Child and Adult Care Food Program Aligning Dietary Guidance for All (2011) / Chapter Skim
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9 Implementation
9 Implementation
Pages 153-168
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From page 153... ...
The second section addresses technical assistance pertaining to engaging stakeholders, menu planning, controlling costs, and meeting reporting requirements. The third section addresses the need for revisions to reporting requirements and monitoring procedures.
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From page 154... ...
A plan that introduces change incrementally over a realistic time frame -- one developed with the involvement of key stakeholders -- may be an important step in the successful implementation of the new Meal Requirements. Measures to Increase the Feasibility of Implementing Key Elements of the Meal Requirements This section covers (1)
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From page 155... ...
Cost is addressed separately in the section "Controlling Costs." The committee recognizes that a large proportion of providers may already have incorporated many of these measures into their care settings but anticipates that many providers may need to adopt new or improved approaches to successfully implement the key elements of the recommended Meal Requirements. Fostering clients' acceptance of change In general, food consumption is fostered by the appropriate timing of meals, adequate time for eating the meal, suitable style of meal service, positive interactions with adults during mealtime for younger children, pleasant eating spaces, the availability of assistance with eating and texture modifications for those with chewing or swallowing difficulties, and the scheduling of playtime for younger children or free unstructured relaxed time for the adults.
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From page 156... ...
, cooked dried beans, and lean meats (taking care to limit highly processed high-sodium meats to once per week considering all meals)
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From page 157... ...
. Partnerships with older American and child care policy makers, adult and child organization advocacy groups, and individuals in the child and adult care environment will be a key ingredient in the successful implementation of the recommendations related to changes in the meal pattern for increasing consumption of whole grains and reducing solid fats, added sugars, and sodium.
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From page 158... ...
This would provide a mechanism for gradually serving a greater proportion of the grain products as whole grain-rich foods and reducing the use of foods that are high in solid fats, added sugars, and sodium. Providing Technical Assistance To achieve effective implementation of the recommended Meal Requirements in a cost-effective manner, technical assistance will be needed.
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From page 159... ...
Meeting Menu Planning Challenges The recommended Meal Requirements pose new challenges that will require menu planners to approach their task with a clear understanding of the meal patterns and food specifications. Practical methods will need to be developed and tested to help providers meet a number of anticipated menu planning challenges specific to CACFP, such as the following: • Increasing the amount of vegetables served daily, the daily propor tion of grain foods that are whole grain-rich, and the variety of vegetables served over the day and week; • Designing and grouping menu item choices to ensure that each child and adult receives meals that meet the minimum amounts of each food group and subgroup during the week;
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From page 160... ...
One priority is collaboration between USDA and state agencies responsible for program administration to revise related menu planning guidance materials, including the current Food Buying Guide for Child Nutrition Programs (USDA/FNS, 2008) , to make its content compatible with the recommended Meal Requirements for both children and adults.
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From page 161... ...
Unlike school operations, CACFP care facilities do not generate program revenue from á la carte or catering sales and thus have no mechanism to generate income other than increasing the cost of care to the client -- a serious limitation in view of the high proportion of low-income clients. Guidance would be helpful for the small "mom and pop" child and adult care facilities, including day care homes that serve low-income families primarily and that rely on local small grocery stores -- especially to providers who are new to CACFP.
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From page 162... ...
Well-designed and well-executed technical assistance could add value even to the best-run child and adult care centers and home operations by enhancing providers' nutrition knowledge, menu planning, food preparation, and business record-keeping skills. Revising Reporting Requirements and Monitoring Procedures for CACFP Meals Reporting Requirements As described in Chapter 2, many CACFP providers have difficulty meeting reporting requirements -- that is, providing the data needed to document that the meals they serve are eligible for reimbursement.
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From page 163... ...
could continue to focus on gathering and using information to enhance the ability of providers to plan, prepare, and serve meals that are consistent with the new Meal Requirements. This second stage of monitoring could focus on documenting that planned menus and prepared meals are consistent with the recommended meal pattern (the first step in ensuring that meals that are counted or claimed for reimbursement are consistent with program requirements)
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From page 164... ...
Implementation Strategy Recommendation 2: USDA should work stra tegically with the CACFP administering state agencies, CACFP associa tions, and other stakeholders to reevaluate and streamline the systems for monitoring and reimbursing CACFP meals and snacks. The CACFP National Professional Association and the Child and Adult Care Food Program Sponsor's Association would be key partners.
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From page 165... ...
The competencies (in bold) are important areas for focus in order to achieve successful implementation of the revised Meal Requirements.
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From page 166... ...
SUMMARY Successful implementation of the recommended Meal Requirements will require attention to key elements of achieving change. The focus must be on providing extensive comprehensive technical assistance that is adapted for CACFP providers at all levels and on reevaluating and streamlining the systems for monitoring and reimbursing meals.
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From page 167... ...
2006. Adminis trative Costs in the Child and Adult Care Food Program: Reimbursement System for Sponsors of Family Child Care Homes.
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