"Adult Centers Menu Form for Lunch and Snack (Am or Pm)" - Connecticut

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Child and Adult Care Food Program (CACFP) 
Adult Centers Menu Form for Lunch and Snack (AM or PM)
Site:
Week of:
This form includes the new CACFP meal pattern requirements of the USDA
final
rule, effective October 1, 2017, through September 30, 2019. See page 2 for important menu planning notes.
Lunch
1
Monday
Tuesday
Wednesday
Thursday
Friday
Milk (1 cup) Unflavored low-fat (1%) or unflavored or
flavored fat-free
2
Meat/Meat Alternates
3
Meat, poultry, or fish (2 ounces) or tofu, soy product, or
alternate protein products (APP)
(2 ounces) or
4
cheese (2 ounces) or cottage cheese (½ cup) or egg
(1 large) or cooked dry beans and peas (½ cup) or
peanut butter (4 tablespoons) or nuts and seeds
(1ounce = 50%)
5
or yogurt or soy yogurt
6
(1 cup)
Grains
Indicate “WGR” next to WGR menu items
7
Whole grain-rich (WGR) or enriched bread (2 slices) or
WGR or enriched bread product, e.g., biscuit, roll, or
muffin (2 servings) or WGR, enriched, or fortified
cooked breakfast cereal
8
, cereal grain
9
, or pasta
(1 cup) or WGR, enriched, or fortified ready-to-eat
(RTE) breakfast cereal (1 ½ cups)
8, 10
Vegetables (½ cup)
11, 12
Fruits (½ cup)
11, 13, 14
Other foods (Do not credit)
15
Snack (AM or PM)
Select 2 of 5
Monday
Tuesday
Wednesday
Thursday
Friday
1, 16
1. Milk (1 cup) Unflavored low-fat (1%) or unflavored
or flavored fat-free
2
2. Meat/Meat Alternates
3
Meat, poultry, or fish (1 ounce) or tofu, soy product,
or APP
4
(1 ounce) or cheese (½ ounce) or cottage
cheese (¼ cup) or egg (½ large) or cooked dry
beans and peas (¼ cup) or peanut butter (2
tablespoons) or nuts and seeds (1 ounce)
5
or
yogurt or soy yogurt
6
(½ cup)
3. Vegetables (½ cup)
11, 12
4. Fruits (½ cup)
11, 13
5. Grains
Indicate “WGR” next to WGR menu items
7
WGR or enriched bread (1 slice) or WGR or
enriched bread product, e.g., biscuit, roll, or muffin
(1 serving) or WGR, enriched, or fortified cooked
breakfast cereal
8
, cereal grain
9
, or pasta (½ cup)
or WGR, enriched, or fortified RTE breakfast cereal
(¾ cup)
8, 10
Other foods (Do not credit)
15
Connecticut State Department of Education  Revised February 2018  Page 1 of 2
Child and Adult Care Food Program (CACFP) 
Adult Centers Menu Form for Lunch and Snack (AM or PM)
Site:
Week of:
This form includes the new CACFP meal pattern requirements of the USDA
final
rule, effective October 1, 2017, through September 30, 2019. See page 2 for important menu planning notes.
Lunch
1
Monday
Tuesday
Wednesday
Thursday
Friday
Milk (1 cup) Unflavored low-fat (1%) or unflavored or
flavored fat-free
2
Meat/Meat Alternates
3
Meat, poultry, or fish (2 ounces) or tofu, soy product, or
alternate protein products (APP)
(2 ounces) or
4
cheese (2 ounces) or cottage cheese (½ cup) or egg
(1 large) or cooked dry beans and peas (½ cup) or
peanut butter (4 tablespoons) or nuts and seeds
(1ounce = 50%)
5
or yogurt or soy yogurt
6
(1 cup)
Grains
Indicate “WGR” next to WGR menu items
7
Whole grain-rich (WGR) or enriched bread (2 slices) or
WGR or enriched bread product, e.g., biscuit, roll, or
muffin (2 servings) or WGR, enriched, or fortified
cooked breakfast cereal
8
, cereal grain
9
, or pasta
(1 cup) or WGR, enriched, or fortified ready-to-eat
(RTE) breakfast cereal (1 ½ cups)
8, 10
Vegetables (½ cup)
11, 12
Fruits (½ cup)
11, 13, 14
Other foods (Do not credit)
15
Snack (AM or PM)
Select 2 of 5
Monday
Tuesday
Wednesday
Thursday
Friday
1, 16
1. Milk (1 cup) Unflavored low-fat (1%) or unflavored
or flavored fat-free
2
2. Meat/Meat Alternates
3
Meat, poultry, or fish (1 ounce) or tofu, soy product,
or APP
4
(1 ounce) or cheese (½ ounce) or cottage
cheese (¼ cup) or egg (½ large) or cooked dry
beans and peas (¼ cup) or peanut butter (2
tablespoons) or nuts and seeds (1 ounce)
5
or
yogurt or soy yogurt
6
(½ cup)
3. Vegetables (½ cup)
11, 12
4. Fruits (½ cup)
11, 13
5. Grains
Indicate “WGR” next to WGR menu items
7
WGR or enriched bread (1 slice) or WGR or
enriched bread product, e.g., biscuit, roll, or muffin
(1 serving) or WGR, enriched, or fortified cooked
breakfast cereal
8
, cereal grain
9
, or pasta (½ cup)
or WGR, enriched, or fortified RTE breakfast cereal
(¾ cup)
8, 10
Other foods (Do not credit)
15
Connecticut State Department of Education  Revised February 2018  Page 1 of 2
Menu Planning Notes for
CACFP Adult Centers Menu Form for Lunch and Snack (AM or PM)
bars, granola bars, sweet rolls, pastries, toaster pastries, cake, and brownies. The CSDE recommends
The food quantities are the minimum requirements. For information on the CACFP adult meal pattern
1
that sweet crackers are not served more than twice per week between all meals and snacks.
requirements, see
CACFP Meal Patterns for Adults
and the Connecticut State Department of Education’s
(CSDE)
Meal Patterns for CACFP Adult Day Care Centers
webpage.
8
Breakfast cereals cannot contain more than 6 grams of sugar per dry ounce (no more than 21.2 grams
of sucrose and other sugars per 100 grams of dry cereal). For more information, see the CSDE’s
Must be unflavored low-fat (1%) milk, unflavored fat-free (skim) milk, or flavored fat-free milk. The
2
handout,
Crediting Breakfast Cereals in the
CACFP.
USDA’s
CACFP Best Practices
recommends serving only unflavored milk. Yogurt can be served in place
of milk once per day when it is not served as a meat alternate in the same meal. Six ounces (weight) or
Examples of cereal grains include amaranth, barley, buckwheat, cornmeal, corn grits, farina, kasha,
9
¾ cup (volume) of yogurt equals 8 fluid ounces of milk.
millet, oats, quinoa, rice, wheat berries, and rolled wheat.
A serving is the edible portion of cooked lean meat, poultry, or fish, e.g., cooked lean meat without
Beginning October 1, 2019, the minimum serving size for cold breakfast cereals is based on ounce
3
10
bone, breading, binders, fillers, or other ingredients. The USDA’s
CACFP Best Practices
recommends
equivalents. One serving is 1 cup of flakes or rounds, 1 ¼ cups of puffed, and ¼ cup of granola. Two
serving only lean meats, nuts, and legumes; limiting processed meats to one serving per week; and
servings are 2 cups of flakes or rounds, 2 ½ cups of puffed, and ½ cup of granola.
serving only low-fat or reduced-fat natural cheese.
.
11
Pasteurized full-strength juice can meet the vegetables or fruits component at only one meal or snack
APP must meet the requirements in
appendix A
of the CACFP regulations (7 CFR 226). Tofu must
per day. Juice includes all fruit and vegetable juice, frozen pops made from 100 percent juice, pureed
4
contain at least 5 grams of protein in 2.2 ounces (weight) or ¼ cup (volume). For more information, see
fruits and vegetables in smoothies, and juice from canned fruit in 100 percent juice. For more
the CSDE’s handouts,
Requirements for Alternate Protein Products in the CACFP
and
Crediting Tofu in the
information, see the CSDE’s handouts,
Crediting Juice in the CACFP
and
Crediting Smoothies in the CACFP.
CACFP.
The USDA’s
CACFP Best Practices
recommends at least one serving per week of dark green vegetables,
12
5
Creditable nuts and seeds include almonds, Brazil nuts, cashews, filberts, macadamia nuts, peanuts,
red and orange vegetables, beans and peas (legumes), starchy vegetables, and other vegetables. For
pecans, walnuts, pine nuts, pistachios, and soy nuts. At lunch and supper, nuts and seeds cannot credit
more information, see the CSDE’s handout,
Vegetable Subgroups in the
CACFP. Raw leafy greens credit as
for more than half of the meat/meat alternates component. They must be combined with another
half the volume served, e.g., ½ cup of lettuce or spinach credits as ¼ cup of the vegetables component.
meat/meat alternate to meet the total requirement. For more information, see the CSDE’s handout,
The USDA’s
CACFP Best Practices
recommends serving whole fruits (fresh, canned, dried, or frozen)
13
Crediting Nuts and Seeds in the
CACFP.
more often than juice. Dried fruit credits as twice the volume served, e.g., ¼ cup of raisins credits as ½
6
Yogurt (regular and soy) cannot contain more than 23 grams of total sugars per 6 ounces. For more
cup of the fruits component.
information, see the CSDE’s handout,
Crediting Yogurt in the CACFP.
Vegetables can substitute for the entire fruits component at lunch or supper. If serving two vegetables,
14
7
Through September 30, 2019, all grains must meet the minimum weights in
Serving Sizes for Grains in the
they must be two different kinds.
CACFP. Beginning October 1, 2019, all grains must meet the minimum weights in
WGR Ounce
15
“Other” foods do not credit toward the CACFP meal pattern. Examples include condiments (e.g.,
Equivalents for the
CACFP. At least one serving per day must be WGR. The USDA’s
CACFP Best
ketchup, margarine, syrup, and jam), bacon, cream cheese, potato chips, pudding, ice cream, and gelatin.
Practices
recommends at least two servings of WGR grains per day. WGR foods contain at least 50
For more information, see the CSDE’s handout,
Noncreditable Foods in CACFP Adult Day Care
Centers.
percent whole grains and any remaining grains are enriched. For more information, see the CSDE’s
Snack must include two of the five components. Only one of the two components may be a creditable
16
handout,
Whole Grain-rich Criteria for the
CACFP. Except for sweet crackers such as graham crackers and
beverage. The USDA’s
CACFP Best Practices
recommends serving a vegetable or fruit for at least one
animal crackers, grain-based desserts cannot credit, e.g., cookies, sweet pie crusts, doughnuts, cereal
snack component.
For more information on the CACFP adult meal patterns, see the
Meal Patterns for CACFP Adult Day Care Centers
and
Crediting
Foods in CACFP Adult Day Care Centers
webpages or contact the
CACFP staff
in the Connecticut State Department of Education,
Bureau of Health/Nutrition, Family Services and Adult Education, 450 Columbus Boulevard, Suite 504, Hartford, CT 06103.
This form is available in PDF at
http://portal.ct.gov/-/media/SDE/Nutrition/CACFP/Forms/MenuForm/adultmflunchsnack.pdf
and in Word at http://portal.ct.gov/-/media/SDE/Nutrition/CACFP/Forms/MenuForm/adultmflunchsnackword.doc.
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and
The Connecticut State Department of Education is committed to a policy of equal
employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability,
opportunity/affirmative action for all qualified persons. The Connecticut State
age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Department of Education does not discriminate in any employment practice,
education program, or educational activity on the basis of race, color, religious
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.),
creed, sex, age, national origin, ancestry, marital status, sexual orientation,
should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA
gender identity or expression, disability (including, but not limited to,
through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
intellectual disability, past or present history of mental disorder, physical
disability or learning disability), genetic information, or any other basis
To file a program complaint of discrimination, complete the
USDA Program Discrimination Complaint
Form, (AD-3027) found online at:
prohibited by Connecticut state and/or federal nondiscrimination laws. The
http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information
Connecticut State Department of Education does not unlawfully
requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
discriminate in employment and licensing against qualified persons with a
(1)
mail: U.S. Department of Agriculture
prior criminal conviction. Inquiries regarding the Connecticut State Department
Office of the Assistant Secretary for Civil Rights
of Education’s nondiscrimination policies should be directed to: Levy Gillespie,
1400 Independence Avenue, SW
Equal Employment Opportunity Director/Americans with Disabilities Act
Washington, D.C. 20250-9410;
Coordinator, Connecticut State Department of Education, 450 Columbus
(2)
fax: (202) 690-7442; or
Boulevard, Suite 607, Hartford, CT 06103, 860-807-2071,
Levy.Gillespie@ct.gov.
(3)
email:
program.intake@usda.gov.
This institution is an equal opportunity provider.
Connecticut State Department of Education  Revised February 2018  Page 2 of 2
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