Public or private nonprofit adult day care facilities that provide structured, comprehensive services to nonresident adults who are functionally impaired or ages 60 years and older may participate in CACFP as either independent or sponsored centers. For-profit centers may be eligible for CACFP if at least 25 percent of their participants receive benefits under title XIX or title XX. Meals served to adults receiving care are reimbursed at rates based upon a participant’s eligibility for free, reduced-price, or paid meals as defined above (USDA/FNS, 2010b).
Family or group day care homes (referred to as “homes”) are private and must be sponsored by an organization that assumes responsibility for ensuring compliance with federal and state regulations and that acts as a conduit for meal reimbursements to family day care providers. Both family and group day care homes must meet state licensing requirements, where these are imposed, or be approved by a federal, state, or local agency. Group day care homes must be licensed or approved to provide day care services. It is each state’s licensing or approval requirements that distinguish a family from a group home.
Homes enroll an average of eight children, including a provider’s own children. On average, seven enrolled children are in care in a home on a daily basis. Centers enroll more children than homes. On average, a center that enrolls 60 to 70 children will have 53 to 57 children in attendance daily (USDA/FCS, 1997). Food preparation facilities vary greatly just as kitchens do in homes across the socioeconomic spectrum. Many providers have limited education, but others may have college degrees. In some areas, a substantial number of the providers are not fluent in English. Many providers have incomes at or below the poverty level. The day care home may be a major income source for some providers (USDA/FCS, 1997).
Community-based programs that offer enrichment activities for at-risk children and youth after the regular school day ends may be eligible to provide snacks through CACFP at no cost to the participants. Programs must be offered in areas where at least 50 percent of the children are eligible for free and reduced-price meals based upon school data. Reimbursable suppers are also available to children in eligible afterschool care programs in Connecticut, Delaware, Illinois, Maryland, Michigan, Missouri, Nevada, New York, Oregon, Pennsylvania, Vermont, West Virginia, Wisconsin, and the