Section 17-895.1-47 - 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, in addition to food the child brings, shall provide the minimum amounts required by the USDA Child Care Food Program, by offering and providing children in care: (1) Four to eight hours - morning snack or breakfast or afternoon snack;(2) Eight hours or more - morning snack or breakfast and afternoon snack, unless the eight hours or more extend into the evening hours when the children may be asleep; (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) A list of food items that are provided by the caregiver shall be posted in a prominent place for review by parents.(h) Signs of food sensitivity or allergy shall be reported in writing to the parent or guardian on the day this has been observed.(i) 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 to provide;(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 and swallowing ability, as well as preferences.(j) Infants and toddlers shall not be offered foods which pose safety hazards.(k) Food shall not be used as a punishment or reward. (l) 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.(m) The child care facility's food service shall be approved and reviewed annually by a qualified nutrition consultant the facility has chosen or provided by an appropriate community resource.(n) 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.Haw. Code R. § 17-895.1-47
[Eff 11/3/2023] (Auth: HRS §346-162) (Imp: HRS §346-162; 42 U.S.C. §§ 2002, 2005)