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

5 DAY WEEKLY MENU FORM

Facility’s Name: New Jerusalem Child Development (Cycle 2) Month/Year: January/ 2019
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
Calendar Date 21 22 23 24 25
Fluid Milk CLOSED- DR. MARTIN LUTHER KING, JR. HOLIDAY WHL / 1% (Milk) WHL / 1% (Milk) WHL / 1% (Milk) WHL/ 1% (Milk)
Breakfast Vegetable / Fruit Pineapple Chunks Pears Sliced Apples Bananas
Grain or Meat / Meat Alternate French Toast Sticks Grits/Eggs Pancakes Cheerios
Additional Food Water Offered Turkey Bacon Water Offered Water Offered
Choose 2 of These 5: Fluid Milk
Vegetable
AM Snack Fruit
Grain
Meat / Meat Alternate
* Main Dish Peanut Butter and Jelly (HM) Beef Tacos (D-24) Chicken Nuggets (D-09B) Beef Hotdogs
Fluid Milk WHL / 1% (Milk) WHL / 1% (Milk) WHL / 1% (Milk) WHL/ 1% (Milk)
Vegetable Sliced Carrots Lettuce/Tomatoes Oven Fries (I-05) Baked Beans
Lunch Fruit / Vegetable Raisins Peaches Unsweetened Applesauce Sliced Oranges
Grain WWB Enriched Tortilla Shells Enriched Bun
Meat / Meat Alternate
Additional Food Ranch Dressing Shredded Cheese
Choose 2 of These 5: Fluid Milk WHL/ 1% (Milk) and Water Graham Crackers 100% Grape Juice and Water Chex Mix Water Low-Fat Yogurt WHL/ 1% (Milk) and Water Royal Brownies (C-21)
Vegetable
PM Snack Fruit
Grain
Meat / Meat Alternate
*Key: CN = Child Nutrition Label PF = Product Formulation Statement HM = Homemade (Include USDA recipe number, if applicable) Water offered throughout the day

DSS Form 1674 A (SEPTEMBER 17) (TEMPORARY) Edition of AUG 17 is obsolete.

*Key: WWB=Whole Wheat Bread EN= Enriched Noodles WHL / 1%=Milk EB= Enriched Buns WWN=Whole Wheat Noodles