Child Care Component Guidance Memorandums

Table of Contents

Checklist of Required CACFP Documents for the Child Care Component

Guidance Memorandum 1C: CACFP Requirements for Household Size-Income Statements and Determining Eligibility

Household Letter
 
Household Letter
 
Household Size-Income Statement
 
Household Size-Income Statement

• Instructions for Determining Income Statements
• How to Use the Household Member Signature Date

Household Size-Income Scale, July 1, 2018 - June 30, 2019
 
Household Size-Income Record
 
Household Size-Income Record

• Household Size Income Record Reminders

Monthly HSIS/HSIR Checklists

Guidance Memorandum 2: CACFP Reimbursement – USDA Rates of Reimbursement Effective July 1, 2018

2018-19 Reimbursement Calculation Worksheet

Guidance Memorandum 3C: CACFP Claim Submission and Processing

Instructions for Completing the Reimbursement Claim Form - Child Care Component PI-1489
 
Child and Adult Care Food Program, Reimbursement Claim - Child Care Component PI-1489
 
Meal Edit Checks (Sponsoring Organizations Only)

• Meal Edit Checks - 2 Sites (Sponsoring Organizations Only)

Monthly Claim Checklist

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 5C: CACFP Sponsoring Organization Requirements

CACFP Site Pre-operational Visit Form
 
CACFP Site 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 6C: CACFP Enrollment Requirements for Group Child Care Centers and Outside of School Hours Centers

CACFP Enrollment Form, PI-6077

Guidance Memorandum 8C: Civil Rights Requirements for the CACFP

Building for the Future
 
Annual Ethnic/Racial Data Collection Form

Civil Rights Training

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

Nondiscrimination statement with Complaint Filing Procedure
 
2018-2019 Statewide Media Release

New Agency Only

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

Guidance Memorandum 9C: CACFP Recordkeeping Requirements

Meal Count Forms

• Meal Count Form (Three or Less Meals)
• Meal Count Form (B, L, PM Snack)
• Greater Than Three Meals Record

Permanent Agreement/Policy Statement – PI-1486-AP
 
CACFP Training Agenda
 
Wisconsin WIC Program Factsheet
 
List of Required CACFP Documents
 
Electronic Storage of CACFP Records and Data - Policies and Procedures
 
Donated Food Log
 
Organizing CACFP Records

Guidance Memorandum 10C: CACFP Requirements for Household Contacts

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:

Appeal Procedures
 
Appeal Request Form (PI-1453)

CACFP Meal Requirements: 1-18 Years

Guidance Memorandum 12C: CACFP Meal Requirements: 1-18 Years

CACFP Meal Pattern (Ages 1-18)

New Creditable Foods

Appendix A: Alternate Protein Products

Production Records

• Production Record Instructions
• Weekly Production Records (Breakfast, Lunch/Supper, Snack) - PDF format
• Weekly Production Records (Breakfast, Lunch/Supper, Snack) - Excel format
• Daily Production Records (All Meals)

Meal Planning Tools

• Meal Requirements Calculator
• Food Buying Guide Calculator
• Food Buying Guide Calculator Instructions
• Grains Chart
• Cheese Slices and Nut & Seed Butters
• Creditable and Non-Creditable Cheese
• Store-bought Combination Foods
• Smoothies
• Meal Service Styles
• Local Meats, Poultry, and Eggs
• Additional Creditable Foods
• Common Serving Size Guide

Menus

• Menu Checklist
• Menu Template - Three or Less Meals
• Menu Template - Greater Than Three Meals

Drinking Water

Food Safety

• Food Safety & Sanitation
• Safe Food Storage
• CACFP Food Storage Chart

Infant Requirements

Guidance Memorandum 12C: Infant Requirements

• Infant Meal Pattern
• CACFP Infant Recordkeeping Requirements
• Infant Menu
• Infant Meal Recordkeeping
  Use the Infant Meal Form or Infant Meal Records. Do not use both.
  • Infant Meal Forms
    • Infant Meal Form (Breakfast, Lunch, Snack)
    • Infant Meal Form (All Meals)
  • Infant Meal Records (Document actual foods served)
    • Infant Meal Records (Breakfast, Lunch, Snack)
    • Infant Meal Records (All Meals)
• Foods for Infants
• Crediting Infant Foods
• Infant Developmental Readiness Handout
• Make Your Own Infant Food

Special Dietary Needs

Guidance Memorandum 12C: Special Dietary Needs

• CACFP Special Dietary Needs Tracking Form
• Special Dietary Needs and the CACFP
• Creditable Non-Dairy Beverages