Sample Child Care Center Infant Feeding Plan (Page 2 of 2) in pdf

Sample Child Care Center Infant Feeding Plan Page 2

Sample Child Care Center Infant

Feeding Plan

1. What does your baby drink most of the time?

2. Do you provide any other

CIRCLE:

liquid as a supplement? If so,

YES NO

what?

3. Does your child currently

CIRCLE:

receive any type of solid food?

YES NO

If so, what and how much?

4. Please tell us your baby’s usual

Amount:

pattern of eating – about how

Frequency:

much and how often?

5. Are there times when you plan to nurse your baby at the center?

If so, we will try to plan feeding times accordingly.

6. If your child is receiving breast milk, what do you wish us to do if

we run out of pumped milk?

7. Are you aware of any food allergies or sensitivities that your child

has?

8. Does your child have any

CIRCLE:

problems with feedings such as

YES NO

choking or spitting up?

If yes, please explain:

9. Is there any other information that we should know about your

child’s eating habits?

This information has been adapted from the Louisiana Breastfeeding Coalition’s Supporting Breastfeeding in Child Care Centers

Program. This project is a collaboration between Healthy Kids New Mexico and the New Mexico Breastfeeding Task Force.

Sample Child Care Center Infant Feeding Plan Page 2