Posted By Posting
Jul 14, 2008
michelle&aurora
Aurora born March 17, 2007
3 years, 8 months old
Weighs 25.8 lbs
8 lbs 11 oz at birth.
Recovered Chronic Projectile Vomiter
Prevacid Free since September 08
Egg allergy diagnosed Jan 26/09
Has a Pectus Excavatum
Has an Epipen
Daycare Menu - Age appropriate? OT
Hi all,

I'm really curious what your thoughts are on this:

Do you think this is an age appropriate menu for 18 month olds?

Below is the sample menu sent to me from the daycare. I'm not sure what a normal 18 month old is capable of eating. I'm currently trying to figure out a plan for Rory and daycare. If they are willing to or have to accommodate us by blending her food; if I can bring her own food (not allowed), if there are laws regarding this issue; if I'm overreacting and should wait and see how she does, blah blah blah...just waiting on phone calls on the matter. I'm a little freaked because she choked on toast this weekend, a very small, soft, buttery piece of toast. The children are expected to feed themselves items from the following menu...imagine my horror, lol.....raw vegetables????

To put this into perspective, from this menu, Rory can eat bread, cheese and *maybe* spaghetti IF they chop it into teeny tiny pieces and it doesn't have any hamburger in it. :) OY!

Monday: Shepherd's pie, cucumber & tomato Salad, seasonal fresh fruit, Milk

Tuesday: Tomato soup, WW bread, mozza cheese wedges, variety of raw veggies/dilly dip, bananas, Milk

Wednesday: Chicken burgers, carrot & raisin Salad, green peppers & celery Sticks, apples, Milk

Thursday: Spaghetti & meatballs, green beans, coleslaw, fresh fruit, Milk

Friday: Blueberry pancakes & molasses, sunshine salad, melon wedges & grapes, Milk

Jul 14, 2008
abbysmom
Andrea: Mom to 3 crazy girls!
Jackie (3/01)
Payton (9/03)
Abby (4/06) Prevacid 7.5mg (evening), MSPI, goats milk (currently trying to wean off Prevacid)
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Not sure that it is necc age appropriate but I could NEVER get Abby to eat most of that stuff. :) She doesn't like bread, raw veggies, soup, cheese, milk, burgers, apples, coleslaw, I could go on and on. Can you look into a dayhome so that you could bring in your own food? I imagine that that situation would be more accomadating with you.
Jul 14, 2008
michelle&aurora
Aurora born March 17, 2007
3 years, 8 months old
Weighs 25.8 lbs
8 lbs 11 oz at birth.
Recovered Chronic Projectile Vomiter
Prevacid Free since September 08
Egg allergy diagnosed Jan 26/09
Has a Pectus Excavatum
Has an Epipen
Thanks Andrea. We've looked into dayhome care, but there are so many reasons we can't do it. I need her daycare on a bus route, it's more expensive for home daycare, there are fewer licensing requirements, but the biggest reason is that this daycare is an "early childhood education" center, all their caretakers have ECE degrees, and they follow particular teaching and development methods, they have an outside play area, etc. Some of the places I inquired about for home daycare were in apartment buildings, no outside play, 6 kids to 1 person that included infants AND toddlers....I just wasn't comfortable leaving her with strangers that weren't going to be held accountable or be monitored by others, kwim? It's just a personal preference. It might be my only other option though, if Rory doesn't adjust well to their menu. I wish I could afford to stay home with her. :(
Jul 14, 2008
amber f
Michelle~ For my daycare I am required to feed a child on the day they turn 1 what the other kids are eating. So I plan my menus so that a 1 year old can eat everything two. For example if we have carrots I cook them a little and refridgerate them and give them it cold so theirs looks like everyone elses. I never do celery, lettuse, etc. These are high skilled foods on their menu. I would be doing the hemlick on the kids if I feed them this stuff. I cut everything teeny tiny for the kids that need it. Does she even have enough teeth at 18 months to chew that stuff? Wow. Anyway I really hope they help you out. Would a doc. note saying she needs a special diet help. I know I can get by the food programs rules if the parents bring in a special diet request signed off my their childs doc. HTH!
Jul 14, 2008
maggiemom
Maggie is now 3 years old and reflux free (knock on wood). I still check in some to see how everybody is doing :) Hugs to all!
I wish I had a copy of the menu from the place I'm gonna work at. I'd compare it. I'm pretty sure it's similar. Maggie wouldn't be able to eat the raw veggies bc she has so few teeth but I think she'd do ok with most of it.

For Rory, I think you could probably show that to your ped and get him to write a note for you to take her lunch. (if you want to do that) Is it possible to try it for a few days, let the daycare see how she does and then get a note? Then maybe they'd see for themselves or you'd be surprised. (I doubt she'd surprise you, but that's me being optimistic, lol)

Jul 14, 2008
jedd'smommy
Jessica, Mommy to Jedd, severe reflux, severe food and oral aversions, Finally G tube free!!! VSD repair 4-24-07 (open heart surgery), hypospadias, repaired 3 times and Ear tubes Visit Jedd at his CB site: www.caringbridge.org/visit/jedd
I really think you need to get a note from the dr. for you to send in food for Rory. I think that woudl be the best for all involved. If they are certified byt he state then they shoudl understand that some kids have special issues when it comes to eating. If they don't understand maybe sit down with them and explian all the medical history and see if you can come to a means together. I just can't imagine them expecting her to eat all that stuff.

And BTW SOUP and raisins....what 2 yr. old can feed themselves soup REALLY and raisins, can't they choke on that!!!! Grapes, are they going to cut them up????? There seem to be alot of choking hazards on that list....YIKES

Even spaghetti, we found that the kiddos ahd a hard time eating that unless we used macronni instead of string sapghetti. The did much better with macronni it stayed on the spoon/fork better.
Jul 14, 2008
michelle&aurora
Aurora born March 17, 2007
3 years, 8 months old
Weighs 25.8 lbs
8 lbs 11 oz at birth.
Recovered Chronic Projectile Vomiter
Prevacid Free since September 08
Egg allergy diagnosed Jan 26/09
Has a Pectus Excavatum
Has an Epipen
Thanks ladies! I think you've answered my question for me. I *thought* there were a lot of choking hazards too, so I imagine they HAVE to modify the meals for the little kiddies, chop things up real small and mash stuff up, right?. I will have to sit down with the co-ordinator next month and figure out how to deal with all of this. I just want to "know my stuff" when I go in, as to whether or not they are allowed to turn us away.In the meantime, I'll be going down to check out mealtimes. My mother in law doesn't want me to go back to work. I told her the daycare will let me know if she's not eating. She just thinks it is going to be to stressful on me, lol, she's probably right.

Right now, I'm trying to figure out if there is anything I can do to encourage Rory to start chewing and swallowing things like fruit and crackers and pieces of vegetables and stuff. The clinic wants her on purees and doing positive reinforcement, but it seems counterproductive to our goals. I'm waiting for a call back from Early Intervention. I don't think she'll qualify, but maybe they will have resources for us to look into. I'll be speaking with her pediatrician on Thursday about all of this. My feeling is that the clinic is only focusing on what she CAN eat, and not on what she CAN'T. I would really like her to be evaluated more in that respect. Based on what the pediatrician has to say about the report they sent over, that will determine whether I call the clinic with my concerns.

The fact remains that we still have 2 months before daycare, I just want to make sure I maximize my efforts in getting her the appropriate help so she can eat like all the other babies at daycare. Once again, I'm probably overanalyzing and worrying too much....this menu just freaked me out!!! Thanks for your input and support ladies. I'll keep you posted. I'm baaaaaacccckkkk!!! LOL.

Jul 14, 2008
katiesmommy
Tracey, mom to Katie diagnosed with GERD at 3 week.
Ummm....I got heartburn reading the menu! Green peppers!!!!! If I LOOK at them I get heartburn; cucumber and tomato salad? Tomato soup? Unless they give the kids a straw to drink the soup I can't see a way the kids are going to be able to navigate soup. I also agree with everyone else that they menu poses a huge choking hazard. Katie is under a year so I don't know the age at which raw vegetables are to be given to kids but I have read that raw vs. cooked is much harder to digest so they can have horrible gas as a result.
Jul 14, 2008
michelle&aurora
Aurora born March 17, 2007
3 years, 8 months old
Weighs 25.8 lbs
8 lbs 11 oz at birth.
Recovered Chronic Projectile Vomiter
Prevacid Free since September 08
Egg allergy diagnosed Jan 26/09
Has a Pectus Excavatum
Has an Epipen
You are soooo right Katie's Mommy!!! Cucumbers and tomatoes and peppers.....HORRIBLE for reflux. I didn't really clue in because I worry more about it going IN than the effect it would have if it DID. I don't even know much of what she can or can't tolerate regarding her reflux because she eats so little, LOL. That is a great point, and something to add to my list of concerns. THANKS!!!
Jul 14, 2008
maggiemom
Maggie is now 3 years old and reflux free (knock on wood). I still check in some to see how everybody is doing :) Hugs to all!
I'm new to the daycare world but I think it was Danie that told me about having to have a dr's note to modify or bring their food. If it was me and that is the case, I'd get a note and have them keep it on file. Then on the days that you think she won't handle it or eat much, I'd send her lunch. Aside from the eating issues, I wasn't even thinking about how much some of that stuff will affect her reflux.

About working: I'm really nervous too. I start back the end of this month. I HAVE NEVER WORKED ON JOB FROM 830-530 M-F. NEVER. I did work two jobs once that equaled out to be that but not at the same place. So....this will be interesting. Also I feel bad doing it to Mags, but I know that after she gets used to it, she'll love it.

Jul 14, 2008
katiesmommy
Tracey, mom to Katie diagnosed with GERD at 3 week.
I don't think you are overreacting to the menu; yes we do have to prepare our food differently than moms with kids who don't have reflux. Oh to just grab a bottle and a few jars of baby food without worry! I know that when I get stressed out about Katie refusing a bottle she refuses even more because she senses my stress so I can only imagine how you and Rory are feeling. I agree with the others of sitting down with a drs. note and explaining the situation. I'm sure they can tell you the list of foods that can cause anaphalysis (spelling?) so you know not to include that in her lunch. Also, Friday's menu; where's the protein? That is an awful lot of sugar even if it is a more natural form than white sugar but if Rory isn't used to eating that much sugar that could make her sick. Don't want to add to your worry but we all pick up on different things. I think Maggies Mom pointed out that Motrin can do bad things to our kiddos tummies and while Katie only gets Tylenol when she needs it I never thought about Motrin on her sensitive little tummy. That's why this forum is so great!! Tracey
Jul 14, 2008
mom2halleyann
Donnessa, mom to Halley born 3/10/07
Reflux (mostly) resolved at 14 months
and Addison born 8/17/09. Currently exclusively bf and on 7.5mg Prevacid
I gasped when I saw the raisins...surely not!! Halley wouldn't eat the vast majority of the items on that list - it really looks more like a kindergarten menu (although I'm not sure that even a kindergartner would eat cucumber and tomato salad!). I agree with the others that a doctor's note may help smooth the way. In the interim, you may want to do some research to see what your rights are (with the state) as far as bringing in food goes. It never hurts to know. Good luck!
Jul 14, 2008
stickybean
Hi there I have worked with young children for many years. So I have alot of experience with menus. It honestly looks pretty normal. However..... I would be concerned about the raisins and grapes. I would make sure that they are cutting the sides, veggies and fruit very well. You can get a note from your doctor stating what she can not eat..... if they are a good daycare they will post that in the kitchen and in her classroom, plus keep it on file.... and follow it. Make sure her teacher knows as well. Feeding her self is normal.......but only food she is able to eat. Grapes scare me..... cut in to quarters are okay.... raisins....NO!!!!! Those are way to scary! Sometimes the kitchen staff will not cut the food well enough.... but if you let the teacher know (if she /he is a good teacher) she/he can chop it up into smaller pieces. I know I did. I have worked with infants, ones, and twos. I would even cut up the food for the 2's as well. Hope this helps!
Jul 14, 2008
jenrackley
PAGER Volunteer Services Coordinator
Nutritionist
Melina 7/24/02 now reflux free!!
TWINS:
Ella 5/3/05 GERD, asthma, hypotonia, food intolerances, esophagitis, IBS //
Ava 5/3/05 asthma, food allergies
Pic: My girls! They are getting so big!
Umn, not sure my 3 yr old would eat that or be able to eat it without choking. ;) A lot of those sound like heart burn causers to me too. Humn. I agree that you may need to pack Rory her own stuff (with a dr's note if needed).
Jul 14, 2008
daniejo
Mom (Danie) to Adam (9-4-03) & Nate (3-7-07) Nate was diagnosed with silent AR at 2 months old. He was on neocate, prevacid 30mg per day and couldn't start solids till he was almost 8 months old. He started cow's milk at 14 months and is currently off all meds!! So far so good :) PIC: Disney trip 2008. Nate didn't know Piglet was there, he didn't like the characters too much.
Here in Indiana, if the school is registered with the state, you can get a dr's note to bring in your own food. With Adam, there were so many things on the list that he absolutely HATED and would not eat. It has it's positives, and it's MAJOR negatives. With a "normal" eating child it can be good...it really got Adam to try new things and seeing the other kids eating it really helped.

For that age group, some of those things sound crazy...I agree with Jessica, are they gonna cut up the grapes?? Nate eats grapes but I but them in 4's...raisins are tuff too. Anyway...here is how STUPID I am...I signed Nate up for school (early education 2 days a week) and I didn't even THINK to ask for a menu!!! How dumb is that!! He will try anything...he is actually a eating machine lately and I am just keeping quiet about it, lol.

For now, I would talk to the dr about getting a note. I would also tell them that IF she seems interested in what the others are eating (the soft stuff), maybe let her try...you just never know Michelle, it might get her curious??

Jul 15, 2008
ceramom
Sarah
mom to Mila 2-20-2007
and Robby 4-22-2004
Mila is on Peptamen JR 30 cal by NG tube. Open Heart Surgery 2/08/08. Captopril, Zantac, Losec, Lasix.
Um... I'm going to be the voice of dissention. That menu is perfectly normal and healthy. Especially if the daycare is state registered - this is the type of menu they are REQUIRED to have. I know for a FACT that this is almost EXACTLY the menu I had working in a state funded program 5 years ago. The kids got ( and ate ) salad three days a week as a side. Same with fruit salad. Shepards pie, while a complex texture, is quite easy to eat.

Tomato soup might be hard on a refluxer. But she could most certainly eat the bread, mozza cheese, bananas and milk.

Chicken burgers would be cut up for them, in the DC I worked at. Yes, into tiny tiny pieces. We did it with a pizza cutter. Carrot and raisin salad... The carrots are usually shredded so no choking hazard there. The raisins, once soaked in dressing, swell into mushy lumps. Trust me. Celery sticks wouldn't be served to her age group, or green peppers. Apples, yes.

Spaghetti and meatballs... I'd be you 100 dollars that the spaghetti would be cut, or it would really be elbow macaronis or twists. Meatballs would be cut. Greenbeans, cut. Coleslaw? Well... thats an odd one with spaghetti.

I don't really see any issues with pancakes at all!!

I know its hard to believe, but most DCs really DO cut everything up into tiny tiny pieces. My DC used to have pizza friday. The infant room had a pizza cutter and cut an entire pizza into 1 inch pieces. The infants were given salad if they were old enough to want it. Spaghtti, though messy, was a favorite.

Sorry to take over, but I would at least TRY letting her eat the normal foods. Make sure she gets her meds, and you have a backup plan like a doctors note... but remember how well she did for the therapist? Robby eats his whole lunch at camp now but he nearly always fights me on breakfast. At Rory's age, at DC, he ate things he would NEVER eat at home!!!

Jul 15, 2008
elysabethsmom
Sharon, Mom to Elyse, 17 mos (15 mos adjusted-preemie). Zantac/Elecare. History of: Respiratory Distress Syndrome with ventilation/CPAP/cannula, tpn, n/g tube, PDA, jaundice, apnea, bradycardia/tachycardia, severe anemia, blood transfusion, reflux, Sandifer's Syndrome, intestinal malrotation, hemangiomas, MSPI, feeding issues. ICU inpatient 53 days! 2 surgeries, 2 UGIs, barium enema, pH probe, endoscopy. Developmentally on target now! PIC: Yobaby Beard
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hey everyone, what's wrong with raisins? Elyse has never had them, but I thought they were a kid staple (although they ARE a leading cause of cavities since they get stuck in between teeth). I never thought of them as a choking hazard???? Elyse's adjusted age is 11 mos and she would be able to eat a lot of that stuff, if cut into small pieces. (now, WOULD she eat it, is the real question!) I would go into it with the attitude that she doesn't eat good for you at home anyway, and it is only one meal/day. And she may eat better with peer pressure/with peer models than she does at home (trust me, a lot of kids do). Plus she won't be picking up on the stress that her eating has created at home, maybe a different enviroment will help. :) Just my 2cents
Jul 15, 2008
daniejo
Mom (Danie) to Adam (9-4-03) & Nate (3-7-07) Nate was diagnosed with silent AR at 2 months old. He was on neocate, prevacid 30mg per day and couldn't start solids till he was almost 8 months old. He started cow's milk at 14 months and is currently off all meds!! So far so good :) PIC: Disney trip 2008. Nate didn't know Piglet was there, he didn't like the characters too much.
I have to agree with Sarah and Sharon...Adam is proof that being amongst peers, he eats much better. He has major texture issues...still. He will not eat those foods here at home (the foods he eats at school). I know it is VERY strange...he eats certain things at grammy's that he won't eat here either. Adam is my choker/gagger. I am sure he could have used some help in this department when he was younger, but I didn't know then what I know now. I think that if they do cut it up into small pieces that Rory might really surprise you. I am really crossing my fingers...I think this could be a really good thing!!
Check with your
doctor first!