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Adult Care Guidance Memorandums

Corrective Action Plans

Corrective Action Plans Webinar
 
Corrective Action Plans Webinar Handout with Notes
 
Corrective Action Plan Form
 
Sample Corrective Action Plan Form

1: Income Statements

Pencil and writing paper iconGM 1A: Household Size-Income Statements and Determining Eligibility
 

Household Letter
 
Household Size-Income Statement

Household Size-Income Scale, July 1, 2021 - June 30, 2022
 
Household Size-Income Record
 
Household Size-Income Record

Monthly HSIS/HSIR Checklists

2: Reimbursement Rates


Finance icon  GM 2: CACFP Reimbursement – Effective July 1, 2021
 

2021-22 Reimbursement Calculation Worksheet

3: Claims


Bank icon  GM 3A: Claims
 

CACFP Claim Form - Adult Care Component PI-1489-A
 
Instructions for Completing the Claim Form - Adult Care Component PI-1489-A
 
Child Care, Adult Care, & Outside School Hours Claim Manual
 
Meal Edit Check (Sponsoring Organizations Only)

Monthly Claim Checklist

4: Procurement and Vendor Agreements


Certificate award iconGM 4: Procurement and Vendor Agreements
 

CACFP Vendor Agreement to Provide Meals/Snacks - (Fillable PDF)
 
Vendor Meals Delivery Slip
 
Record of Potential Vendors Contacted ($10,000 - $250,000)
 
Methods of Procurement

5: Sponsoring Organizations


Clipboard iconGM 5A: Sponsoring Organization Requirements
 

Monitoring

CACFP Site Pre-operational Visit Form
 
CACFP Monitoring Form
 
Monitoring Tracking Form
 
Imminent Threat & Serious Deficiencies
 
Household Contact Procedure

Training

CACFP Training Checklist for Sponsoring Organizations
 
CACFP Training Agenda

6: Enrollment


Schoolhouse iconGM 6A: Enrollment
 

8: Civil Rights


Hand holding scale iconGM 8A: Civil Rights
 

And Justice for All Poster To order a poster, complete this order form
 
Race and Ethnicity Data Form
 
Nondiscrimination statement with Complaint Filing Procedure
 
2021-2022 Statewide Media Release
 
CACFP Information Sheet

Civil Rights Training

Civil Rights Training PowerPoint
 
Civil Rights Training Handout
 
Civil Rights Training Attendance Sheet

Minority and Grassroots (New Agency Only)

Instructions for Letter to Minority and Grassroots Organizations
 
Letter to Minority and Grassroots Organizations

9: Recordkeeping


Index contents iconGM 9A: Recordkeeping
 

CACFP Training Agenda
 
Electronic Storage of CACFP Records and Data - Policies and Procedures

CACFP Recordkeeping Resources

CACFP Recordkeeping Resources: Webinar summarizing below Recordkeeping Resources
 
Requirements Checklist
 
Required Documents List
 
New Staff Responsible for CACFP

Meal Count Forms

Daily Participation and Meal Count Record
 
Record-by-Name Meal Count Form
 
Greater than Three Meals Record

Corrective Action Plans

Corrective Action Plans Webinar
 
Corrective Action Plans Webinar Handout with Notes
 
Corrective Action Plan Form
 
Sample Corrective Action Plan Form

11: Financial Management


Calculator iconGM 11: Financial Management
 

Independent Agencies

How to Submit the Annual CACFP Financial Report

General Ledger for Independent Centers
 
Daily Time Log for Independent Centers

Sponsoring Organizations

How to Submit the Quarterly CACFP Financial Report

General Ledger for Sponsoring Organizations
 
Time Log for Sponsoring Organization

Financial Management Resources

Frequent CACFP Costs
 
USDA Assessing Costs in the CACFP
 
CACFP Financial Management Regulations (796-2, rev. 4)
 
Local Food Purchase Log
 
Donated Food Log
 
CACFP Appeal Procedure and Request Form

12: Meal Requirements


Plate with utensils iconGM 12A: Meal Requirements
 

Adult Day Center Meal Pattern
 
Appendix A: Alternate Protein Products
 
Meal Pattern Q&A's

Menus

Menu Checklist

Meal Production

Meal Requirements Calculator
 
Food Buying Guide Calculator

Production Records
Crediting Foods

USDA Crediting Handbook for the CACFP
 
New Creditable Foods
(Shelf-stable meat, poultry, and seafood products; Tempeh; Corn masa, masa harina, nixtamalized corn flour/cornmeal; Hominy; Popcorn; Coconut; Surimi seafood; Pasta products made of vegetable flour)
 
CACFP Reference Guide (Whole-grains, cereal, and yogurt

Grains

Grains Chart
 
Whole Grain-Rich Flow Chart
 
Wisconsin WIC Approved Whole Grains
 
Cereal Types
 
Is it a Grain-Based Dessert?

Ounce Equivalent for Grains

Ounce Equivalent Webinars and Handouts

Meat and Meat Alternates

Crediting Store-bought Combination Foods
 
Creditable and Non-Creditable Cheese
 
Cheese Slices and Nut/Seed Butters
 
Local Meats, Poultry, and Eggs
 
Tofu Recipes

Fruits and Vegetables

Additional Creditable Fruits and Vegetables
 
Smoothies
 
Visual Portion Size Guide: Fruit
 
Visual Portion Size Guide: Vegetables

Meal Service

Meal Service Styles

Food Safety

Food Safety & Sanitation
 
Safe Food Storage
 
CACFP Food Storage Chart

Drinking Water

Drinking Water
 
Lead Exposure
 
Federal Nutrition Programs: Reducing the Impact of Lead Exposure

12: Special Dietary Needs

Table place setting icon with check markGM 12A: Special Dietary Needs
 

CACFP Special Dietary Needs Tracking Form
 
Special Dietary Needs and the CACFP
 
Determining if Meal Modifications Are Required Flowchart
 
Statement for Special Dietary Need Request Flowchart
 
Medical Statement Template
 
Creditable Non-Dairy Beverages

For questions about this information, contact Shiela Coulton (608) 665-9232