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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