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are allowed to receive supper in addition to a snack would be expected to receive roughly one-third of their daily calorie requirements from CACFP.

Adult Day Care Participation

According to the National Adult Day Services Association, 3,500 adult day care facilities across the United States are caring for approximately 150,000 adults daily (Robert Wood Johnson Foundation, 2007). USDA surveys indicate that adult day care centers provided 56 million meals to participants in FY 2010 (USDA/FNS, 2010h, Table 15b). Based on the current CACFP meal pattern, adults in day care have the opportunity to meet approximately two-thirds of their calorie needs while attending adult day care centers that provide CACFP services.


To contribute to the health of persons in day care, the Child and Adult Care Food Program subsidizes the cost of nutritious meals and snacks to participating independent day care centers and, through sponsoring organizations, to other centers and day care homes. More than 3 million children and adults are served through CACFP yearly. To receive reimbursement for the foods served, participating sites are required to provide meals and snacks that meet minimum requirements. The current requirements specify which meal components (fruit/vegetables, grains, meat/meat alternates, milk) must be included in the meals and snacks and the minimum amounts of each. Especially for the infants, children, and adults that are in day care for much of the day, CACFP provides a large majority of their daily food and nutrient intake and makes a major contribution to the food and nutrition safety net.


Biros, M. H., P. L. Hoffman, and K. Resch. 2005. The prevalence and perceived health consequences of hunger in emergency department patient populations. Academic Emergency Medicine 12(4):310–317.

Federal Interagency Forum on Child and Family Statistics. 2009. America’s Children: Key National Indicators of Well-Being, 2009. Washington, DC: U.S. Government Printing Office. (accessed September 28, 2010).

HHS/USDA. 1995. Nutrition and Your Health: Dietary Guidelines for Americans. Washington, DC: U.S. Government Printing Office. (accessed December 16, 2010).

HHS/USDA (U.S. Department of Health and Human Services/U.S. Department of Agriculture). 2005. Dietary Guidelines for Americans, 6th ed. Washington, DC: U.S. Government Printing Office. (accessed July 23, 2008).

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