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
- Building for the Future -(Notification to parents about CACFP and its benefits)
- English (PDF, 128KB, 1pg.)
- (Versión en español) (PDF, 109KB 1pg.)
- (Arabic Version) (PDF, 41.9KB, 1pg.)
- (Bengali Version) (PDF, 60.8KB, 1pg.)
- (Chinese Version) (PDF, 52.6KB, 1pg.)
- (French Version) (PDF, 127KB, 1pg.)
- (Haitian Creole Version) (PDF, 139KB, 1pg.)
- (Hebrew Version) (PDF, 29.9KB, 1pg.)
- (Hmong Version) (PDF, 136KB, 1pg.)
- (Japanese Version) (PDF, 59.9KB, 1pg.)
- (Khmer Version) (PDF, 54.2KB, 1pg.)
- (Lao Version) (PDF, 45.8KB, 1pg.)
- (Portuguese Version) (PDF, 129KB, 1pg.)
- (Russian Version) (PDF, 67.5KB, 1pg.)
- (Thai Version) (PDF, 54.2KB, 1pg.)
- (Vietnamese Version) (PDF, 54.8KB, 1pg.)
- (Yiddish Version) (PDF, 53.3KB, 1pg.)
Curricula, Guides and Informational Charts
- 60/90 Day Claims Submission Calendar (PDF, 42KB, 2pg.)
- 2000 Census Data for New York State (PDF, 304KB, 2pg.)
- At-Risk Eligible Public Schools in NYC (PDF, 141KB, 18pg.)
- At-Risk Eligible Public Schools in Upstate NY (PDF, 189KB, 53pg.)
- Child Meal Pattern (CACFP-102) Chart indicating required components and minimum quantities of food for children 1-12 years old in care.(PDF, 64.5KB, 1pg.)
- (Versión en español) (PDF, 55.9KB, 1pg.)
- Crediting Foods in CACFP (PDF, 678KB, 29pg.)
- 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.
- 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.
- 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, 170KB, 1pg.)
- Download Income Guidelines (CACFP-3687) (RTF, 685KB, 1pg.)
- Infant Meal Pattern (CACFP-103) Chart indicating required components and minimum quantities of food for infants less than 1 year old in care. (PDF, 48.4KB, 1pg.)
- (Versión en español) (PDF, 48.4KB, 1pg.)
Forms
- Agreement Between the State and Sponsoring Organizations of Day Care Centers (DOH-3840)(PDF, 88.2KB, 2pg.)
- Attendance Record -Sample daily attendance record. (PDF, 98.8KB, 1pg.)
- Download Attendance Record (RTF, 793KB, 1pg.)
- Application for Participation of Child Day Care Centers Serving 6 weeks to 12 years old (DOH-3682) Application for a child day care center serving children 6 weeks to 12 years old to participate in CACFP.(PDF, 71KB, 2pg.)
- Download Application (DOH-3682) (RTF, 1.42MB, 2pg.)
- Application for Participation of Teen Centers Serving Teens 13 to 19 years old (DOH-4154) (PDF, 66KB, 2pg.)
- Download Application (DOH-4154) (RTF, 1.39MB, 2pg.)
- Certificate of Authority Form (DOH-3671) (PDF, 58.2KB, 1pg)
- Download Certificate of Authority (DOH-3671) (RTF, 677KB, 1pg.)
- Claim for Reimbursement for Sponsoring Organizations of Day Care Centers with Instructions (DOH-3703) - To submit monthly data for payment. (PDF, 194KB, 2pg.)
- Download Claim for Reimbursement (DOH-3703)(RTF, 777KB, 2pg.)
- Daily Meal Count - Sample daily meal count sheet (PDF, 120KB, 1pg.)
- Download Meal Count Sample (RTF, 666KB, 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, 50KB, 2pg.)
- Download Income Eligibility Application - (DOH-3688) (RTF, 1.32MB, 2pg.)
- Spanish (DOH-3688es) (PDF, 53KB, 2pg.)
- Download Spanish (DOH-3688es) (RTF, 1.33MB, 2pg.)
- Russian (DOH-3688ru) (PDF, 157KB, 2pg.)
- Download Russian (DOH-3688ru) (RTF, 1.39MB, 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, 64.1KB, 1pg.)
- Download Letter to Households (CACFP-3673) (RTF, 658KB, 1pg.)
- (Versión en español) (PDF, 67.3KB, 1pg.)
- Descargar versión en español (RTF, 657KB, 1pg.)
- Management Plan for Renewing Independent Centers (CACFP-144) (PDF, 41.7KB, 2pg.)
- Download Independent Center Management Plan (CACFP-144) (RTF, 700KB, 2pg.)
- Management Plan for Renewing Sponsoring Organizations (CACFP-145) (PDF, 43.3KB, 2pg.)
- Download Sponsor Mangement Plan (CACFP-145) (RTF, 705KB, 2pg.)
- 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, 66KB, 2pg.)
- Download Order Form (CACFP-3718)(RTF, 759KB, 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.)
- Sponsor Budget Plan of CACFP Reimbursements and Expenses (CACFP-4298) (PDF, 98.1KB, 2pg.)
- Download CACFP-4298 (RTF, 785KB, 2pg.)
- Vended Meals (Policy Memo Number 110)
for CACFP-118, CACFP-119 and CACFP-141 Forms Listed Below - Vended Meals: Invitation for Bid and Vendor Contract to Provide Meals and/or Snacks (CACFP-118) (PDF, 139KB, 6pg.)
- Instructions for completing the Bid Process (CACFP-118i) (PDF, 32KB, 2pg.)
- Download CACFP-118 (RTF, 1.4MB, 6pg.)
- Vendor Contract to Provide Meals and/or Snacks (CACFP-119) (PDF, 146KB, 5pg.)
- Download CACFP-119 (RTF, 800KB, 5pg.)
- Vendor Contract Extension to Provide Meals/Snacks (CACFP-141) (PDF, 34KB, 1pg.)
- Download CACFP-141 (RTF, 672KB, 1pg.)
Sample Menus
- Easy and Economical Snack Ideas (PDF, 125KB, 1pg.)
- Thrifty and Tasty Cold Lunch Ideas (PDF, 143KB, 5pg.)