Section 17-891.2-46 - Daily nutritional needs(a) To the extent possible, information provided by parents or guardians concerning the child's eating habits, food preferences, or special needs shall be considered in child care feeding schedules and menus. Children shall be encouraged but shall not be required to eat the food offered at the home.(b) The home shall have access to nutritional information provided by a qualified nutritionist, dietitian, or other community resource approved by the state department of health.(c) In a home providing meal service, the minimum meal components and food amounts required by the United States Department of Agriculture (USDA) child care food program shall be met. The home shall offer and provide the following combination of meals and snacks for children in care:(1) Two to four hours - - - - one snack;(2) Four to eight hours - - - one snack or breakfast and lunch or supper;(3) Eight hours or more - - - one snack or breakfast and lunch or supper and one additional snack (unless the eight hours or more extend into the evening hours when the child may be asleep);(4) When two snacks are required as in (3) above, at least one of those snacks shall include the provision and offering of milk or its calcium equivalent; and(5) Local ethnic foods may be added or substituted for quantity (for allowable food reimbursement, provider shall consult with the USDA).(d) In a home where parents or guardians are allowed to provide food (i.e. sack lunches or snacks) the home, in addition to food the child brings, shall meet 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 child may be asleep);(3) When two snacks are required as in (2) above, at least one of those snacks shall include the provision and offering of milk or its calcium equivalent; and(4) Local ethnic foods may be added or substituted for quantity (for allowable food reimbursement, facilities shall consult with the USDA).(e) Children shall not be offered foods to which they are allergic or, for religious reasons, cannot consume. Provisions shall be made to secure such information from the parent or guardian, and the parent or guardian of the child shall arrange for nutritious substitute foods.(f) A list of food items that are provided by the caregiver shall be posted in a prominent place for review by parents.(g) Infants shall be personally attended while being fed. (1) Infants unable to hold bottles shall have bottles held, not propped, by the caregiver.(2) Parents or guardians may assume full responsibility for the infants' diet.(h) School aged children in before or after school care for two or more hours shall be offered a nutritious snack which may be provided by the facility or brought from home.(i) Food shall not be used as a punishment or reward.Haw. Code R. § 17-891.2-46
[Eff 9/22/2023] (Auth: HRS §346-172) (Imp: HRS §346-172; 42 U.S.C. §§ 2002, 2005, 9833)