5101:2-13-39 Requirements for meals and snacks in type A homes.

(A) A meal or snack which meets the requirements of this rule shall be prepared and served to any toddler, preschool child or school child at intervals of not more than four hours.

The type A home shall serve:

If a child is in attendance at a type A home:

1 meal and 1 snack

More than 4, up to 7 consecutive hours

1 meal and 2 snacks or 2 meals and 1 snack

7 to 10 consecutive hours

In addition, the following stipulations apply:

The child shall be served at least:

If a child is in attendance at a type A home:

1 breakfast

Entirely between 5:00 a.m. and 6:30 a.m.

1 meal

Entirely between 11:00 a.m. and 1:30 p.m.

1 meal

Entirely between 5:00 p.m. and 7:00 p.m.

1 snack

From 6:30 p.m. to bedtime

1 snack

Before school (school children only) no later than thirty minutes prior to leaving for school

1 snack

After school (school children only)

(1) Children in evening or overnight care shall be accommodated to the above schedule, as applicable, during the hours the child is awake.

(2) A meal shall meet one-third of the recommended daily dietary allowances as specified by the United States department of agriculture (USDA) child and adult care food program child care component as outlined in 7 CFR 226.20 (August 30, 2007). This includes at least one serving of fluid milk, one serving of meat or meat alternative, two servings of vegetables and/or fruits and one serving of bread or grains.

(3) The sizes of individual food servings may be varied according to the developmental needs of the child being served, but additional amounts of food shall be prepared and ready to serve in order to meet one-third of the recommended daily dietary allowance for each child in attendance.

(4) A snack shall provide nutritional value in addition to calories and contain at least one food from two of the four basic food groups. The basic food groups are:

(a) Meat/meat alternate.

(b) Bread/grains.

(c) Fruit/vegetable.

(d) Milk.

(5) Breakfast shall include at least one serving each of fluid milk, fruit or vegetable, and bread or grains.

(6) Only one hundred per cent, undiluted, fruit or vegetable juice meets the fruit or vegetable requirement for meals or snacks.

(7) For children over twenty-four months of age, the type A home shall provide fluid milk that is vitamin D fortified. Low fat and skim milk shall be vitamin A and vitamin D fortified. All other milk and milk substitutes require written documentation by a licensed physician. Reconstituted dry powdered milk shall be used only for cooking and shall not be used as a beverage.

(8) For children under twelve months of age, the home shall use formula or breast milk unless otherwise directed in writing by a licensed physician. For children older than twelve months but under twenty-four months of age, the home shall provide and use whole homogenized vitamin D fortified cow's milk, unless otherwise directed in writing by a licensed physician.

(B) In order to verify compliance with this rule, the Ohio department of job and family services (ODJFS) may require the type A home to submit food preparation records that shall include:

(1) Menus which reflect quantities of all foods served by the type A home.

(2) Record of ingredients, from the four food groups, which were used to prepare mixed food recipes, such as pasta and cheese, casseroles or soups.

(3) The total number of children of each age group and the adults served.

(C) Current dated menus for the entire week shall be displayed in a conspicuous place readily in view for parents or guardians at the home, and shall reflect all meals and snacks served by the type A home. Any substitute foods served shall be recorded on the posted menu at the time of the change.

(D) Modified diets shall be approved in writing by a licensed physician. If an entire food group is eliminated, the home shall obtain written instructions from a physician on the prescribed form provided by ODJFS. When special diets are required for cultural or religious reasons, the type A home shall obtain written, dated and signed instructions from the child's parent or guardian unless the special diet is part of a type A home program.

(E) If the type A home provides the meal, the home shall set its own policy regarding the accommodation of a parent's alternate diet for a child, but the type A home shall assure that any alternate diet, except those required for religious, cultural or medical reasons as specified in paragraph (D) of this rule, include items from each of the following categories: protein, grain, fruit/vegetable and dairy.

(F) Parents or guardians may provide food for the children's meals and snacks if the type A home meets the following requirements:

(1) Has provisions for safe storage of parent provided food.

(2) Has supplemental foods from all four food groups on the premises and readily accessible during meal times. Supplemental food which is needed to fulfill one-third of the child's recommended daily dietary allowances shall be readily available and offered to each child if the parent provided meal does not meet the requirements of paragraph (A) of this rule.

(3) Provides all parents or guardians and staff written nutritional information regarding meeting one-third of the child's recommended daily dietary allowance. A copy of this written nutritional information shall be on file at the home.

Effective: 11/22/2015
Five Year Review (FYR) Dates: 08/28/2015 and 11/22/2020
Promulgated Under: 119.03
Statutory Authority: 5104.017
Rule Amplifies: 5104.017
Prior Effective Dates: 9/5/86, 7/1/03, 9/1/05