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Some children in child care have special dietary requirements. Food allergies, cultural and religious preferences, and vegetarian diets are common issues in a child care program. Child care providers, center directors, and parents need to work together in order to ensure that children with special dietary needs receive appropriate foods. Talk with Parents about Special Dietary NeedsPlanning to accommodate a child’s special dietary needs should begin before that child is enrolled in the child care program. The program director or child care provider should ask parents about food needs and family eating patterns before enrolling their child in the child care program. Decide whether or not the program can provide the foods that meet the child’s special dietary needs before agreeing to enroll that child in the child care program. If the program cannot provide foods to meet the child’s needs, ask the parents to provide meals and snacks that meet their child’s needs, or refer the family to another child care program that can better accommodate their child’s special diet. Guidelines to Help Child Care Providers Handle Food AllergiesFood allergies are common in young children. Cow’s milk is a problem for some infants and young children. Other common allergens include wheat products, peanuts, tree nuts, and eggs. Some young children also have trouble digesting high-fiber foods. When a child with a food allergy ingests that food, he may have an allergic reaction. Allergic reactions range from mild skin sensitivity to very severe symptoms, including difficulty breathing. Because food allergies can be dangerous, or even life-threatening in some cases, child care providers must be aware of all allergies in the children in their classroom or care group. Here are some guidelines child care providers can use to manage food allergies in the child care setting:
Cultural or Religious Beliefs and Food PreferencesOccasionally, a family’s religious beliefs will prohibit or demand certain foods or foods at certain times. When you talk with parents before enrolling the child, ask about these special practices, and discuss with the parents the best ways to accommodate these dietary changes. Knowing families’ practices will help you accommodate their preferences in your child care program. Families also may request certain foods that reflect their cultural background. Consider including some of these foods in your weekly menus, both to help children from that culture feel more comfortable, and to introduce other children in in the child care program to these foods that are part of their classmate’s culture. If children are old enough to understand, explain what these foods are, and tell them a little about the cultural background or practices that include the foods. Your local librarian may be able to help you locate children’s books or cookbooks with pictures to share with children to help them understand about foods from different cultures. Parents may also be willing to bring foods from their culture or to help the children prepare a new food. Including foods from different cultures as a regular part of your menus, instead of a “special” food served only on certain days, is a more effective way to help children learn about foods eaten in different cultures. Vegetarian Diets in Child CareFamilies who follow a vegetarian diet may request that vegetarian meals for their children. Vegetarian diets vary from family to family. Some children may eat poultry and fish but avoid red meat. Others may avoid all meats but eat dairy products and eggs. Still others may avoid eating all animal-based products. Child care providers and directors should discuss the specific vegetarian diet with the parents, and decide how to accommodate the child’s needs. If the menus cannot be changed completely, you may be able to make some substitutions for children who do not eat meat or other animal products. Here is an example of a vegetarian child care menu that follows the guidelines of the USDA’s MyPlate and the Child and Adult Care Food Program. This menu would be appropriate for children who do not eat meat, but do eat eggs and dairy products. Breakfast:
Morning snack:
Lunch:
Afternoon Snack:
For More InformationFor more information on supporting children with special needs in a child care program, check out the eXtension Alliance for Better Child Care section on Child Care for Children with Special Needs. To learn more about feeding children in child care, take a look at the Nutrition and Physical Activity in Child Care section, or see the following articles:
In this blog we’ll be exploring some of the key considerations around allergy management in your early years setting, along with how to meet children’s dietary requirements, as outlined in the Eat Better Start Better Guidelines. Some children in your childcare setting may be required to follow a special diet. This could be for a number of reasons, including allergies, intolerances or medical needs. You may also have children that have dietary requirements based on cultural and religious beliefs. It’s essential that your setting has detailed policies and clear procedures in place to ensure you safely meet children’s individual dietary requirements.
It’s a legal requirement that your early years setting finds out from parents if their child has any special dietary requirements, food allergies or special health requirements. The Early Years Foundation Stage Framework (EYFS) outlines the following advice: 1) Before a child is admitted to the setting the provider must obtain information about any special dietary requirements, preferences and food allergies that the child has, and any special health requirements. and 2) Providers must record and act on information from parents and carers about a child’s dietary needs. Step- by- step guide to dietary requirements and allergy management in your early years setting:Request information from the child’s parent/ carer, so you’re aware of the child’s dietary requirements, before they start at your setting.The easiest way to collect this information from families is to include questions around allergies and special dietary requirements on your registration form. Consider including the following questions:
Note: If a special diet is requested for medical reasons, written confirmation of the allergy is needed from the child’s GP, dietitian or other medical professional to make sure children are not having foods removed from their diet without a diagnosed medical need. Work with the child’s parent/ carer (and medical professionals if required) to write and agree a clear plan of how to manage their special dietary requirement/s.This should describe:
Make sure all staff are fully informed, to ensure effective allergy management in your early years setting.It’s essential that all staff are fully informed (and fully understand) children’s individual dietary requirements, and how these are being met, so they can make sure appropriate food is provided. Ensure allergy management and special dietary requirement information is easily accessible to all staff, for example by displaying details and photos of children with special dietary requirements in the kitchen, and also where food is served to the children. It’s important that staff have a good understanding of allergy management and special dietary requirements, so that children’s choices, beliefs and safety are respected and protected. Book our Menu Planning training to help build staff knowledge and confidence in understanding special dietary requirements. Ensure that the food you provide reflects the written recipes, to help with proper allergy management in your early years setting.It’s important that every child feels valued, included and supported to have healthy food and drink choices appropriate for their needs. Ensure you plan your menus to include suitable recipes and ingredients for the children with special dietary requirements. Try to ensure the foods and meals offered to these children are as similar as possible to the foods that other children in your setting receive. Another important step to take in regards to allergy management in your early years setting, is to routinely check the ingredients and allergen information of food products (even those you frequently buy) as they can change the ingredients they use. You should ensure that your setting upholds excellent food hygiene principles, to reduce the risk of cross-contamination, as well as separation and labelling of ingredients and foods. Please note that the EYFS framework states ‘all staff involved in preparing and handling food must receive training in food hygiene.’ Did you know?Legislation came into force in December 2014 – ‘Food Information for Consumers Regulation (EU FIC)’, that now requires food businesses (including Nurseries or Day Cares) to provide information about the 14 allergenic ingredients used in any of the food they provide. Consider how you display allergy information in your setting, for example: is it featured on your menus or do you have a separate list detailing the allergens in different dishes you serve? You can find further information on the ‘Food Information for Consumers Regulation (EU FIC)’ and access the 14 allergen chart on the Food Standards agency website. Ensure that staff know how to deal with a severe allergic reaction.Any child with a food allergy should have a care plan in place, detailing any usual symptoms of an allergic reaction. However, staff should understand that allergic reactions can be different for each person. It’s essential that staff know the warning signs to look out for, for example: difficulty breathing, swollen lips or mouth, or collapsing. If practitioners notice any of the above they should call 999 immediately and explain that the child may be having a serious allergic reaction or anaphylaxis. The emergency procedures should be included in a child’s care plan and practitioners should follow the procedures described. If they carry an Epipen, it should be administered as described in their care plan. For more information on signs and symptoms of food allergies, visit NHS or Allergy UK. A note for Children’s Centres.Some Children’s Centres provide snacks during their sessions, such as stay and play. While parents will be caring for children in this time, it’s important you still carefully consider allergy management in your early years setting. For example:
Please note this blog is an introduction to managing food allergies in your setting. For more information book our online Menu Planning training. |