This is to provide guidance related to the hematological testing requirement for WIC certification. We have also attached a summary of the Occupational Safety and Health Administration's (OSHA) Dec. 6, 1991 final rule on Occupational Exposure to Bloodborne Pathogens, because the provisions of this rule affect WIC clinic operations.
Lump Sum Payments as Income
This memorandum provides guidance on the determination of lump sum-payments for WIG income eligibility purposes.
Based on the comments we received as well as extensive discussions at this level, we are re-issuing this policy as Policy Memorandum 92- 1A (attached) . Essentially, we have restated the principles included in the November 15 memo, without suggested methods for accomplishing them.
Breastfeeding Support During Certification and Food Package Issuance
We believe WIC staff need to provide additional support for breastfeeding at the time of certification and food package issuance in the following areas: providing complete information to participants on WIC benefits for breastfeeding women; resisting the distribution of unwanted infant formula to breastfeeding women; and, obtaining the cooperation of retailers in not redeeming unused infant formula for WIC participants.
FNS Instruction 781-6 Special Developmental Projects
Section 10 of the Child Nutrition Act of 1966 permits the Secretary to authorize any state or regional office, where applicable, to reserve up to 1 percent of the funds earned in any fiscal year under both the National School Lunch Act and the CNA for special developmental projects.
WIC Appointments and Waiting Lists
A number of questions have been raised to this office concerning inordinate delays in scheduling appointments at local WIC agencies, and how to set up waiting lists for appointments when the local agency's resource limitations make it necessary to do so.
Staff Child Ratios For Centers In CACFP Child Care Standards
This Instruction clarifies two issues concerning the staff-child ratios established for child care centers and outside-school-hours care centers in the CACFP regulations (226.6(d)(2)): (1) Are staff-child ratios based on actual attendance or on enrollment; and (2) When children from various age groups are in attendance, how is the necessary minimum number of staff members determined?
Expansion Funds for Low-income or Rural Areas in the Child and Adult Care Food Program
The Child Nutrition and WIC Reauthorization Act of 1989 amended the National School Lunch Act to provide for additional administrative payments to sponsoring organizations wishing to expand into rural and low-income areas.
Evaluation of State or Local Licensing and Approval
We recently received an inquiry regarding the appropriate interpretation of that the portion of Section 226.6(d)(3) f the CACFP) regulations that reads “Licensing or approval is not available when (i) no federal, state or local licensing/approval standards have been established for child care centers, outside-school-hours care centers, or day care homes; or (ii) no mechanism exists to determine compliance with licensing approval standards.”
Questions and Answers #3: Two-tier Reimbursement Structure for Family Day Care Homes Participating in the Child and Adult Care Food Program (CACFP)
Attached is the third set of questions and answers on the two-tiered reimbursement structure for family day care homes in the CACFP. Also attached are: (1) “Enrollment and Attendance List Examples”; and (2) “Computing Reimbursement for a Tier H Mixed Home.”