Licensing Standards for DayCare Centers

Section 17-895-25
Daily Nutritional Needs

        (a)  Meals and snacks of a quantity to complement    

food served at home shall be provided by the parent,    

guardian, or facility to meet the daily nutritional needs    

of the infant or toddler.     

        (b)     In a facility providing meal service, the    

facility shall ensure that the minimum meal components and    

food amounts as required by the United States Department    

of Agriculture (USDA) Child Care Food Program, as adapted    

for Hawaii by the state department of health, shall be    

provided.    

        (c)     In a facility, where parents or guardians are    

allowed to provide food for their own child (i.e., formula    

or other foods for meals or snacks), the facility shall    

ensure that the minimum amounts, as  stipulated in    

Appendix B, are available and provided to the child.    

        (d)     For children twelve to thirty-six months of age,    

when two snacks are required, at least one of the   

snacks shall include the provision and offering of milk    

(or the individual child's formula) or its calcium    

equivalent.     

        (e)  Information provided by parents, guardians, or    

the child's physician concerning the child's eating    

habits, food preferences, or special needs shall be    

considered in the children's feeding schedules and menus.    

    

        (f)     Infants and toddlers shall not be offered foods    

to which they are allergic or, for religious reasons,    

cannot consume, and the parent or guardian of the child    

shall arrange for nutritious substitute foods.   

        (g)     Signs of food sensitivity or allergy shall be    

reported to the parent or guardian on the day this has    

been observed.     

        (h)     Infants and toddlers shall be encouraged but    

shall not be required to eat the food offered by the    

facility, as follows:     

        (1)     Caregiver shall be alert to and consider    

individual infant and toddler cues in determining amounts    

of food provided;     

        (2)     When solid foods are introduced, they shall be    

carefully selected and added one at a time with a few days    

span between each new addition; and    

        (3)     Food textures shall be adjusted to accommodate    

the individual child's chewing ability, as well as    

preferences.    

        (i)     Infants and toddlers shall not be offered foods    

which pose safety hazards.     

        (j)     Food shall not be used as a punishment or    

reward.     

        (k)     Infants and toddlers shall be personally    

attended while being fed.     

        (1)     Infants being bottle fed shall have bottle held    

by the caregiver, not propped; and     

        (2)     Parents or guardians may assume full    

responsibility for the infant's or toddler's diet.     

     (l)  The facility's food service shall be approved    

and reviewed annually by a qualified nutrition consultant    

engaged by the facility or provided by an appropriate    

community resource.     

     (m)        The facility shall have access to nutritional    

information provided by a qualified nutritionist,    

dietitian, or other community resources approved by the   

state department of health. 

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