Nutrition Guideline EarlyON Child and Family Centres - Released: May 2021 - Peel Region
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Nutrition Guideline EarlyON Child and Family Centres Released: May 2021
Table of Contents Purpose ..................................................................................................................................... 1 Background and context ............................................................................................................ 1 Objectives of the nutrition allocation ........................................................................................... 1 Nutrition allocation ..................................................................................................................... 1 Mandatory nutrition services .................................................................................................. 2 Provide credible information for food and nutrition knowledge ............................................ 2 Optional nutrition services ...................................................................................................... 3 Optional nutrition services 1: Registered Dietitian nutrition support .................................... 3 Optional nutrition services 2: Provide education related to local food and nutrition resources ........................................................................................................................................... 3 Eligible expenses ....................................................................................................................... 4 Ineligible expenses .................................................................................................................... 5 Records and reporting process .................................................................................................. 6 Contact us.................................................................................................................................. 6 Appendix A: At A Glance: EarlyON Nutrition Allocation Framework ............................................. i Appendix B: Credible Sources for Food and Nutrition Resources ............................................... ii Note: All resources shown in red have been delayed because of the COVID-19 pandemic. It is anticipated that work will resume to complete these resources when Peel Public Health teams return to regular business operations.
Purpose The purpose of this guideline is to provide EarlyON service providers with key information regarding the use of their annual budgeted nutrition allocation for EarlyON Child and Family Centres (EarlyON Centres) in Peel. Background and context We have provided a nutrition allocation in your annual EarlyON budget. The nutrition budget stems from two areas: • Provincial mandate: Engaging parents and caregivers - Discussions and information sharing about child development, parenting, nutrition, play and inquiry-based learning, and other topics that support their role. • Evidence about food and early experiences: Early childhood eating behaviours are heavily influenced by parents and caregivers. They are learned through early experiences with food and eating. Food and nutrition education, support, and resources provided in early learning environments strengthen parent and caregiver knowledge and affect their choices for themselves and their families. The evidence around nutrition and healthy eating environments tells us that good nutrition is vital to our health, especially for active, growing children. Good role modelling supports healthy eating habits. Objectives of the nutrition allocation 1. Increase food and nutrition knowledge of parents, caregivers, children, and EarlyON staff in EarlyON Settings. 2. Increase parent, caregiver, children, and EarlyON team access to credible food and nutrition information and resources. 3. Merge a variety of nutrition platforms/vehicles/avenues across EarlyON programs. 4. Affect food choices and other nutrition-related behaviours of parents, caregivers, and their children that are good for health and well-being. Nutrition allocation We offer an allocation for nutrition to provide mandatory and optional nutrition services. Funds for nutrition were determined through a budget based on program capacity and months operating in the year. Mandatory and optional nutrition services are expressed as: • Mandatory Nutrition Services: o Provide credible information for food and nutrition knowledge. EarlyON Child and Family Centres: Nutrition Guideline pg. 1
• Optional Nutrition Services: 1. Provide Registered Dietitian food and nutrition support. 2. Provide education related to local food and nutrition resources. 3. Providing snacks in EarlyON programs is removed for 2021, due to increased risks while the Coronavirus remains active in our communities. See Appendix A for At A Glance: EarlyON Centre Nutrition Allocation Framework. Mandatory nutrition services Provide credible information for food and nutrition knowledge Parents and caregivers play a crucial role in shaping their children’s eating habits. They guide the family environment where meals occur and the types of foods their children have access to. Positive early experiences about food may help children develop healthy eating habits later in life. You must provide information for enhancing food and nutrition knowledge through resources from valid sources. Your programs are expected to use and have available in electronic and/or print form, the following trusted resources provided by Peel Public Health for staff and to share with parents and caregivers. • Resources for staff: • Healthy snacks for young children • Use food labels to choose healthy Grain Products • Resources for parents and caregivers: • I’m Ready for Solids, • Menu Ideas for my First Foods, • Toddlers 1 to 2 years I’m a Healthy Eater, • Preschoolers 2 to 5 years I’m a Healthy Eater, • Healthy Food for a Happy Smile and • Dates on pre-packaged foods We have provided a list of trusted resources in Appendix B to help teams to deliver this mandatory core service. EarlyON teams are to direct parents and caregivers with questions related to nutrition to contact: Peel Public Health at 905-799-7700 | Caledon 905-584-2216 | Facebook.com/ParentingInPeel Another way to have nutrition questions answered is to call Telehealth Ontario at 1-866-797-0000 and speak to a Dietitian for free, or visit www.unlockfood.ca. EarlyON Child and Family Centres: Nutrition Guideline pg. 2
Optional nutrition services Along with providing the mandatory nutrition services, you can use your nutrition budget in the following two ways: Optional nutrition services 1: Registered Dietitian nutrition support Parents and caregivers want to make healthy food choices for themselves and their families. Still, it can be confusing to know what foods to eat when there is an overwhelming amount of nutrition information. A Registered Dietitian (RD) can support healthy food choices and promote credible information for children and families. RDs are regulated health professionals trained to provide advice and counselling about diet, food, and nutrition. RDs are determined by the Region as the only approved health professionals to provide food and nutrition-related workshops and food demonstrations in EarlyON Settings. Registered Holistic Nutritionist, Certified Nutritional Practitioner, RONP, RNCP, ROHP, RHN, and CNP are not the same as RD and are not approved to provide the services above. You can use a RD to provide services related to food and nutrition to program participants in the form of virtual: • Workshop sessions for parents, caregivers, and children, provided virtually; and • Food demonstrations provided virtually in the EarlyON program. You can find a RD through the College of Dietitians of Ontario, Dietitians of Canada, and Nutrition Connections websites. It is your responsibility to select and contract the services of a RD. Optional nutrition services 2: Provide education related to local food and nutrition resources Many families who attend EarlyON programs are interested in activities based in local settings to enhance their food and nutrition knowledge. Families may be interested in knowing about and experiencing local farms to support their local agri-food sector and growing food in their indoor and outdoor spaces. Providing educational opportunities for families to build their knowledge of accessing local resources can serve these interests. You can support participant knowledge through recipe sharing and education about accessing local farms and planting indoor and outdoor gardens using trusted sources. Foodland Ontario provides information about local food and can be accessed through the website and social media. Ecosource is an environmental organization that you can contact to provide guidance for indoor and outdoor gardening techniques. EarlyON Child and Family Centres: Nutrition Guideline pg. 3
COVID-19 restriction: RDs and professionals who provide education related to local food and nutrition resources are not considered essential visitors. They, therefore, cannot offer in-person services to your indoor and outdoor programs. You are restricted to operating indoor and outdoor programs at determined locations; visits to other community locations for EarlyON activities are not supported. These services can be provided virtually. Eligible expenses You can use your nutrition budget on the following: ELIGIBLE EXPENSES Expense Description category • Costs of contracting RD services to provide nutrition-related information to Nutrition EarlyON program participants to support optional nutrition services. allocation • Costs of hiring a credible source services to provide guidance to EarlyON program participants related to indoor and outdoor gardening. • Expenses associated with providing food and nutrition education-related experiences for EarlyON program participants include food demonstrations, food and nutrition workshops, indoor and outdoor gardening workshops virtually. • Costs of purchasing or printing food and nutrition-related resources for teams and program participants such as pamphlets, resource sheets, children's books about food and nutrition, etc. • We have determined that RDs are the only approved health professionals to provide food and nutrition-related workshops and food demonstrations in EarlyON Facilitator Settings criteria o All RDs who practice in Ontario are registered with the College of Dietitians of Ontario. http://portal.collegeofdietitians.org/public_directory/publicregistermember. aspx o Only RDs in private practice are featured on the Dietitians of Canada website under Find a Dietitian, however, not all RDs are members of Dietitians of Canada because it involves another set of fees. https://www.dietitians.ca/Find-a-Dietitian.aspx o Nutrition Connection is a non-profit agency that features RDs and nutrition resources. https://nutritionconnections.ca/our-services/consultation- services/ • RDs providing services to EarlyON Settings must adhere to the messages of Peel Public Health, Dietitians of Canada, Ontario Dietitians in Public Health (ODPH), and Canada’s Food Guide. EarlyON Child and Family Centres: Nutrition Guideline pg. 4
Ineligible expenses You may not use your nutrition allocation on the following: INELIGIBLE EXPENSES Expense category Description Nutrition allocation • Providing healthy snacks in EarlyON Centres and programs. • Programs and services offered by regulated health professionals working within their scope of practice, excluding a RD (e.g. occupational therapy, audiology and speech language pathology, Specialized services physiotherapy etc.). • Early intervention and screening programs and services that are funded by other ministries and/or levels of government. • Retiring bonuses, gifts and honoraria paid to staff (except when Staff bonuses, gifts, and they are provided as a retroactive wage increase that will be honoraria maintained the following year). • Debt costs including principal and interest payments related to Debt costs capital loans, mortgage financing, and interest expenses incurred on operating loans. Property taxes • Municipal taxes levies. • A transaction that occurs at non-arm’s length when it is between Non-arm’s length two individuals who are related by blood, marriage, common-law transactions not partnership, or adoption. When this occurs, the transaction would transacted at fair market require additional documentation to ensure it has occurred at fair value market value. • Fees paid as a condition of employment (e.g. vulnerable sector/criminal reference checks). Professional organization fees • Fees paid on behalf of staff for membership in professional organizations (e.g., Membership fees for College of Early Childhood Educators). Costs supported • Costs that are supported using other funding programs or grants through other Region of available through the Region of Peel (e.g. Community Investment Peel funding streams Program), unless otherwise authorized by the Region. Reserve funds • Operating or general reserve funds or other savings. Note: This is not an exhaustive list. Any other expenses not listed under the allowable expenses section are considered non-admissible without our express permission. For questions about eligible and ineligible expenses, please email earlyon@peelregion.ca. EarlyON Child and Family Centres: Nutrition Guideline pg. 5
Records and reporting process Nutrition expenses will be reported as part of your base allocations in reporting periods R1 and R4: What is Due Reporting Period Deadline What to Report? R1 - Reporting Jan. 1, 2021 to Sept. 30, 2021 R1 Actuals & Sept. to Dec. projections Reconciliation Aug. 31, 2021 R4 - Year End Sept. 1, 2021 to Jan. 28, 2022 R4 Actuals Reporting Dec. 31, 2021 All conditions presented in the service provider’s signed EarlyON Child and Family Centres Services Agreement dated from January 1, 2021 to December 31, 2021 apply to your nutrition allocation. Contact us If you have questions related to the nutrition allocation, please direct your inquiry to earlyon@peelregion.ca EarlyON Child and Family Centres: Nutrition Guideline pg. 6
Appendix A: At A Glance: EarlyON Nutrition Allocation Framework Element Activity Criteria … … … Food and Nutrition Provide Credible Printed and Digital Credibly Sourced Resources Knowledge Resources Can Include Resources for Staff: Can Include: • Healthy snacks for young children • Peel Public Health (PPH) • Use food labels to choose healthy Grain • Ontario Dietitians in Public Mandatory Products Health (ODPH) Can Include Resources for Parents and Caregivers: • Dieticians of Canada • I’m Ready for Solids, • Canada’s Food Guide • Menu Ideas for my First Foods, • Toddlers 1 to 2 years I’m a Healthy Eater, • Preschoolers 2 to 5 years I’m a Healthy Eater, • Healthy Food for a Happy Smile and • Dates on pre-packaged foods … … … Registered Dietitian Use Registered Dietitian to Provide Nutrition Use Registered Dietitian to Nutrition Support Sessions Provide Sessions Can include: • Workshop sessions for parents, caregivers, • A Registered Dietitian can be and children found at Dietitians of Canada • Food demonstrations within the EarlyON and the College of Dietitians of program Ontario and Nutrition Connections • Must follow key messages of Optional health governing/information body such as Peel Public Health Activities and Provide Local Food and Nutrition Activities Consult and/or Partner with Experiences related Can include education focused on how to access: Local Group or Resource to Food and • Nutrition services at neighbourhood grocery Can include: Nutrition stores • Grocery stores • Visits to local farms • Local farms • Indoor and outdoor gardening • Environmental organization such as Ecosource • Foodland Ontario Snacks in EarlyON Programs For more information, contact: A Public Health Nurse at: 905-799-7700 | Caledon 905-584-2216 | facebook.com/ParentingInPeel Telehealth Ontario at 1-866-797-0000 and speak to a dietitian for free or visit unlockfood.ca i
Appendix B: Credible Sources for Food and Nutrition Resources Mandatory Services Resources: • I’m Ready for Solids: http://www.peelregion.ca/health/family-health/baby-first-year/nutrition/feeding- your-baby/pdf/ready-for-solids-in-their-tummies.pdf • Healthy snacks for young children • Use food labels to choose healthy Grain Products • Menu Ideas for my First Foods http://www.peelregion.ca/health/family-health/baby-first- year/nutrition/feeding-your-baby/pdf/menu-ideas-first-foods.pdf • Toddlers 1 to 2 years I’m a Healthy Eater • Preschoolers 2 to 5 years I’m a Healthy Eater • Healthy Food for a Happy Smile https://www.peelregion.ca/health/dental-health/pdf-s/healthy-food- healthy-smile.pdf • Peel Public Health at 905-799-7700 | Caledon 905-584-2216 | Facebook.com/ParentingInPeel Other Credible Sources: • Introducing Solid Foods to Infants is a webinar available through Child Development Resource Connection Peel (CDRCP), under Health and Wellness: https://www.cdrcp.com/professional-education • Canada’s Food Guide (CFG) 2019 provides the Food guide snapshot and Nutrition related information: Available in 26 languages https://www.canada.ca/en/health-canada/services/canada-food- guide/resources/snapshot/languages.html • Menu Planning and Supportive Environments in Child Care Settings - Practical Guide based on the 2007 CFG and provides information on serve most often, serve sometimes, and do not serve foods: https://opha.on.ca/getmedia/d6bda656-e86f-43bd-bfaf-2da3dd7ba167/Menu- Planning_Supportive-Nutrition-Envts-in-CC_Practical-Guide_ODPH_DEC17.pdf.aspx • Paint Your Plate with Vegetables and Fruit: A Toolkit for Child Care providers: provides guidance on menu planning, snack patterns, nutrition policy development, and healthy eating environment: https://www.odph.ca/upload/membership/document/2018-07/paint-your-plate-toolkit-online-text- outlined_1.pdf • Menu and Snack Planning Kit includes snack food models available through CDRCP resource library: https://www.cdrcp.com/professional-education#resource-centre • Unlockfood.ca provides information on nutrition, food and healthy eating as well as recipes, videos and interactive healthy eating tools: https://www.unlockfood.ca/en/AboutUnlockFood.aspx • Facebook.com/parentinginpeel provides support from Registered Nurses online and over the phone. Provides referrals to regional and community resources: https://www.facebook.com/parentinginpeel • Telehealth Ontario to Speak with a RD for Free (various nutrition related topics): 1866-797-0000 • Trust Me Trust My Tummy is a video about healthy eating: http://www.peelregion.ca/health/family- health/baby-first-year/nutrition/feeding-your-baby/ • College of Dietitians of Ontario provides a listing of all RDs who practice in Ontario: http://portal.collegeofdietitians.org/public_directory/publicregistermember.aspx • Dietitians of Canada provides a listing of Private practice RDs who are available for a fee to do presentations, workshops, etc.: https://www.dietitians.ca/Find-a-Dietitian.aspx • Ontario Dietitians in Public Health (ODPH) provides leadership in public health nutrition by promoting and supporting member collaboration to improve the health of Ontario residents through the implementation of the Ontario Public Health Standards: https://www.odph.ca/about-us • Nutrition Connections provides a team of registered dietitians and public health professionals with expertise in a wide range of services related to food, nutrition, health promotion and public health practice, including training, education, resource, and program management: https://nutritionconnections.ca/our-services/consultation-services/ ii
• Region of Peel, Peel Public Health provides food safety information: https://www.peelregion.ca/health/environNew/food/ • Food handler course and food safety for people who work in food premises, such as operators or kitchen staff: https://www.peelregion.ca/health/environNew/food/courses.htm . You can also learn about food safety at home: https://www.peelregion.ca/health/environNew/food/athome.htm and food safety at restaurants/food premises: https://www.peelregion.ca/health/environNew/food/restaurants.htm through posters, presentations, and other online resources, such as: HACCP Training for Food Handlers video. • Foodland Ontario is a consumer promotion program of the Ontario Ministry of Agriculture, Food and Rural Affairs. It has partnered with producers to champion, promote and support the consumption of fresh Ontario produce and processed agricultural foods: https://www.ontario.ca/foodland/page/about-us • Ecosource is an innovative environmental organization specializing in fun, hands-on programs that focus on how each of us can change our daily habits to become better environmental citizens: https://ecosource.ca/ Videos on Preschool Nutrition https://www.unlockfood.ca/en/Videos.aspx • Video: How and What to Feed Children is Important • Video: Enjoy More Vegetables and Fruit • Video: Healthy Drinks, Healthy Kids • Video: Role Model Healthy Eating • Video: Patience Works Better than Pressure • Video: Food Skills • Video: Eating Together • Video: Make Meals and Memories Together • Video: Offer Healthy Meals and Snacks iii
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