Day Care Centers
(All Brochures, Forms, Informational Charts, and Sample Menus are available below in PDF Format or may be requested by contacting the Child and Adult Care Food Program at our Toll Free Number: 1-800-942-3858). To view or print PDF Documents, Adobe Acrobat Reader must be installed on your computer.
Brochures
- At-risk After-school Snack/Supper Program (CACFP-4363) (PDF, 1.52MB, 2pg.)
- Building for the Future -(Notification to parents about CACFP and its benefits)
- English (PDF, 128KB, 2pg.)
- (Versión en español) (PDF, 109KB 2pg.)
- (Arabic Version) (PDF, 41.9KB, 2pg.)
- (Bengali Version) (PDF, 60.8KB, 2pg.)
- (Bosnian Version) (PDF, 442KB, 2pg.)
- (Chinese Version) (PDF, 52.6KB, 2pg.)
- (French Version) (PDF, 127KB, 2pg.)
- (Haitian Creole Version) (PDF, 139KB, 2pg.)
- (Hebrew Version) (PDF, 29.9KB, 2pg.)
- (Hmong Version) (PDF, 136KB, 2pg.)
- (Japanese Version) (PDF, 59.9KB, 2pg.)
- (Khmer Version) (PDF, 54.2KB, 2pg.)
- (Lao Version) (PDF, 45.8KB, 2pg.)
- (Maay Maay Version) (PDF, 351KB, 2pg.)
- (Portuguese Version) (PDF, 129KB, 2pg.)
- (Russian Version) (PDF, 67.5KB, 2pg.)
- (Thai Version) (PDF, 54.2KB, 2pg.)
- (Vietnamese Version) (PDF, 54.8KB, 2pg.)
- (Yiddish Version) (PDF, 53.3KB, 2pg.)
- Good Nutrition Pays (CACFP-4359) (PDF, 1.51MB, 2pg.)
Curricula, Guides and Informational Charts
- 60/90 Day Claims Submission Calendar (PDF, 42KB, 2pg.)
- 2010 Census Data for New York State (PDF, 64KB, 2pg.)
- At-Risk Eligible Public Schools in NYC (PDF, 409KB, 23pg.)
- At-Risk Eligible Public Schools Outside NYC (PDF, 422KB, 60pg.)
- Crediting Foods in CACFP (PDF, 1.96MB, 56pg.)
- Eat Well Play Hard in Child Care Settings Curriculum Nutrition and Physical Activity Curriculum - To aide child care educators in obesity prevention.
- Eat Well Play Hard in Child Care Settings Staff Training Curriculum Nutrition and Physical Activity Curriculum - To train food service staff and pre-school teachers in obesity prevention.
- FNS Core Nutrition Messages
USDA - Food and Nutrition Service (FNS), provides nutrition messages designed to deliver consistent and accurate information to help develop healthy eating patterns in young children. - Food Buying Guide for Child Nutrition Programs - Team Nutrition USDA Food and Nutrition Service - providing a guide to plan, purchase, prepare and serve nourishing meals.
- Food Buying Guide Calculator - The National Food Service Management Institute (NFSMI) and Team Nutrition have developed an online calculator to be used with the USDA Food Buying Guide (FBG). The interactive and simple to use calculator allows child nutrition professionals to build shopping lists of foods from the FBG and determine how much of each item to purchase to provide enough servings for the children in their program.
- Healthy Child Meal Pattern (CACFP-102) Chart indicating required components and minimum quantities of food for children 1-12 years old in care.(PDF, 229KB, 1pg.)
- Arabic Version (PDF, 592KB, 1pg.)
- Chinese Version (PDF, 392KB, 1pg.)
- Haitian-Creole Version (PDF, 225KB, 1pg.)
- Korean Version (PDF, 308KB, 1pg.)
- Russian Version (PDF, 444KB, 1pg.)
- Spanish Version (PDF, 226KB, 1pg.)
- Healthy Infant Meal Pattern (CACFP-103) Chart indicating required components and minimum quantities of food for infants less than 1 year old in care. (PDF, 287KB, 1pg.)
- Arabic Version (PDF, 589KB, 1pg.)
- Chinese Version (PDF, 315KB, 1pg.)
- Haitian-Creole Version (PDF, 221KB, 1pg.)
- Korean Version (PDF, 276KB, 1pg.)
- Russian Version (PDF, 443KB, 1pg.)
- Spanish Version (PDF, 221KB, 1pg.)
- Income Guidelines for Day Care Centers (CACFP-3687) Chart indicating income criteria to qualify for free or reduced price meal reimbursement. FOR SPONSORING ORGANIZATION USE ONLY. (PDF, 55KB, 1pg.)
Forms
- Account Request for HCS (DOH-5039) (PDF, 34KB, 1pg.)
- Download Account Request for HCS (DOH-5039) (RTF, 1.27MB, 1pg.)
- Agreement Between the State and Sponsoring Organizations of Day Care Centers (DOH-3840)(PDF, 584KB, 2pg.)
- Annual Update of CACFP Manual for Sponsors of Day Care Centers (CACFP-3979C) (PDF, 339KB, 2pg.)
- Download CACFP-3979C (RTF, 746KB, 2pg.)
- Application for Participation of Individual Centers (DOH-3682) (PDF, 97KB, 4pg.)
- Download Application (DOH-3682) (RTF, 1.93MB, 4pg.)
- Attendance Record (CACFP-115) - Sample daily attendance record. (PDF, 65KB, 1pg.)
- Download Attendance Record (CACFP-115) (RTF, 827KB, 1pg.)
- Authorization for Online Health Commerce System (HCS) Account Creation (CACFP-179) (PDF, 33.8KB, 1pg.)
- Download Authorization (CACFP-179) (RTF, 1.27MB, 1pg.)
- Board of Directors (CACFP-4217) PDF FILL-IN FORMAT (PDF, 207KB, 2pg.)
- Download Board of Directors (CACFP-4217) (RTF, 801KB, 2pg.)
- Certificate of Authority Form (CACFP-3671C) PDF FILL-IN FORMAT (PDF, 40KB, 1pg)
- Download Certificate of Authority (CACFP-3671C) (RTF, 1.27MB, 1pg.)
- Claim for Reimbursement for Sponsors of Day Care Centers (DOH-3703) PDF FILL-IN FORMAT - To submit monthly data for payment. (PDF, 249KB, 2pg.)
- Download Claim for Reimbursement (DOH-3703) (RTF, 3.38MB, 2pg.)
- Daily Meal Count - Sample daily meal count sheet (PDF, 98KB, 1pg.)
- Download Meal Count (RTF, 716KB, 1pg.)
- Daily Meal Count - Snack and Supper - Sample daily meal count sheet for Snack and Supper (PDF, 37KB, 1pg.)
- Download Meal Count - Snack and Supper (RTF, 1.28MB, 1pg.)
- Food Production Record Instructions (CACFP-3696A) (PDF, 84.8KB, 4pg.)
- Food Production Record (CACFP-3696B) (PDF, 29.5KB, 1pg.)
- Download Food Production Record (CACFP-3696B) (RTF, 653KB, 1pg.)
- Income Eligibility Application for Children (DOH-3688) - To determine eligibility for free or reduced priced meals for children in care. (PDF, 63KB, 2pg.)
- Download Income Eligibility Application - (DOH-3688) (RTF, 1.98MB, 2pg.)
- Spanish (DOH-3688es) (PDF, 53KB, 2pg.)
- Download Spanish (DOH-3688es) (RTF, 1.33MB, 2pg.)
- Russian (DOH-3688ru) (PDF, 367KB, 2pg.)
- Download Russian (DOH-3688ru) (RTF, 784KB, 2pg.)
- Chinese (DOH-3688zh) (PDF, 209KB, 2pg.)
- Download Chinese (DOH-3688zh) (RTF, 1.39MB, 2pg.)
- Letter to Households (CACFP-3673) - Mandatory annual letter explaining the income eligibility applications and participant rights. (PDF, 57KB, 1pg.)
- Spanish (CACFP-3673es) (PDF, 134KB, 1pg.)
- Russian (CACFP-3673ru) (PDF, 321KB, 1pg.)
- Chinese(CACFP-3673zh) (PDF, 245KB, 1pg.)
- Monitoring Checklist for Day Care Centers (CACFP-4259) - Checklist used by sponsoring organizations to document required monitoring of centers. (PDF, 58.4KB, 2pg.)
- Download Monitoring Checklist (CACFP-4259) (RTF, 676KB, 2pg.)
- Outside Employment Policy
- Download Outside Employment Policy (RTF, 12.7KB, 2pg.)
- Order Form for Sponsoring Organizations of Day Care Centers (CACFP-3718) (PDF, 380KB, 2pg.)
- Download Order Form (CACFP-3718)(RTF, 894KB, 2pg.)
- Participant Data Form (CACFP-3854C) - To annually collect racial-ethnic information of the children in care. (PDF, 105KB, 1pg.)
- Download Participant Data Form (CACFP-3854C) (RTF, 643KB, 1pg.)
- Reimbursement Rates For Day Care Centers (CACFP-124C) (PDF, 36KB, 1pg.)
- Vended Meals: Invitation for Bid and Vendor Contract Packet - When vended meal purchases will be more than $100,000 (CACFP-143) (PDF, 289KB, 10pg.)
- Download CACFP-143 (RTF, 3.95MB, 10pg.)
- Vended Meals: Vendor Contract Packet - When vended meal purchases will be $100,000 or less (CACFP-142) (PDF, 277KB, 8pg.)
- Download CACFP-142 (RTF, 3.90MB, 8pg.)
- Vended Meals: Extension of Vendor Contract to Provide Meals and/or Snacks (CACFP-141) (PDF, 47KB, 2pg.)
- Download CACFP-141 (RTF, 1.33MB, 2pg.)
Sample Menus
- Thrifty and Tasty Cold Lunch Ideas (PDF, 143KB, 5pg.)
- Sample Child Care Menus (CACFP-182) (PDF, 533KB, 5pg.)
- Sample Infant Lunch Menus (CACFP-109) (PDF, 100KB, 1pg.)
- Sample Menus (CACFP-107) (PDF, 92KB, 1pg.)
