California Department of Education CACFP 90 (rev.

01)
Nutrition Services Division September 2020
Weekly Menu with Serving Sizes for One Age Group
Background
The California Department of Education (CDE) developed the Weekly Menu with Serving Sizes for One Age Group template to assist Child and Adult Care Food Program
(CACFP) Operators to meet the documentation requirement for all centers (except At-Risk and Emergency Shelters) to maintain daily menus that are dated, posted, and
include serving sizes per age group. A completed sample and instructions are listed below. Fillable templates are on pages 2-3 and 4-5.
Instructions
1. CACFP Operators who serve Breakfast should use the template on pages 2-3. CACFP Operators who do not serve Breakfast should use the template on pages 4-5.
2. Enter the agency name, age group, and the first day of the week.
3. In the column for each day of the week, enter the name of the food served for each component provided and the serving size for each food served. Serving size can
be stated by weight (e.g., 2 oz), by volume (e.g., ½ cup), or by number (e.g., 2 slices or 2 pieces). Refer to the CACFP Meal Patterns Charts web page at
https://www.fns.usda.gov/cacfp/meals-and-snacks.
4. Complete the cells in the table(s) for each meal and snack claimed for reimbursement. Do not enter information into cells or tables when foods are not provided. For
example, if no extras are served, there is no need to delete the text in the fillable fields for that row. These cells will print blank.
5. Indicate grains that are whole grain-rich (WGR) by writing WGR after each grain that meets the WGR criteria.
Sample of Completed Child Care Center Serving - Lunch Only
Agency name: Sunshine Child Care Center Ages: 3–5 years Week of: 10/5/2020
Meal: Lunch/Supper
Required Components: Fluid Milk, M/MA, Vegetables, Fruits, Grains
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving
Chicken nugget breading Spaghetti noodles (WGR), English muffin/pizza Soft flour tortilla (WGR),
Grain Brown rice (WGR), ¼ cup
(WGR), 5 each ¼ cup (WGR), ½ each 1 each
Mozzarella cheese/pizza, Refried beans, ¼ cup
Meat/meat alternate (M/MA) Chicken nuggets, 5 each Red meat sauce, 3 oz Orange chicken, 3 oz
1½ oz Cheese, ½ oz
Vegetable Carrots, ¼ cup Broccoli, ¼ cup Edamame, ¼ cup Green salad, ½ cup Corn, ¼ cup
Fruit or Vegetable Apple, ¼ cup Banana, ¼ cup Strawberries, ¼ cup 100% apple juice, ¼ cup Red bell peppers, ¼ cup
Fluid Milk (or yogurt/adults only) Milk, ¾ cup Milk, ¾ cup Milk, ¾ cup Milk, ¾ cup Milk, ¾ cup
Low-sodium soy sauce, Butter, 1 Tbsp; Ranch,
Extra(s) BBQ sauce, 1 packet Grated cheese, 1 Tbsp Salsa, 1 oz
½ Tbsp 1 oz
Fluid Milk Type: Unflavored 1% Additional Fluid Milk Type (optional): Unflavored fat-free/skim
This institution is an equal opportunity provider.
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 California Department of Education CACFP 90 (rev. 01)
Nutrition Services Division September 2020

Weekly Menu with Serving Sizes for One Age Group (Breakfast Served)
Agency name: Play and Thrive Academy Ages: 3-5 Week of: 6/17/24- 6/21/24
Meal: Breakfast
Required Components: Fluid Milk, Vegetables/Fruits, Grains
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving

Grain Cream of wheat 1/2 cup WGR 1 English muffin WGR 1 Waffle
Fruit/Vegetable Banana Slices 1/2 cup Pears 1/2 cup 5 apple slices Canteloupe 1/2 cup Grapes 1/2 cup
Fluid Milk (or yogurt/adults
1% unflavored milk 3/4 cup 1% unflavored milk 3/4 cup 1%unflavored milk 3/4 cup 1 1% unflavored milk 3/4 cup 1% unflavored milk 3/4 cup
only)
M/MA substituted for grains multi grain cheerios 1/2 oz. Biscuit 1/2
Extra(s) Butter 1 tbsp.
Snack: AM Snack
Required to provide two different components
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving
Grain

M/MA 1 String cheese Peanut butter 1/2 oz. 1 tbsp. pb/ 5 saltine crackers Animal crackers 1/2 oz. Plain yogurt 1/2 cup
Vegetable celery 1/2 cup
Fruit 5 Slices of apple 100% apple juice 1/2 cup Browen 100% cran apple juice 1/2 cup Kiwi 1/2 cup 100% apple juice 1/2 cup
Fluid Milk (or yogurt/adults
only)
Extra(s)

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 California Department of Education CACFP 90 (rev. 01)
Nutrition Services Division September 2020

Meal: Lunch/Supper
Required Components: Fluid Milk, M/MA, Vegetables, Fruits, Grains
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving
Grain 1WGR Roll 1 Bread slice WGR WGR Pasta 1/2 cup
M/MA 1 chicken drumstick Brown rice WGR 1/2 cup 4- 5 fish sticks 1/2 Turkey sand. 1 oz turkey Chicken w/ alfredo sauce 3 oz.

Vegetable mashed potatoes 1/4 cup Baked chicken breast 1/2 cup Green beans 1/4 cup Brocolli 3/4 cup Carrots 1/4 cup
Fruit or Vegetable 1/4 cup green beans Green salad 1/2 cup 1/4 cup fruit cocktail Oranges 1/4 cup Pineapple 1/4 cup
Fluid Milk (or yogurt/adults
1% unflavored milk 3/4 cup 1% unflavored milk 3/4 cup 1% unflavored milk 3/4 cup 1 % unflavored milk 3/4 cup
only)
Extra(s) Salsa 1oz. 1 Mayo packet Salsa 1 oz.
Snack: PM Snack
Required to provide two different components
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving
Grain

M/MA

Vegetable

Fruit
Fluid Milk (or yogurt/adults
only)
Extra(s)

Fluid milk type: Choose milk type Additional fluid milk type (optional): Flavored fat-free/skim (Adults only)

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 California Department of Education CACFP 90 (rev. 01)
Nutrition Services Division September 2020

Weekly Menu with Serving Sizes for One Age Group (Breakfast Not Served)
Agency name: Ages: Week of:
Meal: Lunch
Required Components: Fluid Milk, M/MA, Vegetables, Fruits, Grains
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving
Grain

M/MA

Vegetable

Fruit or Vegetable
Fluid Milk (or yogurt/adults
only)
Extra(s)

Snack: AM Snack
Required to provide two different components
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving
Grain

M/MA 1 String cheese Peanut butter 1/2 oz. 1 tbsp. pb/ 5 saltine crackers Animal crackers 1/2 oz. Plain yogurt 1/2 cup
Vegetable celery 1/2 cup
Fruit 5 Slices of apple 100% apple juice 1/2 cup Browen 100% cran apple juice 1/2 cup Kiwi 1/2 cup 100% apple juice 1/2 cup
Fluid Milk (or yogurt/adults
only)
Extra(s)

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 California Department of Education CACFP 90 (rev. 01)
Nutrition Services Division September 2020

Meal: Supper
Required Components: Fluid Milk, M/MA, Vegetables, Fruits, Grains
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving
Grain

M/MA

Vegetable

Fruit or Vegetable
Fluid Milk (or yogurt/adults
only)
Extra(s)

Snack: PM Snack
Required to provide two different components
Component Monday Food/Serving Tuesday Food/Serving Wednesday Food/Serving Thursday Food/Serving Friday Food/Serving
Grain

M/MA

Vegetable

Fruit
Fluid Milk (or yogurt/adults
only)
Extra(s)

Fluid milk type: Flavored fat-free/skim (Adults only) Additional fluid milk type (optional): Flavored fat-free/skim (Adults only)

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