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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

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

Guidance Memorandum 2: CACFP Reimbursement – USDA Rates of Reimbursement Effective July 1, 2019

2019-20 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

Nondiscrimination statement with Complaint Filing Procedure

2019-2020 Statewide Media Release

New Agency Only

Guidance Memorandum 9C: CACFP Recordkeeping Requirements

Meal Count Forms

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

Meal Planning Tools

Menus

Drinking Water

Food Safety

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

For questions about this information, contact Shiela Coulton (608) 267-9129