MMR Vaccine Exemption Law

Washington State has passed new laws that impact MMR vaccination exemption in child cares and schools. Personal and philosophical exemptions will no longer be permitted for the MMR vaccine. Medical and religious exemptions are permitted. Additionally, child care staff and volunteers must document proof of immunity or a medical exemption from a health care provider. The new law went into effect July 28, 2019. You can learn more at the Department of Health's MMR Vaccine Exemption Law FAQ page. The Department of Health has developed sample letters that child care providers can use to notify staff or parents of the new requirements. 

Free vaccination for child care providers is currently available! Learn more from this news release from the Department of Health. 

We are also featuring our newly revised Immunizations course, which has been updated to reflect the new immunization laws. Find out more under Featured Courses, at the end of the newsletter. 

The new Food and Nutrition Rules
 (WAC 110-300-0180)

Highlights about the Meals and Foods :
The CACFP Meal Pattern is very similar to the previous one used for planning child care meals. There are a few major differences in nutrient standards and the food groups.

Examples of Food Group Changes:

• Fruits and Vegetables are now 2 separate food groups. This means that a fruit and a vegetable count as 2 components for snack.
• A food from the protein food group may be served instead of a grain for breakfast up to 3 times/week.
• Menus must be dated. Although this does not specify how often to change menus, it is highly recommended to continue developing at least a 2 week cycle menu to prevent serving foods too often and to ensure ample variety.

• Labeling Vitamin A and C foods is no longer required on the menu. Serving a wide range of colorful fruits and vegetables ensures children meet nutrient needs. 
• The sugar content limits are less than 7 grams per serving for cereal and less than 24 grams per 6 oz serving of yogurt.
• A whole grain food must be included on the menu once a day.

Drink Water for Thirst

The American Academy of Pediatrics reports that on average, children drink a bathtub of sugary drinks every year and not near enough water. The Center for Disease Control surveys show that young children do not drink enough water with average intakes around 2 cups a day.  The Dietary Reference Intake water intake requirements for children over 4 years old are 7 cups  per day and the amount increases with age. Children should be offered water as the go-to beverage in between meals and snacks. When milk is served at meals, the CACFP suggests to offer small amounts of water when requested. Fruits and vegetables are between 60 - 90% water and another good way to increase water intake at mealtime. Because children get thirsty quickly, take pitchers of water or water bottles outdoors especially when the weather is warm, or when children are engaged in moderate to vigorous activity. See more ideas on how to serve water throughout the day in child care. Provide Health Beverages, Healthy Kids, Healthy Futures