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An individual with a disability is defined as any person who has a physical or mental impairment that substantially limits one or more major life activities or is regarded as having such an impairment.

Major life activities include caring for one’s self, eating, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working.

This MB provides clarification to child nutrition program (CNP) sponsors on the process, requirements, options, and resources for accommodating children, with and without disabilities, who have special dietary needs.

Department of Agriculture Policy Memoranda SP 36-2013, CACFP 10-2013, SFSP 12-2013: Guidance Related to the Americans With Disabilities Act Amendments Act, and SP 32-2015, SFSP 15-2015, CACFP 13-2015: Statements Supporting Accommodations for Children with Disabilities in the Child Nutrition Programs Subject: Guidelines for Accommodating Children with Special Dietary Needs in Child Nutrition Programs This Management Bulletin (MB) supersedes California Department of Education (CDE) MB CNP-07-2014: Guidelines for Accommodating Children with Special Dietary Needs in Child Nutrition Programs, issued in June 2014.

The Medical Statement form is available on the CDE SNP Forms Web page at the CDE CACFP Forms Web page at and the CDE SFSP Forms Web page at

Agencies have the option of making dietary accommodations for children who do not have a disability but are certified as having a medical or dietary need.

It is important to note that the Agency can make accommodations for children with special dietary needs on a case-by-case basis.

The Agency is required to accommodate the prescribed diet ordered by a recognized medical authority.

The USDA requires that a written medical statement be completed to ensure that a child’s modified meal is reimbursable and that any meal modifications meet nutrition standards that are medically appropriate.

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