Table of Contents
Guidance Memorandum 1A: CACFP Requirements for Household Size-Income Statements
Household Letter
Household Letter
Household Size-Income Statement
Household Size-Income Statement
Household Size-Income Scale, July 1, 2019 - June 30, 2020
Household Size-Income Record
Household Size-Income Record
Household Size Income Record Reminders
Monthly HSIS/HSIR Checklists
How to Use the Household Member Signature Date
Guidance Memorandum 2: CACFP Reimbursement – USDA Rates of Reimbursement Effective July 1, 2019
Guidance Memorandum 3A: CACFP Claim Submission and Processing
Instructions for Completing the Reimbursement Claim Form - Adult Care Component, PI-1489-A
Child and Adult Care Food Program, Reimbursement Claim - Adult Care Component, PI-1489-A
Meal Edit Check Sample Form (Sponsoring Organizations Only)
Guidance Memorandum 4: CACFP Procurement Requirements – For Purchasing and Vendor Agreements to Provide Meals/Snacks
CACFP Vendor Agreement to Provide Meals/Snacks - (Fillable PDF)
Attachment B – Record of Potential Vendors Contacted (<$250,000 - Small Purchase Method)
Addendum 1 – Summary of Required Procurement Methods
Guidance Memorandum 5A: CACFP Sponsoring Organization Requirements
CACFP Pre-operational Visit Form
CACFP Pre-operational Visit Form
CACFP Site Review Form
CACFP Site Review Form
Site Review Tracking Sample Form
CACFP Training Checklist for Sponsoring Organizations
CACFP Training Agenda
Guidance Memorandum 6A: Enrollment Requirements
Guidance Memorandum 8A: Civil Rights Requirements for the CACFP
Annual Ethnic/Racial Data Collection Form
CACFP Information Sheet
Civil Rights Training
Civil Rights Training PowerPoint
Civil Rights Training Hand-out
Civil Rights Training Attendance Sheet
Non-Discrimination Statement with Complaint Filing Procedure
2019-2020 Statewide Media Release
New Agency Only
Instructions for Letter to Minority and Grassroots Organizations
Letter to Minority and Grassroots Organizations
Guidance Memorandum 9A: Recordkeeping Requirements for the Child and Adult Care Food Program
Permanent Agreement/Policy Statement – PI-1486-AP
Daily Participation and Meal Count Record
Record-by-Name Meal Count Form
Greater than Three Meals Record
Sample Training Agenda
Electronic Storage of CACFP Records and Data - Policies and Procedures
Donated Food Log
Organizing CACFP Records
Guidance Memorandum 11: Financial Management for Food Service Operations
Quarterly CACFP Financial Report Training - (Sponsoring Organizations ONLY)
Annual CACFP Financial Training - (Independent Centers ONLY)
Financial Management Forms/Templates:
Independent Centers
PI-1463 - paper copy of Annual CACFP Financial Report
Sample General Ledger for Independent Centers
CACFP Labor Sheet for Independent Centers (electronic copy)
CACFP Labor Sheet for Independent Centers (paper copy)
Sponsoring Organizations
PI-1463-A - paper copy of Quarterly CACFP Financial Report for Sponsors of Affiliated Centers
PI-1463-C - paper copy of Quarterly CACFP Financial Report for Sponsors of Unaffiliated Centers
Sample General Ledger for Sponsoring Organizations
CACFP Labor Sheet for Sponsoring Organizations (electronic copy)
CACFP Labor Sheet for Sponsoring Organizations (paper copy)
Financial Management Resources - FOR ALL AGENCIES:
Frequent CACFP Costs
Assessing Costs in the CACFP
FNS Instruction 796-2 (Revision 4) as issued by USDA
FNS Instruction 796-2 (Revision 4) with highlighted changes
Summary of Allowable CACFP Costs
Local Food Purchase Log
Other Resources - FOR ALL AGENCIES:
GM 12 is currently being revised and will be re-posted soon
Adult Day Care Center Meal Pattern
New Creditable Foods
Production Records
- Production Record Instructions
- Weekly Production Records-Breakfast/Snack and Lunch/Supper
- Daily Production Record
Meal Planning Tools
- Adult Day Care Center Meal Requirements Calculator/Production Records
- Food Buying Guide Calculator
- Food Buying Guide Calculator Instructions
- Adult Day Care Center Grains Chart
- Creditable and Non-Creditable Cheese
- Store-bought Combination Foods
- Smoothies
- Local Meats, Poultry, and Eggs
- Additional Creditable Foods
- Menu Checklist