Iowa Administrative Code › Agency 441 - Human Services Department › Title XII - Licensing and Approved Standards › Chapter 109 - Child Care Centers › Rule 441-109.15 - Food Services

Current through Register Vol. 47, No. 3, July 24, 2024
Centers participating in the USDA Child and Adult Care Food
				  Program (CACFP) may have requirements that differ from those outlined in this
				  rule in obtaining CACFP reimbursement and shall consult with a state CACFP
				  consultant.
(1)
Nutritionally
				balanced meals or snacks.
The center shall serve each child a full,
				nutritionally balanced meal or snack as defined by the USDA Child and Adult
				Care Food Program (CACFP) guidelines and shall ensure that staff provide
				supervision at the table during snacks and meals. Children remaining at the
				center two hours or longer shall be offered food at intervals of not less than
				two hours or more than three hours apart unless the child is asleep.
(2)
Menu planning.
The
				center shall follow the minimum CACFP menu patterns for meals and snacks and
				serving sizes for children aged infant to 13 years. Menus shall be planned at
				least one week in advance, made available to parents, and kept on file at the
				center Substitutions in the menu, including substitutions made for infants,
				shall be noted and kept on file. Foods with a high incident rate of causing
				choking in young children shall be avoided or modified. Provisions of this
				subrule notwithstanding, exceptions shall be allowed for special diets because
				of medical reasons in accordance with the child's needs and written
				instructions of a licensed physician or health care provider
(3)
Feeding of children under two
				years of age.
a. All children under
				12 months of age shall be fed on demand, unless the parent provides other
				written instructions. Meals and snacks provided by the center shall follow the
				CACFP infant menu patterns. Foods shall be appropriate for the infant's
				nutritional requirements and eating abilities. Menu patterns may be modified
				according to written instructions from the parent, physician or health care
				provider Special formulas prescribed by a physician or health care provider
				shall be given to a child who has a feeding problem.
b. All children under six months of age shall
				be held or placed in a sitting-up position sufficient to prevent aspiration
				during feeding. No bottles shall be propped for children of any age. A child
				shall not be placed in a crib with a bottle or left sleeping with a bottle.
				Spoon feeding shall be adapted to the developmental capabilities of the
				child.
c. Single-service,
				ready-to-feed formulas, concentrated or powdered formula following the
				manufacturer's instructions or breast milk shall be used for children 12 months
				of age and younger unless otherwise ordered by a parent or physician.
d. Whole milk for children under age two who
				are not on formula or breast milk unless otherwise directed by a
				physician.
e. Cleaned and sanitized
				bottles and nipples shall be used for bottles prepared on site. Prepared
				bottles shall be kept under refrigeration when not in use.