11110 County Codes by Community Operations Office

Section 11000 Resources

Table of Contents

11100 Administration 11110 County Codes by Community Operations Office 11120 Food and Nutrition Community Operations Offices 11130 Time Distribution Report 11130.1 Instructions – Time Distribution Report 11140 Universal Numbering System 11150 Invitation for Bid and Contract for Purchased Meals

11200 Income Eligibility and Enrollment 11210 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 11220 Tier Determination and Claims 11221 Tier I Determination Based on Household Size and Income 11222 Claiming Percentages and Blended Rates 11230 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 11240 Shared Income Eligibility Documentation – Form and Instructions

Texas Department of Agriculture – April 2010 Resources – 1 Child and Adult Care Food Program – Day Care Homes Handbook 11300 Training 11310 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

11400 Financial Management 11410 Performance Bond 11411 Performance Bond for Day Home Applicants 11412 Performance Bond for Day Home Applicants – Instructions 11413 Performance Bond Letter 11420 Related Parties 11430 Business Mileage Record

11500 Program Administration 11510 Parental Notification 11511 Parental Notification Flyer 11520 Alternate Forms 11521 Alternate Forms Checklists 11522 Daily Infant Food Record 11530 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 11540 Frankfurter Fact Sheet (Revised) 11550 Meat Versus Protein Fact Sheet 11560 Sample Product Formulation Statements 11561 Prepared Grain/Bread 11562 Meat/Meat Alternate 11562.1 Review Checklist for Meat/Meat Alternates

Resources – 2 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 11600 Sample Provider Serious Deficiency Letters 11610 Notice of Serious Deficiency 11620 Notice of Proposed Termination and Proposed Disqualification 11630 Notice of Termination and Disqualification 11631 Provider Fails to Appeal 11632 Sponsor Wins Appeal 11640 Notice of Rescission 11641 Provider Wins Appeal 11642 Notice of Successful Corrective Action 11650 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 Imported Plastic ware Safety 11820 Child Nutrition Label Violations 11830 Iron Fortified Infant Formulas that do not Require a Medical Statement 11840 Food Buying Guide Information for Seventh Day Adventists 11850 Texas Department of Family and Protective Services – Sample print screen

Texas Department of Agriculture – April 2010 Resources – 3 Child and Adult Care Food Program – Day Care Homes Handbook 11000 Resources

11100 Administration

11110 County Codes by Community Operations Office

El Paso Andrews 002 Gaines 083 Motley 173 Armstrong 006 Garza 085 Nolan 177 Bailey 009 Glasscock 087 Ochiltree 179 Borden 017 Gray 090 Oldham 180 Brewster 022 Hale 095 Parmer 185 Briscoe 023 Hall 096 Pecos 186 Brown 025 Hansford 098 Potter 188 Callahan 030 Hartley 103 Presidio 189 Carson 033 Haskell 104 Randall 191 Castro 035 Hemphill 106 Reeves 195 Childress 038 Hockley 110 Roberts 197 Cochran 040 Howard 114 Runnels 200 Coleman 042 Hudspeth 115 Scurry 208 Collingsworth 044 Hutchinson 117 Shackelford 209 Comanche 047 Jeff Davis 122 Sherman 211 Crane 052 Jones 127 Stephens 215 Crosby 054 Kent 132 Stonewall 217 Culberson 055 King 135 Swisher 219 Dallam 056 Knox 138 Taylor 221 Dawson 058 Lamb 141 Terrell 222 Deaf Smith 059 Lipscomb 148 Terry 223 Dickens 063 Loving 151 Throckmorton 224 Donley 065 Lubbock 152 Upton 231 Eastland 067 Lynn 153 Ward 238 Ector 068 Martin 156 Wheeler 242 El Paso 071 Midland 165 Winkler 248 Fisher 076 Mitchell 168 Yoakum 251 Floyd 077 Moore 171

Resources – 4 Texas Department of Agriculture – April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Fort Worth Anderson 001 Franklin 080 Montague 169 Archer 005 Freestone 081 Morris 172 Baylor 012 Hamilton 097 Rockwall 199 Bell 014 Hardeman 099 Rusk 201 Bosque 018 Grayson 091 Navarro 175 Bowie 019 Gregg 092 Palo Pinto 182 Camp 032 Harrison 102 Panola 183 Cass 034 Henderson 107 Parker 184 Cherokee 037 Hill 109 Rains 190 Clay 039 Hood 111 Red River 194 Collin 043 Hopkins 112 San Saba 206 Cooke 049 Hunt 116 Smith 212 Coryell 050 Jack 119 Somervell 213 Cottle 051 Johnson 126 Tarrant 220 Dallas 057 Kaufman 129 Titus 225 Delta 060 Lamar 140 Upshur 230 Denton 061 Lampasas 142 Van Zandt 234 Ellis 070 Limestone 147 Wichita 243 Erath 072 Marion 155 Wilbarger 244 Falls 073 McLennan 161 Wise 249 Fannin 074 Milam 166 Wood 250 Foard 078 Mills 167 Young 252

Houston Angelina 003 Hardin 100 Orange 181 Austin 008 Harris 101 Polk 187 Brazoria 020 Houston 113 Robertson 198 Brazos 021 Jackson 120 Sabine 202 Burleson 026 Jasper 121 San Augustine 203 Calhoun 029 Jefferson 123 San Jacinto 204 Chambers 036 Lavaca 143 Shelby 210 Colorado 045 Leon 145 Trinity 228 DeWitt 062 Liberty 146 Tyler 229 Fort Bend 079 Madison 154 Victoria 235 Galveston 084 Matagorda 158 Walker 236 Goliad 088 Montgomery 170 Waller 237 Gonzales 089 Nacogdoches 174 Washington 239

Texas Department of Agriculture – April 2010 Resources – 5 Child and Adult Care Food Program – Day Care Homes Handbook Grimes 093 Newton 176 Wharton 241

Pharr Aransas 004 Jim Wells 125 San Patricio 205 Bee 013 Kenedy 131 Starr 214 Brooks 024 Kleberg 137 Webb 240 Cameron 031 Live Oak 149 Willacy 245 Duval 066 McMullen 162 Zapata 253 Hidalgo 108 Nueces 178 Jim Hogg 124 Refugio 196

San Antonio County Code County Code County Code Atascosa 007 Gillespie 086 Medina 163 Bandera 010 Guadalupe 094 Menard 164 Bastrop 011 Hays 105 Reagan 192 Bexar 015 Irion 118 Real 193 Blanco 016 Karnes 128 Schleicher 207 Burnet 027 Kendall 130 Sterling 216 Caldwell 028 Kerr 133 Sutton 218 Coke 041 Kimble 134 Tom Green 226 Comal 046 Kinney 136 Travis 227 Concho 048 La Salle 139 Uvalde 232 Crockett 053 Lee 144 Val Verde 233 Dimmitt 064 Llano 150 Williamson 246 Edwards 069 Mason 157 Wilson 247 Fayette 075 Maverick 159 Zavala 254 Frio 082 McCullough 160

Resources – 6 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 Corpus Christi Food and Nutrition Community Operations Office (Region 4 Satellite Office) Operations Office (Region 5 Satellite Office) Texas Department of Agriculture Texas Department of Agriculture Food and Nutrition Division Food and Nutrition Division 1700 North Congress Avenue 5155 Flynn Parkway, Suite 100 Austin, TX 78701 Corpus Christi, TX 78411 P.O. Box 12847 Telephone: (361) 851-2745 Austin, Texas 78711 Fax: (800) 909-8223 Telephone: (888) 839-6325 Fax: (888) 223-8645 El Paso Food and Nutrition Community Dallas/Fort Worth Metroplex Food and Nutrition Operations Office (Region 1) Community Operations Office (Region 2) Texas Department of Agriculture Texas Department of Agriculture Food and Nutrition Division Food and Nutrition Division 401 E. Franklin, Suite 410 1501 Circle Drive, Suite 155 El Paso, TX 79901 Fort Worth, TX 76119 P.O. Box 981017 Telephone: (817) 321-8101 El Paso, Texas 79998-1017 Fax: (888) 223-9037 Telephone: (915) 834-7506 Fax: (915) 834-7612 or (915) 834-7525 Houston Food and Nutrition Community Lubbock Food and Nutrition Community Operations Operations Office (Region 3) Office (Region 1 Satellite Office) Texas Department of Agriculture Texas Department of Agriculture Food and Nutrition Division Food and Nutrition Division Elias Ramirez State Office Building West Texas Regional Office 5425 Polk Street, Suite G-40 4502 Englewood Ave. Houston, TX 77023 Lubbock, TX 79414 Telephone: (713) 921-8201 Telephone: (806) 799-8555 Fax: (888) 244-9764 Fax: (806) 799-0547 Lufkin Food and Nutrition Community Pharr Food and Nutrition Community Operations Operations Office (Region 3 Satellite) Office (Region 5) Texas Department of Agriculture Texas Department of Agriculture Food and Nutrition Division Food and Nutrition Division 1210 South Chestnut 1503 W. Polk Lufkin, TX 75901 Pharr, TX 78577 Telephone: (936) 637-7533 Telephone: (956) 702-5541 Fax: (936) 633-3686 Fax: (956) 702-5460 or (956) 702-5585 Tyler Food and Nutrition Community San Antonio Food and Nutrition Community Operations Office (Region 2 Satellite) Operations Office (Region 4) Texas Department of Agriculture Texas Department of Agriculture Food and Nutrition Division Food and Nutrition Division 3323 South SW Loop 323 8918 Tesoro Drive, Suite 120 Tyler, TX 75701 San Antonio, TX 78217 Telephone: (903) 939-3999 Telephone: (210) 820-0288 Fax: (888) 223-9037 Fax: (888) 244-9763

Texas Department of Agriculture – April 2010 Resources – 7 Child and Adult Care Food Program – Day Care Homes Handbook 11130 Time Distribution Report

TIME DISTRIBUTION REPORT Employee Name Position Normal Work Hours Month/Year

WORK FOOD SERVICE FOOD SERVICE OPERATIONS TASKS HOURS ADMINISTRATION TASKS A. B. C. D. E. F. G. H. I. J. Day Start End Managing Planning Organizing Menu Meal Meal Supervise Meal Non Total Planning Prep/Serve Clean- Meal Records Food Hours Up Service 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 Resources – 9 Child and Adult Care Food Program – Day Care Homes Handbook 11130.1 Instructions - Time Distribution Report

PURPOSE Work Hours – The employee enters the start and end time for each To document the amount of time spent performing workday. More than one time may be entered if the employee has a Food Service and Non-Food Services tasks for each break in work hours other than normal lunch and break times. day of the month. This information is used to establish the portion of costs that may be claimed Food Service Administration Tasks and Food Service Operations as Food Service labor. Tasks – The employee enters the amount of time spent performing Food Service tasks in the column that best describes the nature of the PROCEDURE activity. Time must be reported in 15 minute intervals. Employees should round up or down to the nearest half-hour. This should reflect When to Prepare an after-the-fact determination of the actual time spent in each activity. All full-time and part-time employees whose compensation in whole or in part is paid with Food Non Food Service – The employee enters the amount of time spent Service funds must complete this report. The performing tasks that ARE NOT related to the administration or Information must account fort the total activity for operation of the Food Service. Time must be reported in 15 minute which each employee is compensated. The reports intervals. Time should be rounded up or down to the nearest half- must reflect an after-the-fact determination of the hour. This should reflect an after-the-fact determination of the actual actual activity of each employee. A separate report time spent in each activity. is required for each employee. Total Hours – The employee enters the total number of hours Number of Copies worked that day. It should agree with the total of the hours entered under the task columns. Complete one original for each employee for each month. Monthly Total – Enter the total time spent performing the task identified in each column. Transmittal Total Food Service Hours – Enter the total of columns A, B, C, D, Keep the completed and signed form in your files. E, F, G, and H.

Form Retention Total Non Food Service – Enter the total time noted in column I.

Keep the Time Distribution Report for three years Total Hours Worked – Enter the total hours worked during the from the end of the contract period. Exception: If month. This entry should agree with the total of column J. audit findings, claims, or litigation have not been resolved by the end of the retention period, all Alternate Certification Statement – This certification statement may forms and records must be retained until all issues be completed in lieu of the detailed daily time distribution entries if are resolved. the employee did not work outside of the fixed schedule and all hours were spent performing Food Service duties.

DETAILED INSTRUCTIONS Signature and Date – Employee – The employee must sign and date the document to certify that all information is true and correct. Employee Name – Enter the name of the employee whose time distribution is being recorded. 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 Resources – 11 Child and Adult Care Food Program – Day Care Homes Handbook 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:______Year:______

Income Expenses Description Amount Description Amount

Resources – 12 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 self- employed. 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 Resources – 13 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 15 Child and Adult Care Food Program – Day Care Homes Handbook 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 BUSINESS EXPENSES CURRENT NET INCOME “provider only”

Resources – 16 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 Resources – 17 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 19 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 21 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 23 Child and Adult Care Food Program – Day Care Homes Handbook Attendance List Based on Meals

Child Total Meals in Month Child Total Meals in Month (breakfast, lunch/supper, snack) (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 Child Total Days in Attendance in Month 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 80 = $157.60 (Tier I) Non-income- $ 1.19 x 100 = $ 119.00 eligible (Tier II) 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 Resources – 25 Child and Adult Care Food Program – Day Care Homes Handbook Tier II claiming percentage: 1.00 - .444 = .556

- Percent x Total Rounded to x Rate = Reimbursement Lunches whole meals* Amount Tier I .444 x 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 Date

Texas Department of Agriculture – April 2010 Resources – 27 Child and Adult Care Food Program – Day Care Homes Handbook 11240 Shared Income Eligibility Documentation – Form and Instructions

Texas Department of January 2009 Agriculture

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 Resources – 29 Child and Adult Care Food Program – Day Care Homes Handbook 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 Training

11310 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 1-888-237- 5030.

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 Resources – 31 Child and Adult Care Food Program – Day Care Homes Handbook 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 pre- registration 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 [email protected], 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.

. Must complete a “Walk-In” Form.

. Must meet the eligibility and/or pre-requisite criteria for the course to receive completion credit.

Resources – 32 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 pre- requisite 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, e- mail, 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 Resources – 33 Child and Adult Care Food Program – Day Care Homes Handbook 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: Date:

Location of Training: Instructor(s):

Training Topic(s):

Name of Participant Position Signature (Please print name clearly)

Resources – 34 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 Resources – 35 Child and Adult Care Food Program – Day Care Homes Handbook 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 STATE OF TEXAS § BOND NO.______2 § 3 COUNTY OF § 4 KNOW ALL BY THESE PRESENTS: 5 RE: Name of legal entity: ______6 Street address: ______7 City and State: ______8 Date of Incorporation: ______9 That we, ______As Principal 10 (hereinafter called “Principal) and ______, as 11 Surety (hereinafter called “Surety”) are held firmly bound unto the Texas Department 12 of Agriculture, as Obligee (hereinafter called “Obligee”) in the sum of 13 ______Dollars ($______) for the payment whereof, 14 the payment whereof, well and truly to be made, we do here bind ourselves, our heirs, 15 executors, administrators, successors, and assigns, jointly and severally, firmly by these 16 presents.

17 Signed, sealed, and dated the ______day of ______, 20_____. 18 Whereas, the Texas Department of Agriculture has agreed to pay 19 monies to the Principal, DBA ______, under 20 TAC Title 4, Part 1, Chapter 25 covering the ______.

21 NOW, THEREFORE, the conditions of the obligation are such, that if (a) the 22 Obligee has completed the audit of the Principal and the said Principal faithfully satisfies 23 all net audit exceptions which may have been taken by the Texas Department of 24 Agriculture for any audit period covered by the period duration of this bond, 25 (b) the Obligee has attempted an audit of the Principal as discussed in (a) above and the 26 said Principal’s records were unavailable or unauditable and said Principal faithfully 27 satisfies all exceptions determined to be owing as a result of Principal’s failure to keep 28 records substantiating its performance, or (c) the Obligee completes any other research, 29 including but not limited to investigations, administrative reviews, or management 30 evaluations, into the contractual performance of the Principal and said Principal shall 31 satisfy all monetary exceptions for the contract period covered by the period of duration 32 of this bond, this obligation shall be null and void, otherwise to remain in full force and 33 effect. 34 If the conditions of this obligation remain in full force and effect, the Surety is obligated 35 to pay any net obligations shown to be owed to the Obligee within thirty days of 36 receiving a demand letter from the Obligee.

Texas Department of Agriculture – April 2010 Resources – 37 Child and Adult Care Food Program – Day Care Homes Handbook 1 Bond No. ______2 ______3 ______4 Page 2

5 Liability under this bond shall terminate as of the ______day of 6 ______, 20 ___, as to any acts subsequent thereto, unless said bond is 7 continued in force from year to year by the issuance of a Continuation Certificate signed 8 by the Surety.

9 Provided, this bond may be canceled as a future liability by the Surety upon sixty (60) 10 days written notice to the Principal and the Obligee; however such cancellation shall 11 not discharge the Surety’s liability accrued during the term of this bond or which shall 12 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

Line 1 - Bond No. — The surety company issuing the bond will enter the number of the bond.

Texas Department of Agriculture – April 2010 Resources – 39 Child and Adult Care Food Program – Day Care Homes Handbook 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.

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 Resources – 41 Child and Adult Care Food Program – Day Care Homes Handbook 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 2nd Degree 3rd Degree 4th Degree Officer and Child and Grandchild and Great-Grandchild Great, Great-Grandchild Spouse spouse spouse and spouse and spouse

Parent Sister/Brother and Niece/Nephew and Grandniece/Nephew and spouse spouse spouse

Grandparent Aunt/Uncle 1st Cousin and spouse

Great - Grandparent Great Aunt/Uncle

Great, Great-Grandparent

Texas Department of Agriculture – April 2010 Resources – 43 Child and Adult Care Food Program – Day Care Homes Handbook 11430 Business Mileage Record

Business Mileage Record for______, Day Care Home Provider

Month/Year:______

Date: Destination Purpose Beginning Ending Total Miles Mileage Mileage

Resources – 44 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 Resources – 45 Child and Adult Care Food Program – Day Care Homes Handbook 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

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

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 Resources – 47 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 49 Child and Adult Care Food Program – Day Care Homes Handbook H1534 (Page 2), Budget Reconciliation

□ 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

□ 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 Resources – 51 Child and Adult Care Food Program – Day Care Homes Handbook H1539 (Page 2), Menus

□ 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 Resources – 53 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 55 Child and Adult Care Food Program – Day Care Homes Handbook 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 MENU NAME OF INFANT Date of Birth BREAKFAST A.M. LUNCH P.M. SUPPER EVENING Formula/Breast Milk SNACK SNACK SNACK Iron Fortified Infant Formula (IFIF) and/or IFIF and/or IFIF and/or BM IFIF and/or BM IFIF and/or BM IFIF and/or BM BIRTH THROUGH 3 MONTHS Breast Milk (BM) BM Name: DOB: IFIF /BM: Name: DOB: IFIF/BM: Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Planned participation:

Quantity Used:

Formula 4 THROUGH 7 MONTHS IFIF and/or Other Foods IFIF and/or IFIF and/or Other Foods IFIF and/or BM and/or Other Foods IFIF and/or BM BM BM BM Breast Milk Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Name: DOB: IFIF /BM: Planned participation:

Quantity Used:

Fruit IFIF/BM/Fruit Fruit IFIF/BM/Fruit Fruit IFIF/BM/Fruit Juice 8 THROUGH 11 MONTHS IFIF and/or IFIC and/or Veg Juice and IFIF and/or and/or Veg IFIC and/or Juice and Other IFIF and/or and/or Veg IFIC and/or and Other Foods BM Other Foods BM Meat/Alt Foods BM Meat/Alt 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 Resources – 59 Child and Adult Care Food Program – Day Care Homes Handbook 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/irs- drop/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 Resources – 61 Child and Adult Care Food Program – Day Care Homes Handbook 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: Yes No Contact: Yes No Contact: 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 Resources – 63 Child and Adult Care Food Program – Day Care Homes Handbook 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.)

1 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. 2 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.

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” and it is not creditable. No other binders or extenders may be used to receive this ounce per ounce credit.

Resources – 64 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Q. What specific ingredients are considered binders and extenders?

A. Cereal Soy flour* Dried milk Soy protein concentrate* Isolated soy protein* Starchy vegetable flour Sodium caseinate Vegetable starch Dry or dried whey Wheat gluten Whey protein concentrate 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 Resources – 65 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 67 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 69 Child and Adult Care Food Program – Day Care Homes Handbook * 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 Ounces per Raw Multiply Food Creditable Ingredients per Portion of Creditable Buying Amount * Food Buying Guide Ingredient Guide Yield 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, Ounces Multiply % of Divide by Creditable manufacture’s name, Dry APP Protein 18** Amount and code number Per Portion As-Is* APP*** X ÷ by 18 X ÷ by 18 X ÷ 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 as- is divided by 18.

1Total 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.

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 Resources – 71 Child and Adult Care Food Program – Day Care Homes Handbook 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 non- protein 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 as- purchased 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 GENERAL INFORMATION Y N 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

MEAT/ MEAT ALTERNATE Y N 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 Resources – 73 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 75 Child and Adult Care Food Program – Day Care Homes Handbook 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.

I. EXAMPLE Meat/Meat Alternate (M/MA) and APP Calculations

Texas Department of Agriculture – April 2010 Resources – 77 Child and Adult Care Food Program – Day Care Homes Handbook Description of Creditable Ounces per Raw Multiply Food Creditable Ingredients per Food Buying Portion of Buying Amount * Guide Creditable Guide Ingredient Yield Beans, black (turtle), dry, canned, 1.0 oz X 27.8/110 0.252 whole Beans, black (turtle), dry, canned, 1.0 oz X 27.8/62.0 0.44 whole, drained (Column 6 conversion) Beans, kidney, dry, whole 1.0 oz X 24.8/16 1.55 Beef Ground (not more than 18% 1.0 oz X 0.74 0.74 fat) raw Beef Brisket, without bone, 1.0 oz X 0.69 0.69 practically free of fat, raw Cheese, Mozzarella 1.0 oz X 16/16 1.0 Cheese, Cottage 1.0 oz X 8/16 0.5 Chicken, boneless, fresh 1.0 oz X 0.70 0.7 Chicken, drumstick with bone, 2.0 oz X 0.49 0.98 fresh Egg, frozen whole, pasteurized, 1.0 oz X 18/16 1.125 liquid Egg, whole, dried 0.25 oz X 64/16 1.0 Fish fillet, fresh 1.0 oz X 0.70 0.7 Ham water added 1.0 oz X 0.82 0.82 Nuts, almonds 1.0 oz X 16/16 1.0 Peanut butter 1.0 oz X 14.4/16 0.9 Pork Ground (not more than 30% 1.0 oz X 0.70 0.7 fat) Tuna, chunk style, water packed 1.0 oz X 51.2/66.5 0.769 Tuna, chunk style, drained 1.0 oz X 51.2/51.2 1.0 (Column 6 conversion) Turkey, cooked, diced, light and 1.0 oz X 16/16 1.0 dark meat in natural proportions (no skin, wing meat, neck meat, giblets, or kidneys) Turkey ham, fully cooked 1.0 oz X 0.70 0.7 Turkey ham, 15% water added 1.0 oz X 0.59 0.59

II. Alternate Protein Product (APP)

Resources – 78 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook Products containing APP must also provide the documentation described in the checklist

Description of APP, Ounces Multiply % of Protein Divide Creditable manufacture’s name, Dry As-Is* by Amount APP*** and code number APP 18** Per Portion Soy flour, ABComp 1234 0.25 oz X 52.0* ÷ by 18 0.72 Soy protein concentrate, 0.25 oz 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 as- is 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 Resources – 79 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 81 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 83 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 85 Child and Adult Care Food Program – Day Care Homes Handbook 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.

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.

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 Resources – 87 Child and Adult Care Food Program – Day Care Homes Handbook 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.

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 Resources – 89 Child and Adult Care Food Program – Day Care Homes Handbook 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.

Texas Department of Agriculture – April 2010 Resources – 91 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 93 Child and Adult Care Food Program – Day Care Homes Handbook 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.

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 Resources – 95 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 97 Child and Adult Care Food Program – Day Care Homes Handbook 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].

Texas Department of Agriculture – April 2010 Resources – 99 Child and Adult Care Food Program – Day Care Homes Handbook 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:

Today’s Date Today’s Date Today’s Date Please mark your preference (choose all that apply) 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 Please mark your preference 4 – 7 months 8 – 11 months 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 Resources – 101 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 103 Child and Adult Care Food Program – Day Care Homes Handbook  RCG Foods of Texas, Inc., establishment No. 1353:

068783 East Side Entrees Cheese Quesadilla, 25101 067457 Beef Enchilada, 3501 067456 Beef and Bean Burrito, 3500 065419 Cheese Quesadilla, 25101B119 064668 East Side Entrees Cheese Quesadilla, 25101 062942 Beef and Bean Burrito, 3500 045034 Pork Egg Roll 3 oz 035119 Pork Egg Roll, 69340 035118 Pork Egg Roll, 69300

 Bernardi Italian Foods, establishment No. 8545:

062444 3.5 oz Cheese Roll-up

 Profera Inc., establishment No. 4007:

006074 Pepperoni Cheese Pizza with Whole Grain

 Advance Food Company, Garland, Texas, establishment No. 1932

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 Resources – 105 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 107 Child and Adult Care Food Program – Day Care Homes Handbook  Nestle Good Start 2 Natural Culture  Nestle Good Start 2 Soy DHA and ARA

11840 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. 2. 3. 4. 5. 6. Food as purchased Purchase Servings Serving or portion and Purchase Additional Unit per contribution to the meal units for 100 information purchase requirement servings unit Meat Analogues Worthington Foods Canned Items Natural Touch Taco Mix 3.25 oz 16 1 Tbsp. reconstituted 6.3 package Granburger, dry 10 oz carton 25 2 Tbsp. dry (11 g or .39 oz) 4.0 Granburger, dry 20 pound 825 2 Tbsp. dry (11 g or .39 oz) .12 carton Diced Chik 13 oz can 3 1/3 cup (about 2.5 oz) 33.3 Chili 20 oz can 8 1/3 cup (about 2.5 oz) 12.5 Chili 50 oz can 20 1/3 cup (about 2.5 oz) 5 Choplets 20 oz can 8 1 slice (about 1.5 oz) 12.5 Country Stew 19 oz can 3 1/3 can (about 6 oz) 33.3 Multigrain Cutlets 20 oz can 8 1 slice (about 1.5 oz) 12.5 Vegetarian Cutlets 50 oz can 30 ½ slice (about 1 oz) 3.3 Fri Chik 13 oz can 5 1 piece (about 45 g) 20 Fri Chik 42 oz can 16 1 piece (about 45 g) 6.3 Natural Touch 20 oz can 6 1/3 cup (about 2.5 oz) 16.7 Vegetarian Chili Non Meat Balls 19 oz can 6 2 meatballs (about 1.2 oz) 16.7 Numete 19 oz can 12 1.5 oz 8.3 Prime Stakes 13 oz can 8 ½ slice (about 1.5 oz) 12.5 Prime Stakes 47 oz can 24 ½ slice (about 1.5 oz) 4.2 Protose 20 oz can 20 1 oz 5 Saucettes 19 oz can 10 1 link (about 1 oz) 10 Savory Slices 13 oz can 5.3 1 ½ slice (about 1.5 oz) 18.9 Super Links 19 oz can 8 1 link (about 1.5 oz) 12.5 Turkee Slices 13 oz can 5.3 1 ½ slices (about 1.5 oz) 18.9 Vegetarian Burger 20 oz can 20 1 oz 5 Vegetarian Burger 50 oz can 50 1 oz 2 VegetarMian Burger, no 20 oz can 13.3 1.5 oz 7.5 salt Vegetable Skallops 20 oz can 12.2 1 oz 8.2 Vegetable Skallops 50 oz can 30 1 oz 3.3 Vegetable Skallops, no 20 oz can 12.2 1 oz 8.2 salt Vegetable Steaks 20 oz can 10 1 piece (about 36 g) 10 Vejalinks 19 oz can 6.7 1.5 links (about 1.5 oz) 15

Texas Department of Agriculture – April 2010 Resources – 109 Child and Adult Care Food Program – Day Care Homes Handbook 1. 2. 3. 4. 5. 6. Food as purchased Purchase Servings Serving or portion and Purchase Additional Unit per contribution to the meal units for 100 information purchase requirement servings unit Meat Analogues Worthington Foods Frozen Items Meatless Beef Style Roll 72 oz roll 57.6 1.25 1.7 Meatless Smoked Beef 72 oz roll 72 1 oz 1.4 Roll Beef Pie, Vegetarian 1 pie 1 1 pie (about 8 oz) 100 Bolono Slices 8 oz carton 6 2 slices (about 1.4 oz) 16.7 Bolono Roll 72 oz roll 57.6 1.25 oz 1.7 Chicken Pie, Vegetarian 1 pie 1 1 pie (about 8 oz) 100 Chicken, Meatless Diced 5 pound bag 64 1.25 oz 1.6 Meatless Chicken Slices 8 oz package 5.3 1.5 slices (about 1.5 oz) 18.9 Meatless Chicken Slices 16 oz 10.7 1.5 slices (about 1.5 oz) 9.4 package Chic-Ketts 1 pound roll 16 1 oz 6.3 Chic-Ketts 56 oz roll 56 1 oz 1.8 Chik Sticks 10 oz carton 10 1 oz 10 Chik Sticks 15 pound 240 1 oz .4 carton Meatless Corn Beef 8 oz carton 5.3 3 slices (about 1.5 oz) 18.9 Meatless Corn Beef 16 oz carton 10.7 3 slices (about 1.5 oz) 9.4 Crispy Chik 12 oz 8 1.5 oz 12.5 package Crispy Chik Patties 10 oz 4 1 patty (about 2.4 oz) 25 package Dinner Roast 2 pound 21.3 1.5 oz 4.7 package Dixie Dogs 10 oz carton 4 1 Dixie Dog 25 Vegetarian Egg Rolls 15 oz carton 5 1 egg roll 20 Filets, Vegetarian 9 oz carton 6 1 fillet (about 1.5 oz) 16.7 Fripats 9 oz carton 8 ½ patty (about 1 oz) 12.5 Golden Croquettes 15 oz carton 12 1/3 croquette (about 1.25 8.3 oz) Harvest Bake Lentil Rice 16 oz carton 6 1/6 Loaf (about 1.3 oz) 16.7 Loaf Leanies 12 ¾ carton 9 1 link (about 1.3 oz) 11.1 Leanies, bulk pack 14 pound 150 1 link (1.3 oz) .7 carton Natural Touch Dinner 9 oz carton 6 ½ patty (about 1.5 oz) 16.7 Entrée

Resources – 110 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 1. 2. 3. 4. 5. 6. Food as purchased Purchase Servings Serving or portion and Purchase Additional Unit per contribution to the meal units for 100 information purchase requirement servings unit Frozen Items, continued Prosage 1 pound roll 13 1 slice (about 3/8”) 7.7 Prosage Link 8 oz carton 6.7 1.5 link (about 1.2 oz) 15 Prosage Link, bulk pack 19.5 pound 260 1.5 link (about 1.2 oz) .4 carton Okara Patties 9 oz carton 8 ½ patty (about 1 oz) 12.5 Prosage Patties 8 oz carton 6 1 patty (about 1.2 oz) 16.7 Prosage Patties 12.5 pound 150 1 patty (about 1.2 oz) .7 carton Salami, Meatless 4.5 pound 72 1 oz 1.4 roll Stakelets 10 oz carton 8 ½ patty (about 1.2 oz) 12.5 Stakelets 17.25 pound 216 ½ piece (about 1.2 oz) .5 carton Tofu Garden Patties 10 oz carton 8 ½ patty (about 1.2 oz) 12.5 Tuno 12 oz roll 6 2 oz 16.7 Meatless Smoked Turkey 8 oz carton 6 2 slices (about 1.3 oz) 16.7 Slices Veelets 10 oz carton 8 ½ patty (about 1.25 oz) 12.5 Wham, slices 8 oz carton 6.7 1.5 slices 15 Wham, slices 16 oz carton 12 1.5 slices 8.3 Morningstar Farms Frozen Items Homestyle County 12 oz carton 6 2 oz 16.7 Crisps Breakfast Links 8 oz carton 6.7 1.5 link (about 1.2 oz) 15 Breakfast Patties 8 oz carton 6 1 patty (about 1.35 oz) 16.7 Country Crisp Patties 10 oz carton 4 1 patty (about 2.5 oz) 25 Grillers 9 oz carton 8 ½ patty (about 1.1 oz) 12.5 Scramblers 12 oz carton 6 ¼ cup 16.7 Milnot Corporation Chiliman Vegetarian 15 oz can 5 3 ¾ oz 25 Chili with Beans La Loma Foods Big Franks 19 oz can 16 ½ frank (about .9 oz) 6.3 Drained weight = 14.9 oz Dinner Cuts 36 oz can 24 ½ patty (about 1.3 oz) 4.2 Drained weight = 29.2 oz

Texas Department of Agriculture – April 2010 Resources – 111 Child and Adult Care Food Program – Day Care Homes Handbook 1. 2. 3. 4. 5. 6. Food as purchased Purchase Servings Serving or portion and Purchase Additional Unit per contribution to the meal units for 100 information purchase requirement servings unit La Loma Foods, continued Griddle Steaks, frozen 16 oz 16 ½ patty (about 1 oz) 6.3 package Linketts 64 oz can 24 1 link (about 1.3 oz) 2.5 Drained weight = 52.3 oz Little Links 14 oz can 7 2 links (about 1.6 oz) 14.3 Drained weight = 10.8 oz Meatless Fried Chicken 35 oz can 14 1 piece (about 1.5 oz) 7.1 Drained weight = 18.7 oz Meatless Roast Beef, 4 pound roll 64 1 oz 1.6 frozen Nuteena 28 oz can 18.7 1.5 oz 5.4 Ocean Fillets, frozen 16 oz 16 ½ fillet (about 1 oz) 6.3 package Proteena 20 oz can 20 1 oz 5.0 Rediburger 19 oz can 19 1 oz 5.3 Sizzle-burger, frozen 30 oz 24 ½ burger (about 1.25 oz) 4.2 package Stew-pac 37 oz can 24 1 oz 4.2 Drained weight = 23.9 oz Swiss Steak 28 oz can 1 ½ steak (about 1.25 oz) 6.3 Drained weight = 19.4 oz Tender Rounds 19 oz can 12 1 meatball (about .9 oz) 8.3 Drained weight = 11.6 oz Vegeburger 37 oz can 37 1 oz 2.7 Vegelona 19 oz can 19 1 oz 5.3 Vita Burger, dehydrated 16 oz 40 .4 oz 2.5 package MGM Brands Meatless Franks 2 pound 26 1 link (about 1.2 oz) 3.9 package Meatless Franks 12 oz 10 1 link (about 1.2 oz) 10 package Meatless Franks 14 pound 187 1 link (about 1.2 oz) .5 bulk

Resources – 112 Texas Department of Agriculture –April 2010 Child and Adult Care Food Program – Day Care Homes Handbook 1. 2. 3. 4. 5. 6. Food as purchased Purchase Servings Serving or portion and Purchase Additional Unit per contribution to the meal units for 100 information purchase requirement servings unit MGM Brands, continued Meatless Sausage 2 pound 40 1 link (about .8 oz) 2.5 package Meatless Sausage 8 oz package 10 1 link (about .8 oz) 10 Meatless Sausage 20 pound 400 1 link (about .8 oz) .3 bulk Meatless Sausage Roll 1 pound roll 20 1/20 roll (about .8 oz) 5 Samburger 9 oz package 8 ½ patty (about 1.1 oz) 12.5 Samburger 15 pound 214 ½ patty (about 1.1 oz) .5 bulk Chik’n Burger 9 oz package 8 ½ patty (about 1.1 oz) 12.5 Chik’n Burger 15 pound 214 ½ patty (about 1.1 oz) .5 bulk Meatless Corned Beef 4 pound roll 64 1 oz 1.6 Meatless Corned Beef, 8 oz package 10 1 slice (about .8 oz) 10 slices Meatless Salami Roll 4 pound roll 64 1 oz 1.6 Meatless Salami Slices 8 oz package 10 1 slice (about .8 oz) 10 Meatless Boloni Roll 4 pound roll 51 1.25 oz 2 Meatless Boloni Slices 8 oz package 6.7 1.5 slices (about 1.2 oz) 15 Quick Chik 1 pound roll 16 1 oz 6.3 Quick Chik 4 pound roll 64 1 oz 1.6 Sandwich Chik’n Roll 4 pound roll 64 1 oz 1.6 Sandwich Chik’n Slices 8 oz package 10 1 slice (about .8 oz) 10 MGM Burger 4 pound roll 64 1 oz 1.6 MGM Burger 20 oz roll 20 1 oz 5 Vegetarian Scallops 25 pound 400 1 oz .3 bulk Vegetarian Scallops 20 oz 20 1 oz 5 package Crispy Nuggets 12 oz 12 1 oz 8.3 Crispy Nuggets 15 pound 240 1 oz .4 bulk Provided by: Andrews University, Berrien Springs, Michigan, under the direction of the General Conference of Seventh-day Adventists.

Texas Department of Agriculture – April 2010 Resources – 113 Child and Adult Care Food Program – Day Care Homes Handbook 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 Resources – 115 Child and Adult Care Food Program – Day Care Homes Handbook