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Subject:
From:
"Shannon Rittenhouse, LLL Leader" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 22 Jul 2005 18:15:42 EDT
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As a licensed daycare provider, who is on the USDA Food Program, I can get  
you the info.  
 
Yes, indeed, all providers enrolled in the USDA Child and Adult Care  Food 
Program *are* required to offer free formula to the infants in our  care.  The 
form provided to me by my USDA sponsor, and I must return a copy  of the form 
to my Sponsor upon enrollment of any infant in my care.  
 
The form is titled: "Infant Formula Choice Form"
 
After the spot at the top for the daycare center to enter their  name and 
address, it reads: 
 
Dear Parent:
 
This provider offers ______  (I write in the name of any formula I  want, 
from the name brands to store brands) for infants in the Child and Adult  Care 
Food Program.  It is your choice whether or not you use this formula  based on 
your preference and your infant's needs.
 
Please check one of the following three choices:
 
1. I will use the formula offered by this facility.  <more about  sterilized 
bottles that must go home each night...>
 
2.  I will _not_ use the formula offered by the facility.  If  not, what 
formula will you send with/for your infant?
 
3.  I will provide breast milk for my infant.  
 
And, check below if your infant is developmentally ready for baby  food.
 
___  My infant is four (4) months old or older and developmentally  ready for 
baby food.  I would like this facility to provide the following  baby food(s) 
for my infant, which are allowed under 7CFR  220.20(b)(2)(3)(4).
 
Parent then fills in child's name and DOB, and signs and dates the  form.
 
------
 
When I was given this form, I asked for a new one that listed breast milk  
first, and the other stuff last.  I was told that this form was mandated by  the 
USDA, and had to be in this format.  
 
Also, my Food Program Monitor advises us to use the cheapest formula  
available (in our case, Target brand) as the formula that we'll offer, so most  
parents will want to bring their own stuff, and we don't have to pay for  it.  
 
The reimbursement is the same, whether the child is fed formula that I  
purchase, formula purchased by the parents, or breastmilk.  The payment is  also 
the same, whether the child starts solids at 4mos or 8mos. 
 
There are also meal pattern requirements, stating that a baby of a  specific 
age must be offered a certain amount of breast milk or formula at  breakfast, 
lunch, supper, and snacks.  The minimum is 4-6oz per  feeding.  I've yet to 
have an infant in my care who takes 4oz of breast  milk at a feeding!  However, 
they will allow us to give a baby less than  that, as long as we have more 
milk available in fridge or freezer if baby is  still hungry.
 
I'm totally _not_ happy with the way the Food Program is set up, but if I  
want to get reimbursed for feeding the children in my care, then I try to follow 
 their regulations as much as possible.  
 
Also, for those who don't know, I do get unannounced visits from a Food  
Program Monitor, 4x/yr, to make sure that I'm feeding the kids what I say that  
I'm feeding them.  The visits are always at mealtimes, too.
 
Please let me know if you have more questions, I've been on the program for  
4.5 yrs, still don't like the way it's set up, but can only convince people to 
 make a few changes at a time!  :-)

Shannon Rittenhouse
Licensed Home Daycare Provider
LLL Leader
Sterling, VA, USA

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