Navigating nutritional guidelines for child day care can seem like a daunting task, but the LDSS-4442 form, issued by the New York State Office of Children and Family Services, serves as a vital tool in this endeavor. Tailored specifically for centers and school-age programs, this menu planning form helps ensure that children receive balanced and nutritious meals aligned with their developmental needs. It details the meal patterns required for breakfast, lunch or supper, and snacks, delineating choices such as fruit or fruit juice, enriched bread or cereal, and milk for breakfast, along with combinations of food items for other meals, including meat or meat alternatives and vegetables or fruits. Additionally, the form outlines portion sizes suitable for various age groups, offering guidance on adapting meals according to the individual needs and preferences of the children, factoring in those under one year who have unique dietary requirements. Not only is this form a requirement for centers participating in the Special Food Service Program for Children, but it also plays a crucial role in educating providers on crafting nutritious meal plans that cater to the health and well-being of children in their care.
| Question | Answer |
|---|---|
| Form Name | Ldss 4442 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | ldss 4442, form 4442, 4442 form pdf, printable worksheets 5 year old |
NEW YORK STATE
OFFICE OF CHILDREN AND FAMILY SERVICES
MENU PLANNING FORM FOR CHILD DAY CARE
(For centers and school age programs only)
PROVIDER/PROGRAM: |
REVIEWED BY: |
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ADDRESS |
TITLE: (Person Qualified in Nutrition) |
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CITY STATE, ZIP CODE: |
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WEEK OF: |
DATE: |
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MEAL PATTERN |
MONDAY |
TUESDAY |
WEDNESDAY |
THURSDAY |
FRIDAY |
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Breakfast: |
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Fruit or Fruit juice |
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Enriched Bread or Cereal |
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Milk |
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AM and PM Snacks: |
AM |
AM |
AM |
AM |
AM |
Choose a combination of any two foods per snack |
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from: |
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Milk, Fruit, Fruit Juice, Raw Vegetables, Enriched |
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Crackers, and Bread, Cereal, Enriched Cookies, |
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Cheese, Eggs and Mild Desserts |
PM |
PM |
PM |
PM |
PM |
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Lunch or Supper: |
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Meat or Meat Alternate |
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Vegetable or Fruit (choose two) |
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Enriched Bread & Butter/Margarine |
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Simple Dessert |
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Milk |
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Centers participating in the Special Food Service Program for Children are required to serve milk, fruit, or
SEE REVERSE
MENU PLANNING FORM Continued
GUIDE TO CHILD SIZE PORTIONS
Meal Pattern[2] |
1 to 3 years old |
3 to 6 years old |
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Breakfast: |
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Fruit or Fruit Juice |
¼ Cup |
½ Cup |
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½ Slice or ¼ Cup |
½ Slice or 1/3 Cup |
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Enriched Bread or Cereal |
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½ Cup |
¾ Cup |
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Milk |
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AM and PM Snacks: |
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½ Cup Milk, Fruit, or Fruit Juice |
½ Cup Milk, Fruit, or Fruit Juice |
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Milk, Fruit, Fruit Juice, Raw Vegetables, Enriched |
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Crackers and Bread, Cereal, Enriched Cookies, |
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¼ Cup Cereal or ½ Slice Bread |
1/3 Cup Cereal or ½ Slice Bread |
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Cheese, Eggs, and Mild Desserts (Choose any two |
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½ Ounce Cheese |
½ Ounce Cheese |
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per snack) |
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½ Egg |
½ |
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¼ Cup Milk Desserts (Ice Cream Pudding, etc.) |
¼ - 1/2 Cup Milk Desserts (Ice Cream |
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Lunch or Supper: |
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Meat or Meat Alternate |
1 Ounce (2 Tablespoons) |
1 ½ - 2 Ounces (4 Tablespoons) |
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Meat, Poultry, Fish |
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1 Ounce |
1 ½ - 2 Ounces |
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Cheese |
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1 |
1 |
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Egg |
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1/8 Cup |
¼ Cup |
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Cooked Dry Beans |
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1 Tablespoon |
2 Tablespoons |
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Peanut Butter |
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¼ Cup Total |
½ Cup Total |
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Vegetable or Fruit (choose two) |
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½ Slice Bread; ½ Roll or Biscuit |
½ - 1 Slice Bread; ½ |
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Enriched Bread/Roll/Bun/Biscuit |
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½ Teaspoon |
1 Teaspoon |
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Butter/Margarine |
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¼ Cup |
½ Cup |
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Simple Desserts |
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½ Cup |
¾ Cup |
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Milk |
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[1]Food requirements for infants under
[2]Individual children will differ in amounts they will eat. Programs should exchange information with parents on the child’s eating habits and food preferences.