KD'S INFANT FORMULA & FOOD FORM

  • KD'S INFANT FORMULA & FOOD FORM

  • To Parents/Guardians of infants, birth through 11 months old
    Your child’s care provider participates in the Child and Adult Care Food Program (CACFP). The CACFP is administered by the District of Columbia Office of the State Superintendent of Education and is funded by the United States Department of Agriculture (USDA). The CACFP subsidizes the cost of the healthy meals prepared and served to your infant while in care. Your provider follows the USDA Meal Pattern Requirements for Infants (see below), as age and developmentally appropriate for your child.

    As a participant in the CACFP, your provider must offer formulas and meals to all enrolled infants and children.

  • USDA Meal Pattern Requirements for Infants
     Age  Breakfast  Lunch or Supper  Snack
     0–5 months   4–6 fluid ounces formula or breast milk  4–6 fluid ounces formula or breast milk
     6–11 months  6–8 fluid ounces formula or breast milk
    AND
    0–2 Tbsp fruit or vegetable or both
    AND
    0–4 Tbsp iron fortified infant cereal, meat, fish, poultry, egg yolk, cooked dry beans or 0–2 oz cheese or 0–4 oz (volume) cottage cheese or 0–4 oz or 1/2 cup of yogurt, or a combination of the above

     2–4 fluid ounces formula or breast milk
    AND
    0–2 Tbsp fruit or vegetable or both
    AND
    ½ slice bread, or 0–2 crackers, or 0–4 Tbsp infant cereal or ready-to-eat breakfast cereal

  • PARENT FORMULA REQUEST

    USDA supports and encourages mothers to continue breastfeeding when returning to work or school. You have the option to breastfeed your infant at the center, bring your own formula or breast milk, or use the provider-supplied formula. The provider offers the formula listed below.

  • Do you accept the formula supplied by your provider?*

  • Parent Food Request

  • When your infant is 6 months and/or developmentally ready to eat solid foods, do you accept or decline all provider-supplied foods?*
  • Date*
     - -

  • First Food Check-In

  • Developmental Readiness Indicators

    Indicators from HealthyChildren.org by the AAP

  • 1. Can your infant sit up with little or no help? (in a high chair or feeding seat with good head control)*
  • 2. Does your infant open their mouth when food comes their way? (tracking food on a spoon, reaching for food, eager to be fed)*
  • 3. Can your infant move food from a spoon into their mouth/throat? (swallow without choking or gagging, little to no dribbling)*
  • 4. Has your infant doubled their birth weight? (weighs at least 13 pounds)*
  • 5. Have you introduced solid foods to your infant?*

  • If yes, select components and list which food items you have introduced to your infant?

  • Rows

  • If yes, are there any foods that you do not want the institution to serve your infant? For example: beef, carrots, strawberries.

  • Rows
  • Should be Empty: