Child and Adult Care Food Program 1) Write the first and last names of the infants by age group. 2) Record the amounts prepared for each infant Daily Infant Production Record (GROUP OPTION) 3) Record the type of fruit, vegetable, or meat 4) Mark if meal is claimed (must all required items to claim the meal/snack). Date: ________/___/_____ Center Name: __________________________________________ Instructions Infants Ages Birth through 5 months: First and Last Names: BREAKFAST AM SNACK PM SNACK through 5 months Breast Milk or Formula Breast Milk or Formula Breast Milk or Formula Breast Milk or Formula Code Eligibility Infants Ages 6 months through 11 months: BREAKFAST AM SNACK LUNCH PM SNACK Infant Infant Infant Cereal or Infant Cereal or Vegetable, Cereal Vegetable, Bread or Cereal Bread or Vegetable, Fruit, or Vegetable, First and Last Names: and/or Fruit, or Crackers or and/or Crackers or Fruit, or Both Breast Breast Both Breast Fruit, or Meat Both Ready to Meat Breast Milk Ready to 6 through 11 months Milk or Milk or Milk or Both Code Eat Cereal or Formula Eat Cereal Food Item: Formula Formula Food Item: Formula Eligibility Food Item: Food Item: Food Item: Food Item: Food Item: Food Item: _________ __________ __________ _________ __________ _________ __________ __________
Child and Adult Care Food Program Daily Infant Production Record (GROUP OPTION) Date: ________/___/_____ Center Name: __________________________________________ Instructions 1) Write the first and last names of the infants by age group. 2) Record the amounts prepared for each infant 3) Record the type of fruit, vegetable, or meat 4) Mark if meal is claimed (must all required items to claim the meal/snack). Infants Ages Birth through 5 months: First and Last Names: through 5 months Eligibility Code BREAKFAST Breast Milk or Formula AM SNACK Breast Milk or Formula Breast Milk or Formula PM SNACK Breast Milk or Formula Infants Ages 6 months through 11 months: First and Last Names: 6 through 11 months Eligibility Code BREAKFAST AM SNACK LUNCH PM SNACK Breast Milk or Formula Infant Cereal and/or Meat Food Item: _________ Vegetable, Fruit, or Both Food Item: __________ Breast Milk or Formula Infant Cereal or Bread or Crackers or Ready to Eat Cereal Food Item: __________ Vegetable, Fruit, or Both Food Item: __________ Breast Milk or Formula Infant Cereal and/or Meat Food Item: _________ Vegetable, Fruit, or Both Food Item: __________ Breast Milk or Formula Infant Cereal or Bread or Crackers or Ready to Eat Cereal Food Item: __________ Vegetable, Fruit, or Both Food Item: _________
Infant-Gr.docx