CACFP Meal Pattern Waiver Survey

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The Bureau of Nutrition and Health Services was notified by the Food and Nutrition Services (FNS) of the Nationwide waiver approval for the Child and Adult Care Food Program (CACFP) meal pattern requirements as stated in 7 CFR 226.20 CACFP Regulations. Approval of the waiver applies to child care sponsors of homes, child care centers, and adult care centers participating in CACFP. This waiver is effective immediately, ending June 30, 2021.

Independent center programs, center and Home Sponsor organizations are required to notify the State agency to request use of the waiver when required components/foods are not available in their local market, and the reason for the unavailability by completing this survey. You can complete the survey more than once to report food shortages as they change over time.

Email *

Today's date

What type of facility do you operate? Check all that apply.

Family Child Care Home Sponsor

Child Care Center

Adult Care Center

Head Start or Early Head Start Center

Preschool

Outside School Hours Child Care

At-Risk Meal Program

Emergency Shelter

Other:

How many sites will utilize the waiver?

1 - Select this option for independent centers

13 or more

Other:

Why will you use the waiver? (Check all that apply)

Milk not available in required quantities

The required type of milk is not available

Whole grain-rich foods are not available

Required quantities of one or more components are not available

Other:

If other, please describe

Please provide details describing the shortage for each box checked including date(s)

Family Child Care Home Sponsor name:

If Home Sponsor, list provider(s):

Center-based organizations: What is the name of your organization?

Center-based organizations: What is the name of your center if different than your organization?

What county or counties is the program located in?

Send me a copy of my responses.

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