CACFP: Adult Day Care Facilities

Information and documents for adult day care centers participating in the Child and Adult Care Food Program (CACFP).

• CACFP Factsheet for Adult Day Care Centers
• Sponsoring Organizations of Unaffiliated Centers/Ministries

• Adult Meal Pattern
  • Adult Meal Pattern
  • Blank Adult Menu
  • Exhibit A
  • Adult Menu Ideas
  • Crediting Handbook
  • Grain-Based Desserts
  • Crediting Deli Meat and Other Processed Meat in CACFP
  • USDA’s Food Buying Guide
  • USDA’s Meal Pattern Worksheets
  • Meal Pattern Reference Guide
  • Serving Size Cheat Sheet
  • Menu/Recipe Resources
  • Indiana WIC Food List
• Civil Rights/Special Dietary Needs
  • Civil Rights Page (training and forms)
• Free and Reduced Price Meals Information

  2024-2025 Application (this section does not apply to Head Start):

  • Application for Free and Reduced Price Meals
  • Application for Free and Reduced Price Meals (other languages)
  • Income Guidelines (7/1/24-6/30/25)
  • Non-pricing letter and instructions (7/1/24-6/30/25)
  • Pricing letter and instructions (7/1/24-6/30/25)
  • Eligibility Manual
• Recordkeeping/Forms
  • Condensed List of Required Records for Adult Day Care Centers
    • Detailed list of Required records for Adult Day Care Centers
  • Enrollment Form
  • Monthly Eligibility Roster
  • Annual Eligibility Roster
  • Attendance Record
  • Meal Participation (Meal Count) Form
  • Milk Inventory Form
  • Milk Calculation
  • Training Documentation Form
  • Voluntary Closure Form
  • Vended Meal Daily Delivery Slip
  • Forms Available in Other Languages
  • Substitution Log
• Resources
  • Adult Day Care Centers Handbook
  • Indiana Food Establishment Sanitation Requirements (Title 410 IAC 7-24)
  • USDA/ICN Resource Sharing Site
• Sponsoring Organizations of Adult Day Care Centers
  • Monitor Form
  • Sample Monitor Time Log
  • Sample Mileage/Monitor Log
  • Alternate Approval Form

  Unaffiliated Facilities:

  • Permanent Agreement
  • Change of Sponsor Form
  • Serious Deficiency Resources