Daily Meal Production Record For Infants - Arizona Department Of Education
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1Daily Meal Production Record for Infants
Date: __________________________________
Completed by: _________________________
INSTRUCTIONS:
Record the names of the infant(s) being served the meal
Use a (√) where indicated when serving breastmilk or formula or when a mother nurses onsite
Record the specific kind of fruit/vegetable, meat/meat alternate or bread/grain served
Circle the specific meals/snacks that will be claimed for reimbursement (maximum of 2 meals and 1 snack or 2 snacks and 1 meal per infant each day)
All formula and infant cereal served must be iron fortified
Record infant totals each day and transfer to Daily Meal Count Summary Sheet
IFC = Infant Cereal
*Adopted from New Mexico CACFP form
NAMES
Breakfast
AM
Lunch
PM
Supper
0-5 months
Formula or
Formula or
Formula or
Formula or
Formula or
Breast Milk
Breast Milk
Breast Milk
Breast Milk
Breast Milk
4-6 oz (√)
4-6 oz (√)
4-6 oz (√)
4-6 oz (√)
4-6 oz (√)
NAMES
Breakfast
AM Snack
Lunch
PM Snack
Supper
Formula
IFC
Veg and/or
Formula
0-1/2 slice
0-2 T
Formula
Vegetable
Meat/Alt
Formula
0-1/2 slice
0-2 T
Formula
Vegetable
Meat/Alt or
6-11 months
or
or
or
or
or
0-4 T
Fruit
bread or 0-
vegetable,
or IFC 0-
bread or 0-
vegetable,
IFC 0-4T or
and/or
and/or
Breast
Breast
Breast
Breast
Breast
0-2 T
2 crackers
fruit or
4T or
2 crackers
fruit or
0-2 oz
OR
Fruit
Fruit 0-2
Milk
Milk,
Milk
Milk
Milk
0-2 oz
Specify
or 0-4T IFC
combo of
0-2 oz
or 0-4T IFC
combo of
cheese or
0-2 T
T
2-4 oz
6-8 oz
6-8 oz
2-4 oz
6-8 oz
cheese
Specify
both
cheese or
Specify
both
0-4 oz
(√)
(√)
(√)
Specify
Specify
(√)
(√)
OR
Specify
0-4 oz
Specify
cottage/
0-4 oz
cottage/
yogurt
cottage
yogurt
Specify
cheese/
Specify
Yogurt
Specify
Daily Infant Totals:
Breakfast:_____
AM:_____
Lunch:_____
PM:_____
Supper:_____
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