"Adult Centers Menu Form for Am Snack, Lunch, and Pm Snack" - Connecticut

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