Child and Adult Care Food Program
The Child and Adult Care Food Program (CACFP) was established for child care centers in 1968 under Section 16 of the National School Lunch Act and the Child Nutrition Act.
CACFP provides aid to child and adult care institutions and family or group day care homes for the provision of nutritious foods that contribute to the wellness, healthy growth, and development of young children, and the health and wellness of older adults and chronically impaired disabled persons.
Through CACFP, more than 3.3 million children and 120,000 adults receive nutritious meals and snacks each day as part of the day care they receive.
Program Authorization Form
Application Materials
- Application Checklist
- Alternative Approval Application - CCC or FDCH
- Alternative Approval Application - OSHCC
- Announced/Unannounced Monitor Review Visit Schedule
- Application Signature Certification Page
- At-Risk NSLP-CACFP Application Attachment U
- At-Risk NSLP-CACFP Application Attachment D
- At-Risk Snack Program Guide - CACFP - School Age through 18
- At-Risk Monitoring Attestation
- Board of Directors List - new form needs tp be completed every year
- Board of Directors Letter - talks about CACFP
- Current Facility License - must include yearly with application (filled out yearly)
- CACFP Management Plan - updated yearly and attached
- CACFP Ethnic/Racial Data
- Chair/Executive Director/Owner's Form (Executive Director every year)
- Civil Rights Approval Questions (form filled out and attached)
- Description Changes & Publicly Funded Programs (updated every year)
- Food Service Management Company Form Attachment H
- Free & Reduced Policy Statement - Non-Pricing Program
- Free & Reduced Policy Statement - Pricing Program
- Grassroots Sample Letter - Attach your letter on Letterhead
- Outside Employment Policy
- Permanent Agreement CACFP
- Principal Forms (Executive Director every year and any new Board Members)
- Program Marketing Expansion Plan - for all Sponsoring Organizations
- Procurement and Code of Conduct Policy & Procedures - Needs to be Attached
- Public Release - Non Pricing Program Needs to be sent to local newspaper, but you do not need to pay for it.
- Public Release - Pricing Program Needs to be sent to local newspaper, but you do not need to pay for it.
- Public Release - Family Day Care Home Needs to be sent to local newspaper, but you do not need to pay for it.
- Sample Letter - Approval of Free or Reduced Price Meals
- Sample Letter - Denial of Free or Reduced Price Meals
- Unaffiliated CACFP Application & Agreement - FOR NEW ONLY
- Viability, Capability, Accountability Questionaire
Administrative Budget Worksheets for all Facilities
- B - Mileage, Meals & Lodging Allowance
- C - Office Supplies
- D - Printing
- E - Office Equipment
- H - Telephone
- K - Consultant Services
- M - FDCH Provider/Center Training
- N - Sponsor/Center Staff Training and Development
- O - Insurance
- P - Advertising and Public Relations Costs
- Q - Licensing Costs
- R - Membership, Subscriptions and Professional Organization Activities
- S - Indirect Costs
- T - Miscellaneous Costs
- W - Unaffiliated CCC-FDCH Budget Sheet
Child Care Center Forms
- 5 Day Reconciliation Form
- Center Application & Agreement
- Categorical Eligibility
- Center Monitoring Review Form
- Eligibility Template Non-Pricing
- Eligibility Template Pricing
Family Day Care Home Forms
- Eligibility Guidance for FDCH
- FDCH Provider Application & Agreement
- FDCH Provider Application Instructions
- FDCH 5 Day Reconciliation Form
- FDCH Menu Reimbursement Worksheet/Menu Form
- FDCH Monitoring Review Form
- New Provider Determination Worksheet Tier I
- Tier I and Tier II Reimbursement Determination Notification
- Tier I and Tier II Selection for Verification
Adult Facilities Forms
Parent/Guardian Application & Direction Forms
- Child & Adult Enrollment Form
- Child Care/FDCH Income Eligibility Form
- Child or Adult Income Eligibility Instructions
- Child Care Center Parent Letter - Income Eligibility
- Child Care/FDCH Income Eligibility - Spanish
- Child Care Center Enrollment & Eligibility For Profit Centers
Provider Forms
- 5 Day Reconciliation Form Policy & Procedure of Meal Counts
- 50% List - January 2020 Claims
- Definitions Requirement Page
- Income Eligibility Guidelines
- Non Discrimination Statement
- Provider Appeals Process - Attachment M
- Rates
- Special Dietary Medical Statement Form
- W-9
- New Center Documents Required
At Risk
Trainings:
- CACFP Basics & Round Table
- CACFP Meet your Reviewer
- CACFP Conducting Reviews Offsite During a Pandemic
Public News Release
Resources and References