Adult Day Care Resource Manual for the USDA Child and Adult Care Food Program NFSMI Item Number ET49-05 2005
Adult Day Care Resource Manual for the USDA CACFP This project has been funded at least in part with Federal funds from the U.S. Department of Agriculture, Food and Nutrition Service, through an agreement with the at The University of Mississippi. The contents of this publication do not necessarily reflect the views or policies of the U.S. Department of Agriculture, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. government. is an EEO/Title VI/Title IX/Section 504/ADA/ADEA employer. 2005,, Except as provided below, you may freely use the text and information contained in this document for non-profit or educational use providing the following credit is included: Suggested Reference Citation:. (2005). Adult Day Care Resource Manual for the USDA Child and Adult Care Food Program. University, MS: Author. The photographs and images in this document may be owned by third parties and used by The University of Mississippi under a licensing agreement. The University cannot, therefore, grant permission to use these images. For more information, please contact nfsmi@olemiss.edu. ii
NFSMI NATIONAL FOOD SERVICE MANAGEMENT INSTITUTE Building the Future Through Child Nutrition The (NFSMI) was authorized by Congress in 1989 and established in 1990 at in Oxford. The Institute operates under a grant agreement with the United States Department of Agriculture, Food and Nutrition Service. PURPOSE The purpose of the NFSMI is to improve the operation of Child Nutrition Programs through research, education and training, and information dissemination. The Administrative Offices and Divisions of Technology Transfer and Education and Training are located in Oxford. The Division of Applied Research is located at The University of Southern Mississippi in Hattiesburg. MISSION The mission of the NFSMI is to provide information and services that promote the continuous improvement of Child Nutrition Programs. VISION The vision of the NFSMI is to be the leader in providing education, research, and resources to promote excellence in Child Nutrition Programs. CONTACT INFORMATION Headquarters Phone: 800-321-3054 Fax: 800-321-3061 www.nfsmi.org Education and Training Division Technology Transfer Division 6 Jeanette Phillips Drive P.O. Drawer 188 University, MS 38677-0188 Applied Research Division The University of Southern Mississippi 118 College Drive #10077 Hattiesburg, MS 39406-0001 Phone: 601-266-5773 Fax: 888-262-9631 iii
Adult Day Care Resource Manual for the USDA CACFP ACKNOWLEDGMENTS CONTENT Mary Litchford, PhD, RD, LDN Greensboro, NC DESIGN Sandra Flores, PhD Chalfont, PA EDITING Lisa Van Wagner Arlington, VA Sincere appreciation is expressed to the following people who contributed their time and expertise in the development of this project. TASK FORCE MEMBERS Norma Ball Program Analyst Child Nutrition Division Policy and Program Development Branch USDA Food and Nutrition Service Jody Becker Mother Earth Adult Day Care San Antonio, TX Holly Greuling, RD, LD/N Former Adult Care Food Program Manager Tallahassee, FL Jan Hickey Adult Day Service/CACFP Consultant Illinois Department on Aging Springfield, IL Carol Islam, MS, RD Child Nutrition Specialist CACFP, Oregon Department of Education Salem, OR Debbie Ludington Long Term Care Coordinator Office of Aging & Adult Services Sheila B. Terry Child Nutrition Consultant Hoover, AL Former Chief, Nutrition & Transportation Service Maryland State Department of Education REVIEWERS Holly Greuling, RD, LD/N Former Adult Care Food Program Manager Tallahassee, FL Ginny Huntington, MS, RD, LD Iowa Department of Education Carol Islam, MS, RD Child Nutrition Specialist CACFP, Oregon Department of Education Salem, OR Debbie Ludington Long Term Care Coordinator Office of Aging & Adult Services Jo Ann O Quin, PhD Gerontologist Associate Professor of Social Work Oxford, MS Carlene Russell, MS, RD, LD, FADA Consulting Nutritionist Suzanne Secor-Parker, MS, CFCS Consultant, Bureau of Food & Nutrition Iowa Dept of Education NFSMI PROJECT COORDINATOR Beverly Cross NFSMI EXECUTIVE DIRECTOR Charlotte B. Oakley, PhD, RD, FADA iv
Table of Contents TABLE OF CONTENTS Section Chapter 1: Overview of Adult Day Care Programs Chapter 2: Regulatory Issues Chapter 3: Understanding the Needs of Adult Day Care Participants Chapter 4: Nutrition Needs of Adult Day Care Participants Chapter 5: Feeding Techniques Chapter 6: Menu Planning and Sample Menus Chapter 7: Tools for Food Production Chapter 8: Food Safety and Sanitation Chapter 9: Quality Control Chapter 10: Working With Vendors Chapter 11: Role of Nutrition Consultants Chapter 12: Staff Training Glossary References Appendices: Table of Contents Appendix 1: CACFP Minimum Meal Components Appendix 2: A Guide to Equivalent Minimum Serving Sizes for Grains/Breads Appendix 3: Sample Food Item Substitution Form Appendix 4: Major Food Nutrients Appendix 5: Eating Aids Appendix 6: Menu Writing Worksheets Appendix 7: Child Nutrition (CN) Label Appendix 8: Menu Evaluation Checklist Appendix 9: Common Weights and Measures Appendix 10: Daily Menu Production Record Appendix 11: Sample Logs Appendix 12: Sample Taste Testing and Meal Evaluation Forms Appendix 13: Sample Nutrition History and Assessment Checklist Appendix 14: Sample In-Service Training Attendance Record Page 3 7 15 23 31 39 51 61 71 79 83 91 97 99 103 105 109 113 115 121 123 127 129 131 133 135 139 145 149 v