South Carolina Department of Social Services Child and Adult Care Food Program (CACFP)

South Carolina Department of Social Services • Child and Adult Care Food Program (CACFP)

WEEKLY MENU FORM

Provider’s Name:Little River Child Development Center______Month/Year: ______
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAY / SATURDAY / SUNDAY
Calendar Date
Breakfast / Fluid Milk / Whole or 1% Milk / Whole or 1% Milk / Whole or 1% Milk / Whole or 1% Milk / Whole or 1% Milk
Fruit, Vegetable or
Full Strength Juice / Peaches / Strawberries / Diced Pears / Bananas / Fresh Orange Slices
Bread or Bread Alternate(s) / Turkey Sausage Pancake Wraps / Whole Wheat French Toast Sticks / Whole Wheat Bagels / Honey Nut Cheerios / Whole Wheat Pancakes
Additional Food (Optional) / Syrup / Low Fat Cream Cheese / Syrup
AM Snack / Choose 2 of These 4:
Fluid Milk / Water Served Daily / Water Served Daily / Water Served Daily / Water Served Daily / Water Served Daily
Fruit, Vegetable or
Full Strength Juice
Bread or Bread Alternate(s)
Meat or Meat Alternate
Lunch / * Main Dish / CM / Salisbury Steak / CM / Tacos (D-24) / CM / Fish Nuggets / CM / Pork Stir Fry (D-18B) / CM / Beef Hotdogs / CM / CM
PS / PS / PS / PS / PS / PS / PS
HM / HM / HM / HM / HM / HM / HM
Fluid Milk / Whole White Milk or 1% Choc. Milk / Whole White Milk or 1% Choc. Milk / Whole White Milk or 1% Choc. Milk / Whole White Milk or 1% Choc. Milk / Whole White Milk or 1% Choc. Milk
Meat or Meat Alternate / Steak / Ground Beef / Fish / Pork / 100% Beef Hotdogs
Vegetable or Fruit / Mashed Potatoes / Tomatoes & Shredded Lettuce / Baked Beans / Carrots & Broccoli / French Fries
Vegetable or Fruit / Fresh Apple Slices / Fruit Cocktail / Fresh Kiwi / Pineapple / Fresh Blueberries
Bread or Bread Alternate(s) / Whole Wheat Rolls / Soft Wheat Tortilla Shells / Corn Muffins / Whole Wheat Dinner Rolls / Whole Wheat Buns
Additional Food (Optional) / Green Peas / Shredded Cheese / Collards / Onions / Ketchup
PM Snack / Choose 2 of These 4:
Fluid Milk / Water or
100% Fruit Punch Juice, Strawberries, and Whole Grain Crackers / Water or
100% Apple Juice, and
Graham Crackers / Water or
100% Orange Juice, Sliced Cheese and Ritz Crackers / Water or
100% Grape Juice, Fresh Apple Slices, Cheese, and Crackers / Water or
100% Apple Cherry Juice,
and Rice Krispy Treats
Fruit, Vegetable or
Full Strength Juice
Bread or Bread Alternate(s)
Meat or Meat Alternate
*Key: / CN = Child Nutrition Label / PS = Product Specification Sheet / HM = Homemade

DSS Form 1674 (JAN 00) Edition of SEP 98 is obsolete.