice of Termination and Disqualification (after sponsor wins appeal) [NOTE: You must send this letter by certified mail/return receipt and regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns our [date of Notice of Proposed Termination & Proposed Disqualification] letter (Notice of Proposed Termination & Proposed Disqualification), which proposed to terminate your agreement to participate in the Child and Adult Care Food Program (CACFP) for cause. In that letter, we also proposed to disqualify you from further CACFP participation. These actions were based on the determination in our [date of Serious Deficiency Notice] letter (Serious Deficiency Notice) that you are seriously deficient in your operation of the CACFP. You filed a timely appeal of the proposed termination and proposed disqualification. On [date of hearing official’s decision], the hearing official issued a decision on the appeal. In that decision, the hearing official upheld both of our proposed actions. TERMINATION AND DISQUALIFICATION As a result, we are: Terminating your agreement to participate in the CACFP for cause effective [date], and Disqualifying you from future CACFP participation effective [date]. [The effective date for the termination and disqualification must be the date of the hearing official’s decision.] Upon disqualification, you will be placed on the National Disqualified List. While on the list, you will not be able to participate in the CACFP as a day care home provider. In addition, you will not be able to serve as a principal in any CACFP institution or facility. You will remain on the list until such time as the Texas Department of Agriculture Food and Nutrition Division determines that the serious deficiencies have been corrected or until 7 years after your disqualification. However, if any debt relating to the serious deficiencies has not been repaid, you will remain on the list until the debt has been repaid. [Insert if applicable: “We suspect that you submitted false claims and that you owe a debt of (dollar amount).] Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 87 SUMMARY We are terminating your CACFP agreement for cause and disqualifying you. You may not appeal the termination of the agreement for cause or the disqualification. You may continue to participate in the CACFP until [termination/disqualification effective date]. We will pay any valid claims for reimbursement submitted by you for this period. You must submit the claims by the normal deadline. Sincerely, Sponsor Employee Name & Title cc: TDA Community Operations office Resources – 88 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11640 Notice of Rescission 11641 Provider Wins Appeal Prototype Letter: Notice of Rescission of Serious Deficiency, Proposed Termination and Proposed Disqualification (after provider wins appeal) [NOTE: You must send this letter by certified mail/return receipt and regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns our [date of Notice of Proposed Termination & Proposed Disqualification] letter (Notice of Proposed Termination & Proposed Disqualification), which proposed to terminate your agreement to participate in the Child and Adult Care Food Program (CACFP) for cause. In that letter, we also proposed to disqualify you from further CACFP participation. These actions were based on the determination in our [date of Serious Deficiency Notice] letter (Serious Deficiency Notice) that you are seriously deficient in your operation of the CACFP. You filed a timely appeal of the proposed termination and proposed disqualification. On [date of hearing official’s decision], the hearing official issued a decision on the appeal. In that decision, the hearing official overturned both of our proposed actions. SERIOUS DEFICIENCY DETERMINATION RESCINDED As a result, we have rescinded our serious deficiency determination as of [date of hearing official’s decision] (the date of the hearing official’s decision). We are also rescinding the proposed termination of your agreement for cause and your proposed disqualification as of the same date. Sincerely, Sponsor Employee Name & Title cc: TDA Community Operations Office Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 89 11642 Notice of Successful Corrective Action Prototype Letter: Notice of Successful Corrective Action, Rescission of Serious Deficiency [NOTE: You must send this letter by certified mail/return receipt and regular mail] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns the determination in our [date of Serious Deficiency Notice] letter (Serious Deficiency Notice) that you are seriously deficient in your operation of the Child and Adult Care Food Program (CACFP). We received the documentation you sent us detailing the actions you have taken to correct these serious deficiencies on [date], before the corrective action deadline. [Insert if applicable: “We conducted a follow-up review on [date] to verify the adequacy of the corrective actions.”] SERIOUS DEFICIENCY DETERMINATION RESCINDED Based on our review of the documentation [insert if applicable: “and the [date] follow-up review”], we have determined that you have fully and permanently corrected the serious deficiencies that were cited in the Serious Deficiency Notice. As a result, we have rescinded our serious deficiency determination as of the date of this letter. This also means that we will not propose to terminate your agreement for cause based on this serious deficiency finding or propose to disqualify you on that basis. ADEQUACY OF CORRECTIVE ACTIONS The following paragraphs describe the results of our review of the corrective action. [Insert discussion of each serious deficiency and why the corrective action is adequate.] [Insert if appropriate: Our report on the [date] follow-up review will be provided to you in a separate letter.] Resources – 90 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook SUMMARY We have rescinded our serious deficiency determination. However, if we find in any subsequent review that any of these serious deficiencies have not been fully and permanently corrected, we will immediately propose to terminate your agreement for cause and propose to disqualify you without any further opportunity for corrective action. Sincerely, Sponsor Employee Name & Title cc: TDA Community Operations office Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 91 11650 Imminent Threat to Health or Safety 11651 Notice of Serious Deficiency, Suspension, Proposed Termination and Proposed Disqualification Prototype Letter: Notice of Serious Deficiency, Suspension, Proposed Termination and Proposed Disqualification; Imminent Threat to Health or Safety [NOTE: You must send this letter by certified mail/return receipt and regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns the [brief description of the basis for the serious deficiency determination – review, audit, etc. and date] of your operation of the Child and Adult Care Food Program (CACFP). SERIOUS DEFICIENCY DETERMINATION Based on the [review/audit/etc.], we have determined that you are seriously deficient in your operation of the CACFP. SUSPENSION One of the serious deficiencies we identified is the imminent threat to the health or safety of CACFP participants or the public (for details, see the description of the serious deficiencies later in this letter). Because of this imminent risk, we are suspending your home’s CACFP participation (including all payments). The suspension of CACFP participation (including all payments) will take effect on the date of this letter. PROPOSED TERMINATION AND PROPOSED DISQUALIFICATION We are also: Proposing to terminate your home’s agreement to participate in the CACFP for cause effective [date], and Proposing to disqualify you from future CACFP participation effective [date]. Resources – 92 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook [The effective date for the termination/disqualification must be no earlier than 30 days from the date of this letter.] If you voluntarily terminate your agreement after receiving this letter, we will proceed with the proposal to disqualify you from future CACFP participation. If disqualified, you will be placed on the National Disqualified List. While on the list, you will not be able to participate in the CACFP as a day care home provider. In addition, you will not be able to serve as a principal in any CACFP institution or facility. You will remain on the list until such time as the Texas Department of Agriculture Food and Nutrition Division determines that the serious deficiencies have been corrected or until 7 years after your disqualification. However, if any debt relating to the serious deficiencies has not been repaid, you will remain on the list until the debt has been repaid. [Insert if applicable: “We suspect that you submitted false claims and that you owe a debt of (dollar amount).] SERIOUS DEFICIENCIES The following paragraphs detail each serious deficiency. [Insert discussion of serious deficiencies and required corrective action. Do not include a corrective action for imminent threat to the health or safety of CACFP participants or the public. If you suspect that the provider submitted and was paid for false claims include the dollar amount that the provider must repay in order to achieve corrective action.] APPEAL OF SUSPENSION, PROPOSED TERMINATION AND PROPOSED SUSPENSIONS You may appeal the suspension, the proposed termination of your agreement for cause and your proposed disqualification. A copy of the appeal procedures is enclosed. If you decide to appeal the suspension or the proposed actions, make sure you follow the appeal procedures exactly because the failure to do so could result in the denial of your request for an appeal. SUMMARY We are suspending your home’s CACFP participation (including all payments). In addition, we are proposing to terminate your home’s agreement for cause and proposing to disqualify you. The suspension will remain in effect during the period of any appeal. However, if you request an appeal and the hearing official overturns the suspension, we will pay any valid claims for reimbursement submitted by you for the period of the suspension. As always, we will deny any portion of a claim we determine is invalid. If we deny payment of any portion of a claim, that action would be appealable. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 93 If you appeal the proposed termination and the proposed disqualification, the proposed actions will not take effect until the hearing official issues a decision on the appeals. If you do not make a timely request for an appeal, your agreement will be terminated for cause on [date]. If you do not appeal your proposed disqualification, you will be disqualified from future CACFP participation effective [date] and placed on the National Disqualified List. Sincerely, Sponsor Employee Name & Title Enclosure Appeal Procedures cc: TDA Community Operations office Resources – 94 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11652 Notice of Termination and Disqualification – Sponsor Wins Appeal Prototype Letter: Notice of Termination and Disqualification (after sponsor wins appeal); Imminent Threat to Health or Safety [NOTE: You must send this letter by certified mail/return receipt and regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns our [date of Notice of Suspension] letter, which suspended your participation in the Child and Adult Care Food Program (CACFP). In that letter, we also proposed to terminate your CACFP agreement for cause and proposed to disqualify you from further CACFP participation. These actions were based on the determination in our [date of Notice of Suspension] letter (Serious Deficiency Notice) that you are seriously deficient in your operation of the CACFP. You filed a timely appeal of the suspension, proposed termination and proposed disqualification. On [date of hearing official’s decision], the hearing official issued a decision on all of the appeals. In that decision, the hearing official upheld the suspension and both of our proposed actions. TERMINATION AND DISQUALIFICATION As a result of this decision, we are: Terminating your home’s agreement to participate in the CACFP for cause effective [date], and Disqualifying you from future CACFP participation effective [date]. [The effective date for the termination and disqualification must be the date of the hearing official’s decision.] Upon disqualification, you will be placed on the National Disqualified List. While on the list, you will not be able to participate in the CACFP as a day care home provider. In addition, you will not be able to serve as a principal in any CACFP institution or facility. You will remain on the list until such time as the Texas Department of Agriculture Food and Nutrition Division determines that the serious deficiencies have been corrected or until 7 years after your disqualification. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 95 However, if any debt relating to the serious deficiencies has not been repaid, you will remain on the list until the debt has been repaid. [Insert if applicable: “We suspect that you submitted false claims and that you owe a debt of (dollar amount).] SUMMARY We are terminating your CACFP agreement for cause and disqualifying you. You may not appeal the termination of your agreement for cause or your disqualification. Sincerely, Sponsor Employee Name & Title cc: TDA Community Operations office Resources – 96 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11653 Notice of Termination and Disqualification – Provider Fails to Appeal Prototype Letter: Notice of Termination and Disqualification (following failure to appeal); Imminent Threat to Health or Safety [NOTE: You must send this letter by certified mail/return receipt and regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns our [date of Notice of Suspension] letter, which suspended your participation in the Child and Adult Care Food Program (CACFP). In that letter, we also proposed to terminate your CACFP agreement for cause and proposed to disqualify you from further CACFP participation. These actions were based on the determination in our [date of Notice of Suspension] letter (Serious Deficiency Notice) that you are seriously deficient in your operation of the CACFP. You received our [date of Notice of Suspension] letter on [date received]. You had until [insert deadline for requesting appeal] to submit any request for an appeal of the proposed actions. No request for an appeal was submitted by that deadline. TERMINATION AND DISQUALIFICATION Because the time to request an appeal has now expired, we are: Terminating your home’s agreement to participate in the CACFP for cause effective [date], and Disqualifying you from future CACFP participation effective [date]. [The effective date for the agreement termination and disqualification is the date stated in the Notice of Serious Deficiency, Suspension, Proposed Termination and Proposed Disqualification; Imminent Threat to Health or Safety.] Upon disqualification, you will be placed on the National Disqualified List. While on the list, you will not be able to participate in the CACFP as a day care home provider. In addition, you will not be able to serve as a principal in any CACFP institution or facility. You will remain on the list until such time as the Texas Department of Agriculture Food and Nutrition Division determines that the serious deficiencies have been corrected or until 7 years after your disqualification. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 97 However, if any debt relating to the serious deficiencies has not been repaid, you will remain on the list until the debt has been repaid. [Insert if applicable: “We suspect that you submitted false claims and that you owe a debt of (dollar amount).] SUMMARY We are terminating your CACFP agreement for cause and disqualifying you. You may not appeal the termination of your agreement for cause or your disqualification. Sincerely, Sponsor Employee Name & Title cc: TDA Community Operations office Resources – 98 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11654 Notice of Rescission – Provider Wins Appeal Prototype Letter: Notice of Rescission (Rescinding Serious Deficiency, Suspension, Proposed Termination and Proposed Disqualification (after provider wins appeal); Imminent Threat to Health or Safety [NOTE: You must send this letter by certified mail/return receipt and regular mail.] date Provider Name Provider Street Address Provider City, State 00000 Dear [Provider]: This letter concerns our [date of Notice of Suspension] letter, which suspended your home’s participation in the Child and Adult Care Food Program (CACFP). In that letter, we also proposed to terminate your home’s CACFP agreement for cause and proposed to disqualify you from further CACFP participation. These actions were based on the determination in our [date of Notice of Suspension] letter (Serious Deficiency Notice) that you are seriously deficient in your operation of the CACFP. You filed a timely appeal of the suspension, proposed termination and proposed disqualification. On [date of hearing official’s decision], the hearing official issued a decision on all of the appeals. In that decision, the hearing official overturned the suspension and both of our proposed actions. SERIOUS DEFICIENCY DETERMINATION, SUSPENSION, PROPOSED TERMINATION AND PROPOSED DISQUALIFICATION RESCINDED As a result, we have rescinded our serious deficiency determination as of [date of hearing official’s decision] (the date of the hearing official’s decision). We are also rescinding the home’s suspension, the proposed termination of your home’s agreement for cause and your proposed disqualification as of the same date. We will pay any valid claims for reimbursement submitted by you for the period of the suspension. You must submit these claims by [insert a date that will give the provider an appropriate length of time to submit these claims]. Sincerely, Sponsor Employee Name & Title cc: TDA Community Operations office Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 99 11700 Sample CACFP Infant Feeding Preference – Providers See next page for the sample CACFP Infant Feeding Preference – Providers form. Resources – 100 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook CACFP INFANT FEEDING PREFERENCE – PROVIDERS Infant’s Name Infant’s Date of Birth___ will feed your infant breastmilk provided by you and/or we (Name of provider) will provide iron fortified infant formula. The infant formula provided by this provider is: ____________ This provider participates in the Child and Adult Care Food Program (CACFP) and receives USDA reimbursement for serving nutritious meals to infants according to program requirements. Participation in this program requires providers to follow specific meal patterns according to the age of the infant. Providers participating in the CACFP are required to offer infant formula to infants who are enrolled for child care. Parents (or guardians) may decline the infant formula offered by the provider, and supply the infant’s formula. Parents (or guardians) complete the following table(s) as appropriate: Please mark your preference (choose all that apply) Today’s Date Today’s Date Today’s Date Birth – 3 months 4 – 7 months 8 – 11 months I will bring expressed breastmilk for my infant. I want the provider to provide the infant formula for my infant. I will bring the infant formula for my infant. Please list the kind of infant formula you will bring: According to CACFP requirements, in order to claim meals for reimbursement, the provider must provide infant cereal and other foods when your infant is developmentally ready to accept them. Today’s Date Today’s Date 4 – 7 months 8 – 11 months Please mark your preference I want the provider to provide the infant cereal and other foods for my infant. I will bring the infant cereal and/or other foods for my infant. Parent’s (or guardian’s) Signature______________________________Date of Signature Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 101 1. This form should be kept on file for each infant enrolled for child care. 2. This form should be kept current and accurate for each infant enrolled for child care until the infant reaches one year of age. 3. If the parent (or guardian) declines the formula and the provider provides meal and/or snack components, the meal may be claimed for reimbursement. 4. If the parent (or guardian) declines infant meals/snack, meals and snacks may NOT be claimed for reimbursement. Resources – 102 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11800 Additional Information 11810 Imported Plastic ware Safety The Food and Drug Administration (FDA) states that any supplier with an office or address in the United States must abide by FDA regulations. While many manufacturers use labor and products from all over the world, they still have to follow FDA rules regarding the chemical composition of the final product. The FDA also states that imported plastic ware that does not contain bright colors or is overly soft or flexible provides little risk of migration of chemicals into food. They further noted that food should not be heated or micro waved in imported plastic ware unless the plastic ware is specifically made for microwave use. 11820 Child Nutrition Label Violations Main menu food items that are commercially processed, such as ravioli, pizza, egg rolls, and Smuckers® Uncrustables must have a Child Nutrition (CN) Label, product analysis, or manufacturers’ specification to be counted towards a creditable and reimbursable meal. The CN Label, product analysis, and manufacturers specification, which can be acquired from the manufacturer of the product, is required in order to identify the food’s contribution to the meal pattern requirements. For menu items in which a CN Label, product analysis, or manufacturers specification cannot be obtained, it is recommended that additional food items are served that meet the meal pattern requirement to reduce the risk that the meal will be disallowed. Below is a list of CN Labels that have not been approved by the USDA Food and Nutrition Service (FNS); this list will be updated as current information is received: Townsend, Inc., establishment No. P4693: CN Number Product Name and Code 070310 Chic-N-Fries-CN, 7651 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 103 RCG Foods of Texas, Inc., establishment No. 1353: CN Number Product Name and Code 068783 067457 067456 065419 064668 062942 045034 035119 035118 East Side Entrees Cheese Quesadilla, 25101 Beef Enchilada, 3501 Beef and Bean Burrito, 3500 Cheese Quesadilla, 25101B119 East Side Entrees Cheese Quesadilla, 25101 Beef and Bean Burrito, 3500 Pork Egg Roll 3 oz Pork Egg Roll, 69340 Pork Egg Roll, 69300 Bernardi Italian Foods, establishment No. 8545: CN Number Product Name and Code 062444 3.5 oz Cheese Roll-up Profera Inc., establishment No. 4007: CN Number Product Name and Code 006074 Pepperoni Cheese Pizza with Whole Grain Advance Food Company, Garland, Texas, establishment No. 1932 CN Number Product Name and Code 064321 Breaded Chicken Fried Beef Pattie, CN04080-461 FMB 45178 Resources – 104 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11830 Iron Fortified Infant Formulas that do not Require a Medical Statement Attached is a revised listing of iron-fortified infant formulas that do not require a medical statement. This listing can also be found at the following website: http://www.fns.usda.gov/cnd/Care/Regs-policy/infantmeals/FormulaList.htm. Although a medical statement is not required for the attached iron-fortified infant formulas, the sponsor/provider should only provide an infant with the formula recommended to the infant’s parent/guardian by the infant’s health care provider. If you offer a different type of formula, the infant’s parent may choose to decline the offered formula and supply another type. Iron-fortified Infant Formulas That Do Not Require Medical Statements (as of 06/05/2009) Milk-based Infant Formulas: Mead Johnson Enfamil Gentlease LIPIL Enfamil AR LIPIL Enfamil LIPIL Nestle Good Start DHA & ARA Good Start DHA & ARA Natural Cultures Good Start Ross Similac Advance Early Shield Similac Advance Similac Lactose Free Advance Similac Sensitive (formerly Similac Lactose-free) PBM (formerly known as Wyeth) AAFES/NEXCOM Baby’s Choice Infant Formula AAFES/NEXCOM Baby’s Choice Infant Formula with DHA & ARA AAFES/NEXCOM Gentle Milk-Based Infant Formula Albertson’s Baby Basics Infant Formula with DHA & ARA Berkley & Jenson Infant Formula with DHA & ARA Bright Beginnings with Iron and DHA & ARA CVS Infant Formula with Iron Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 105 PBM (formerly known as Wyeth) - continued CVS Infant Formula with Iron/DHA & ARA Full Circle Organic Milk-Based Infant Formula HEB Baby Infant Formula with Iron and DHA & ARA HyVee Gentle Milk-Based Infant Formula Kozy Kids Gentle Infant Formula with DHA & ARA Kozy Kids Infant Formula with DHA & ARA Kroger Comforts Gentle Infant Formula with DHA & ARA Kroger Comforts Infant Formula with Iron and DHA & ARA Kroger Comforts Lactose-free Infant Formula with DHA & ARA Kroger Comforts Milk-Based Infant Formula Kroger Comforts Probiotic Milk-Based Infant Formula Kroger Lactose-Free Infant Formula with DHA & ARA Kroger Private Selection Organic Milk-Based Infant Formula Meijer Gentle Milk-Based Infant Formula Meijer Infant Formula with Iron and DHA & ARA Meijer Organic Milk-Based Infant Formula Member’s Mark Infant Formula with Iron and DHA & ARA Parent’s Choice Infant Formula with DHA & ARA Pathmark Organic Milk-Based Formula Price Chopper Infant Formula with Iron and DHA & ARA Rite Aid Infant Formula with DHA & ARA Target Infant Formula with Iron and DHA & ARA Target Lactose-free Infant Formula Top Care with Iron Top Care Infant Formula with DHA & ARA Top Care Gentle Infant Formula Walgreens Gentle Infant Formula with DHA & ARA Walgreens Infant Formula with Iron and DHA & ARA Walgreens Lactose-free Infant Formula with DHA & ARA Walgreens Milk-based Infant Formula with Iron and DHA & ARA Wal-Mart Parent’s Choice Gentle Milk-based Infant Formula Wal-Mart Parent’s Choice Milk-based Organic Infant Formula Wal-Mart Parent’s Choice Milk-based Sensitivity Infant Formula Wegman’s Gentle Infant Formula Wegman’s Infant Formula with Iron and DHA & ARA Western Family Infant Formula with DHA & ARA Western Family Gentle Milk-based Infant Formula Resources – 106 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Soy-based Infant Formulas: Mead Johnson Enfamil ProSobee LIPIL (Formerly Enfamil ProSobee) Enfamil Lactofree LIPIL Nestle Good Start Soy DHA & ARA Ross Similac Go and Grow Soy-based Milk Similac Isomil Advance PBM AAFES/NEXCOM Baby’s Choice Soy Infant Formula AAFES/NEXCOM Baby’s Choice Soy Infant Formula with DHA & ARA Albertson’s Baby Basics Soy Infant Formula with DHA & ARA HyVee Mother’s Choice Soy Infant Formula HyVee Mother’s Choice Soy Infant Formula with DHA & ARA Kozy Kids Soy-based Infant Formula with DHA & ARA Kroger Comforts Soy Infant Formula with Iron and DHA & ARA Parent’s Choice Infant Formula with Soy and DHA & ARA PathMark Soy Infant Formula with DHA & ARA Price Chopper Soy Infant Formula with Iron and DHA & ARA Rite Aid Soy Infant Formula with DHA & ARA Target Soy with Iron Target Soy Infant Formula with Iron and DHA & ARA Top Care Soy Infant Formula with DHA & ARA Walgreens Soy Protein Formula with Iron and DHA & ARA Wegman’s Soy Infant Formula with Iron and DHA & ARA Western Family Soy Infant Formula with DHA & ARA Follow-up Iron-fortified Formulas That Do Not Require Medical Statements When They are Served to Infants at the Ages Indicated When Served to Infants 4 Months and Older: These types of formulas do not require medical statements when they are served to infants 4 months of age or older. (A medical statement is required if any of them is served to infants younger than 4 months of age.): Mead Johnson Enfamil Next Step LIPIL Mead Johnson Enfamil Next Step Prosobee LIPIL Nestle Good Start 2 DHA and ARA Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 107 11840 Nestle Good Start 2 Natural Culture Nestle Good Start 2 Soy DHA and ARA Food Buying Guide Information for Seventh Day Adventists The charts on the following pages provide product and quantity information for meat analogues. Resources – 108 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Food Buying Guide Information for Seventh-Day Adventist Schools and Institutions 1. Food as purchased 2. Purchase Unit 3. Servings per purchase unit 3.25 oz package 10 oz carton 20 pound carton 13 oz can 20 oz can 50 oz can 20 oz can 19 oz can 20 oz can 50 oz can 13 oz can 42 oz can 20 oz can 16 4. Serving or portion and contribution to the meal requirement 5. Purchase units for 100 servings 6. Additional information Meat Analogues Worthington Foods Natural Touch Taco Mix Granburger, dry Granburger, dry Diced Chik Chili Chili Choplets Country Stew Multigrain Cutlets Vegetarian Cutlets Fri Chik Fri Chik Natural Touch Vegetarian Chili Non Meat Balls Numete Prime Stakes Prime Stakes Protose Saucettes Savory Slices Super Links Turkee Slices Vegetarian Burger Vegetarian Burger VegetarMian Burger, no salt Vegetable Skallops Vegetable Skallops Vegetable Skallops, no salt Vegetable Steaks Vejalinks Canned Items 1 Tbsp. reconstituted 6.3 25 825 2 Tbsp. dry (11 g or .39 oz) 2 Tbsp. dry (11 g or .39 oz) 4.0 .12 3 8 20 8 3 8 30 5 16 6 1/3 cup (about 2.5 oz) 1/3 cup (about 2.5 oz) 1/3 cup (about 2.5 oz) 1 slice (about 1.5 oz) 1/3 can (about 6 oz) 1 slice (about 1.5 oz) ½ slice (about 1 oz) 1 piece (about 45 g) 1 piece (about 45 g) 1/3 cup (about 2.5 oz) 33.3 12.5 5 12.5 33.3 12.5 3.3 20 6.3 16.7 19 oz can 19 oz can 13 oz can 47 oz can 20 oz can 19 oz can 13 oz can 19 oz can 13 oz can 20 oz can 50 oz can 20 oz can 6 12 8 24 20 10 5.3 8 5.3 20 50 13.3 2 meatballs (about 1.2 oz) 1.5 oz ½ slice (about 1.5 oz) ½ slice (about 1.5 oz) 1 oz 1 link (about 1 oz) 1 ½ slice (about 1.5 oz) 1 link (about 1.5 oz) 1 ½ slices (about 1.5 oz) 1 oz 1 oz 1.5 oz 16.7 8.3 12.5 4.2 5 10 18.9 12.5 18.9 5 2 7.5 20 oz can 50 oz can 20 oz can 12.2 30 12.2 1 oz 1 oz 1 oz 8.2 3.3 8.2 20 oz can 19 oz can 10 6.7 1 piece (about 36 g) 1.5 links (about 1.5 oz) 10 15 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 109 1. Food as purchased 2. Purchase Unit 3. Servings per purchase unit 4. Serving or portion and contribution to the meal requirement 5. Purchase units for 100 servings 72 oz roll 72 oz roll 57.6 72 1 pie 8 oz carton 72 oz roll 1 pie 5 pound bag 8 oz package 16 oz package 1 pound roll 56 oz roll 10 oz carton 15 pound carton 8 oz carton 16 oz carton 12 oz package 10 oz package 2 pound package 10 oz carton 15 oz carton 9 oz carton 9 oz carton 15 oz carton 1 6 57.6 1 64 5.3 10.7 1 pie (about 8 oz) 2 slices (about 1.4 oz) 1.25 oz 1 pie (about 8 oz) 1.25 oz 1.5 slices (about 1.5 oz) 1.5 slices (about 1.5 oz) 100 16.7 1.7 100 1.6 18.9 9.4 16 56 10 240 1 oz 1 oz 1 oz 1 oz 6.3 1.8 10 .4 5.3 10.7 8 3 slices (about 1.5 oz) 3 slices (about 1.5 oz) 1.5 oz 18.9 9.4 12.5 4 1 patty (about 2.4 oz) 25 21.3 1.5 oz 4.7 4 5 6 8 12 25 20 16.7 12.5 8.3 16 oz carton 6 1 Dixie Dog 1 egg roll 1 fillet (about 1.5 oz) ½ patty (about 1 oz) 1/3 croquette (about 1.25 oz) 1/6 Loaf (about 1.3 oz) 12 ¾ carton 14 pound carton 9 oz carton 9 150 1 link (about 1.3 oz) 1 link (1.3 oz) 11.1 .7 6 ½ patty (about 1.5 oz) 16.7 6. Additional information Meat Analogues Worthington Foods Meatless Beef Style Roll Meatless Smoked Beef Roll Beef Pie, Vegetarian Bolono Slices Bolono Roll Chicken Pie, Vegetarian Chicken, Meatless Diced Meatless Chicken Slices Meatless Chicken Slices Chic-Ketts Chic-Ketts Chik Sticks Chik Sticks Meatless Corn Beef Meatless Corn Beef Crispy Chik Crispy Chik Patties Dinner Roast Dixie Dogs Vegetarian Egg Rolls Filets, Vegetarian Fripats Golden Croquettes Harvest Bake Lentil Rice Loaf Leanies Leanies, bulk pack Natural Touch Dinner Entrée Resources – 110 Frozen Items 1.25 1 oz 1.7 1.4 16.7 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 1. Food as purchased 2. Purchase Unit 3. 4. Servings Serving or portion and per contribution to the meal purchase requirement unit Frozen Items, continued 13 1 slice (about 3/8”) 6.7 1.5 link (about 1.2 oz) 260 1.5 link (about 1.2 oz) 5. Purchase units for 100 servings Prosage Prosage Link Prosage Link, bulk pack 1 pound roll 8 oz carton 19.5 pound carton 9 oz carton 8 oz carton 12.5 pound carton 4.5 pound roll 10 oz carton 17.25 pound carton 10 oz carton 12 oz roll 8 oz carton 8 6 150 ½ patty (about 1 oz) 1 patty (about 1.2 oz) 1 patty (about 1.2 oz) 12.5 16.7 .7 72 1 oz 1.4 8 216 ½ patty (about 1.2 oz) ½ piece (about 1.2 oz) 12.5 .5 8 6 6 ½ patty (about 1.2 oz) 2 oz 2 slices (about 1.3 oz) 12.5 16.7 16.7 10 oz carton 8 oz carton 16 oz carton 8 6.7 12 ½ patty (about 1.25 oz) 1.5 slices 1.5 slices 12.5 15 8.3 Homestyle County Crisps Breakfast Links Breakfast Patties Country Crisp Patties Grillers Scramblers Milnot Corporation Chiliman Vegetarian Chili with Beans La Loma Foods Big Franks 12 oz carton 6 8 oz carton 8 oz carton 10 oz carton 9 oz carton 12 oz carton 6.7 6 4 8 6 1.5 link (about 1.2 oz) 1 patty (about 1.35 oz) 1 patty (about 2.5 oz) ½ patty (about 1.1 oz) ¼ cup 15 16.7 25 12.5 16.7 15 oz can 5 3 ¾ oz 25 19 oz can 16 ½ frank (about .9 oz) 6.3 Dinner Cuts 36 oz can 24 ½ patty (about 1.3 oz) 4.2 Okara Patties Prosage Patties Prosage Patties Salami, Meatless Stakelets Stakelets Tofu Garden Patties Tuno Meatless Smoked Turkey Slices Veelets Wham, slices Wham, slices Morningstar Farms Frozen Items 2 oz Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 6. Additional information 7.7 15 .4 16.7 Drained weight = 14.9 oz Drained weight = 29.2 oz Resources – 111 1. Food as purchased 2. Purchase Unit La Loma Foods, continued Griddle Steaks, frozen 16 oz package Linketts 64 oz can 3. Servings per purchase unit 4. Serving or portion and contribution to the meal requirement 5. Purchase units for 100 servings 16 ½ patty (about 1 oz) 6.3 24 1 link (about 1.3 oz) 2.5 Little Links 14 oz can 7 2 links (about 1.6 oz) 14.3 Meatless Fried Chicken 35 oz can 14 1 piece (about 1.5 oz) 7.1 Meatless Roast Beef, frozen Nuteena Ocean Fillets, frozen 4 pound roll 64 1 oz 1.6 18.7 16 1.5 oz ½ fillet (about 1 oz) 5.4 6.3 20 19 24 1 oz 1 oz ½ burger (about 1.25 oz) 5.0 5.3 4.2 Stew-pac 28 oz can 16 oz package 20 oz can 19 oz can 30 oz package 37 oz can 24 1 oz 4.2 Swiss Steak 28 oz can 1 ½ steak (about 1.25 oz) 6.3 Tender Rounds 19 oz can 12 1 meatball (about .9 oz) 8.3 Vegeburger Vegelona Vita Burger, dehydrated 37 oz can 19 oz can 16 oz package 37 19 40 1 oz 1 oz .4 oz 2.7 5.3 2.5 2 pound package 12 oz package 14 pound bulk 26 1 link (about 1.2 oz) 3.9 10 1 link (about 1.2 oz) 10 187 1 link (about 1.2 oz) .5 Proteena Rediburger Sizzle-burger, frozen MGM Brands Meatless Franks Meatless Franks Meatless Franks Resources – 112 6. Additional information Drained weight = 52.3 oz Drained weight = 10.8 oz Drained weight = 18.7 oz Drained weight = 23.9 oz Drained weight = 19.4 oz Drained weight = 11.6 oz Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 1. Food as purchased MGM Brands, continued Meatless Sausage Meatless Sausage Meatless Sausage Meatless Sausage Roll Samburger Samburger Chik’n Burger Chik’n Burger Meatless Corned Beef Meatless Corned Beef, slices Meatless Salami Roll Meatless Salami Slices Meatless Boloni Roll Meatless Boloni Slices Quick Chik Quick Chik Sandwich Chik’n Roll Sandwich Chik’n Slices MGM Burger MGM Burger Vegetarian Scallops Vegetarian Scallops Crispy Nuggets Crispy Nuggets 2. Purchase Unit 3. Servings per purchase unit 4. Serving or portion and contribution to the meal requirement 5. Purchase units for 100 servings 2 pound package 8 oz package 20 pound bulk 1 pound roll 9 oz package 15 pound bulk 9 oz package 15 pound bulk 4 pound roll 8 oz package 40 1 link (about .8 oz) 2.5 10 400 1 link (about .8 oz) 1 link (about .8 oz) 10 .3 20 8 214 1/20 roll (about .8 oz) ½ patty (about 1.1 oz) ½ patty (about 1.1 oz) 5 12.5 .5 8 214 ½ patty (about 1.1 oz) ½ patty (about 1.1 oz) 12.5 .5 64 10 1 oz 1 slice (about .8 oz) 1.6 10 4 pound roll 8 oz package 4 pound roll 8 oz package 1 pound roll 4 pound roll 4 pound roll 8 oz package 4 pound roll 20 oz roll 25 pound bulk 20 oz package 12 oz 15 pound bulk 64 10 51 6.7 16 64 64 10 64 20 400 1 oz 1 slice (about .8 oz) 1.25 oz 1.5 slices (about 1.2 oz) 1 oz 1 oz 1 oz 1 slice (about .8 oz) 1 oz 1 oz 1 oz 1.6 10 2 15 6.3 1.6 1.6 10 1.6 5 .3 20 1 oz 5 12 240 1 oz 1 oz 8.3 .4 6. Additional information Provided by: Andrews University, Berrien Springs, Michigan, under the direction of the General Conference of Seventh-day Adventists. Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 113 11850 Texas Department of Family and Protective Services – Sample print screen Resources – 114 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Resources – 115
