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Any adult day care organization providing non-residential care for adults may participate in the Iowa Child and Adult Care Food Program if the following requirements are met. The organization must be:
- a public institution, or
- a private non-profit organization with tax-exempt status [501(C)(3)] as determined by the Internal Revenue Service (IRS) Code of 1986, or
- a proprietary (private for-profit) center where 25% of the enrolled eligible adults receive Medicaid(Title XIX).
In addition the center must meet the following requirements:
- The center cares for adults age 60 years or older or functionally impaired adults.
- The center has been approved for an Iowa Department of Human Services (DHS) Purchase of Service Agreement (POS), has an inspection from the Department of Inspections and Appeals (DIA), or has Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
Adult Day Care Centers are paid reimbursement for planning and serving meals that follow the adult CACFP meal pattern requirements. Centers may request approval for breakfast, lunch, supper, and snacks (morning, afternoon and evening). Currently, USDA rules allow reimbursement to be paid for not more than two meals and one snack or one meal and two snacks per adult per day. Meals served to supervising adults, volunteers and visitor cannot be claimed for CACFP reimbursement.
Reimbursement is based on the income level on participants when an approved, current income applications is on file. Meals served to lower income participants are reimbursed at a higher rate. Reimbursement rates can be found on the side navigation menu under "Nutrition Programs Funding" and then select CACFP.
How do I apply for the program in Iowa?
Contact Robin Holz at 515-281-3484
Attendance at a CACFP Steps to Success Workshop is required to learn Program rules and record keeping requirements. The CACFP application for participation must be requested from the Bureau of Nutrition and Health Services and completed. A pre-approval visit must be conducted to review the application and CACFP records.
Adult Center Resources
Non-dairy beverages may be served in lieu of fluid milk to adults who cannot consume fluid milk due to medical or other special dietary needs. Participants or guardians may request, in writing, non-dairy milk substitutions without providing a medical statement. Non-dairy beverages must be nutritionally equivalent to milk. If the non-dairy beverage is not nutritionally equivalent to cow’s milk, the meal cannot be claimed, unless the substitution is due to a documented disability.
The standards and products that meet the nutrition requirements may be found at:
The following meal patterns must be followed for meals to be eligible for CACFP reimbursement
Blank menu form for planning menus in adult day care centers.
The Handy Guide to Creditable Foods lists food items that must be used to fulfill meal pattern requirements. Creditable foods are those that can be used to fulfill meal pattern requirements. Non-creditable foods cannot be used to meet meal pattern requirements.
The Serving Size Chart is used to assist staff who prepare serving dishes for CACFP family style meals to ensure enough food is on the table for the number of participants sitting at the table.
Menus that meet CACFP requirements and the 2010 Dietary Guideline recommendations for healthier meals.
The Diet Modification Form must be completed by a licensed prescribing medical professional to document food substitutions based on a medical need. Centers must offer to provide food substitutions for medical needs that are defined as disabilities. Centers have the discretion to provide substitutions for medical needs that do not rise to the level of disability, and for non-medical dietary requests. Parents/guardians may provide food substitutions if they wish and if the center allows food from home. Meals may be claimed for reimbursement when the parent/guardian provides foods for documented medical reasons as long as the center provides at least one meal component.
Building for the Future BrochureThe Building for the Future Brochure must be provided to families upon enrollment to inform them of the center's participation in the CACFP. A copy may be downloaded from the USDA Websites listed below (print two-sided, flip on short edge) or obtained from the CACFP Steps to Success Manual.
Adult Income Application and Household Letter
Daily Meal Participation Record - Form used to record daily meal participation. Each participant's first and last name must be listed.
CACFP Tracking Worksheet for Training Requirements
Use this form to track training for each staff member with CACFP duties to ensure the annual 1.5 hours of annual CACFP training per person has been completed.
Food Production Records
Food Production Records are used to document that required amounts of food have been served. If food is ordered food from an outside source, use the Contracted Meal Food Production Record. If meals are prepared onsite, use either the Short Food Production Record or the Regular Food Production Record form. The regular form includes columns that match the Food Buying Guide and instructions for calculating amounts to prepare. Outside hours child care centers may use the form developed for those organizations.
Form that adult care center sponsors use to conduct their 3 required annual review of sponsor center sites.
Adult CACFP Sponsored Center Site Review Form