• No results found

MP_FINAL.docx

N/A
N/A
Protected

Academic year: 2020

Share "MP_FINAL.docx"

Copied!
70
0
0

Loading.... (view fulltext now)

Full text

(1)

Assessment of Centralized

Kitchens for Multigenerational

Populations in North Carolina

A Case Study Approach

UNC-Chapel Hill | Department

of City and Regional Planning

Hilary Pollan

Prof. Nichola Lowe, Advisor

April 2019

(2)

Table of Contents

Project Introduction...2

Centralized Kitchen Framework...5

Methodology...14

Case Studies...17

Case Study #1: WAGES NC (Wayne Action Group for Economic Solvency, Inc.) in Wayne County, NC...17

Case Study #2: Food Runners Collaborative (Raleigh, North Carolina)...29

Case Study #3: Child Care Services Association (Durham, North Carolina)...40

Discussion and Key Takeaways...50

Recommendations for Future Research...59

(3)

Project Introduction

My Master’s Project topic is driven by a proposal from a community partner, Food

Insight Group (FIG), to explore the role of centralized kitchens in addressing access to nutritious

food for vulnerable populations in North Carolina. FIG is committed to building just, equitable

and resilient food systems, and they see the potential for centralized kitchens in North Carolina

to meet the nutritional needs of multigenerational populations that participate in

federally-subsidized meal programs. Additionally, they recognize through meeting this need they could

also support mid- and small-scale local farms, with centralized kitchens playing an integrating

role in developing local food supply chains.

Addressing issues of food access among multigenerational populations, specifically

among older adults and younger children, has become increasingly important to North Carolina’s

economy and social fabric. In 2017, individuals age 60 years and older comprised 15.9% of the

state’s population, with an increase projected as baby boomers continue to age (U.S. Census

Bureau, 2017). Older adults are also at greater risk of experiencing food insecurity than the

general population. Thus, federally-subsidized older adult meal programs – such as the

congregate meal and home-delivered meal programs– are critical to keeping this population

active and health. Similarly, it important to prioritize access to nutritious food to early childhood

education centers in North Carolina to ensure a healthy future for the state. Early childhood is a

critical period for developing life-long healthy eating habits, and on average children receive

more than 50% of their daily caloric intake in childcare. In a state where 32.1 percent of adults

aged 18 years and older are obese, and recognizing that children who are overweight in

kindergarten are four times more likely to be obese as adults, communities should prioritize

(4)

Disease Control and Prevention 2017). Centralized kitchens present a cost effective way for

communities to improve access and food quality for federally-subsidized older adult meals and

early childhood meals (Yates 2018). Additionally, centralized kitchens offer opportunities to

increase local sourcing due to their ability to procure large quantities of local foods at lower

prices, and their greater capacity to process these foods. Fostering inter-organizational

collaboration between older adult and early child education meal programs has the potential to

further improve cost efficiencies to programs with limited funding, and to prevent duplicating

capacity within a community.

In FIG’s considerations of centralized kitchens as a solution to meeting multigenerational

population’s nutritional needs in North Carolina, they specifically want to build a deeper

understanding of:

1. How can public-serving institutions in the same community creatively cooperate to feed

individuals from vulnerable populations?

2. How can resources– such as infrastructure, staff, time, funding, etc. – can be

coordinated and/or shared to improve food access and nutritional quality for

multigenerational populations?

3. What, in practice, are the opportunities and challenges, of collaborative centralized

kitchens for between older adult and early childhood nutrition programs?

4. What capacity to centralized kitchens for older adult and early childhood meals have for

strengthening local food supply chain?

Based on three case studies of existing centralized kitchens serving older adults and/or

early childhood education centers at WAGES NC in Wayne County, Food Runner’s

(5)

emerged in response to FIGs questions. First, inter-organizational collaboration is most effective

when partners have similar missions, stable access to financial and political resources, and a

mutual agreement to allow the centralized kitchen to function as a semi-independent entity.

Second, although both older adult and early child education meal programs benefit from a shared

centralized kitchen, differences between the meal programs’ food safety and nutritional

regulations present significant barriers to full integration of operations. Third, coordination of

space, meal planning and operations within a centralized kitchen is an organizational challenge

but allow for increased capacity to serve multigenerational population and offers cost

efficiencies. And finally, while centralized kitchens offer greater capacity to process local foods,

procuring these items can be prohibitively expensive and/or logistically burdensome without an

existing local food supply chain serving other area institutions.

The results of this project are intended to inform FIG’s future decisions about nutritional

interventions to meet the needs of multigenerational populations; however, the results of this

project may also be useful for other food justice and social service advocates considering

inter-organizational collaborative approaches to address the needs of older adults, families, and

(6)

Centralized Kitchen Framework

FIG has proposed a framework that entails three interconnected components: a (1)

centralized kitchen that provides high quality meals to (2) multigenerational populations at a sustainable price, and is able to (3) source local foods in order to strengthen the local food system (Figure 1).

Figure 1: Model of centralized kitchens to feed multigenerational populations and strengthen local food value chains

FIG’s proposed framework was selected for multiple factors, including: their recognition

of current demographic changes in the state and associated community planning needs and

trends; their understanding of how federally-subsidized meal programs function; and their

interest in building equitable and sustainable local food systems through

inter-institutional/organizational collaboration.The proposed framework of

(7)

federally-subsidized meal programs for older adult and Early Childhood Education centers for

three main reasons:

1) Both federally-subsidized older adult and Early Childhood Education meal programs

are equally concerned about improving the nutritional quality of the meals they serve

while remaining within their funding parameters.

2) These programs share a similar constraint of regulations imposed by their funding

programs [see Appendix 1 for of funding regulations and requirements for ECE and

Older adult meal programs], and the need to document meal planning and distribution

in order to receive reimbursement from the USDA. This unique constraint

distinguishes senior and Early Childhood Education meals from other institutions

such as K-12 schools, universities, and hospitals, and serves as a justification for

these two meal programs to innovate solutions and develop strategies together that

satisfy both their unique interests, needs and constraints.

3) Combining older adult and Early Childhood Education meals in a single centralized

kitchen produces a scale for meal productions that result in financial benefits for both

programs.

With these concerns in mind, the following section provides background and context to

the framework’s three components (e.g. Centralized Kitchens, Multigenerational Populations,

and Local Food Sourcing) to help inform my case study research of three centralized kitchens in

(8)

Component #1: Centralized Kitchens

Centralized kitchens are large commercial kitchens that prepare meals and distribute

them to schools and/or centers within a limited radius. This model has emerged as a potential

solution to meet the growing need of multigenerational populations, including for

federally-subsidized meal programs for older adults and Early Childhood Education centers. Centralized

kitchens offer the nutritional and economic benefits of a more robust kitchen infrastructure

which enables increased scratch cooking and reduced reliance upon processed food, trained food

service professional, procurement of large quantities that provide operational efficiency and

procurement savings, makes local sourcing more viable, allows program staff to focus on

improving quality of other service area ultimately, and ultimately provides cost and resource

savings to programs (Yates 2018). The centralized kitchen model has recently been of particular

interest to K-12 schools and Early Childhood Education centers in North Carolina as it presents

opportunities for nutritional quality improvements, cost control, and local food supply chain

development.

(9)

The U.S. is experiencing a critical demographic transition, wherein by 2040 people over

65 and people under 18 will make up almost half of U.S. residents. North Carolina is among the

top three destinations for retirees in the United States and is already home to a number of Baby

Boomers (Miller 2018).According to the most recent American Community Survey (2017), older

adults (e.g. individuals 65 years of age or older) currently comprise 15.9% of North Carolina’s

population, and projected to increase as baby boomers continue to age (U.S. Census Bureau,

2017).

Keeping this older population active and healthy has broader implications for North

Carolina’s economy and social fabric. The aging of baby boomers presents multiple fiscal and

service challenges to North Carolina; but some have framed this demographic shift as an

opportunity for innovation, economic development, and employment growth (Johnson and

Parnell 2017).They argue that all person-centered and built environments must change to

accommodate the aging population, and will require new models of care and services (Johnson

and Parnell 2017). North Carolina has the opportunity to invest in community planning that

supports age-friendly infrastructure and communities that foster a high quality of life for older

adults and their families.

Access to healthy food is critical dynamic of keeping North Carolina’s aging population.

However, accessing healthy food can be surprisingly difficult for older adults. Older adults are at

greater risk of experiencing food insecurity due to unique challenges including fixed incomes

limiting food options and an array of physical disabilities reducing transportation options.

Additionally, many older adults live in poverty, which also increases their risk of experiencing

food insecurity. In 2018, approximately 20.7 percent of adults aged 60 and older faced the threat

(10)

Many older adults, regardless of whether they live in poverty or have adequate resources,

rely on federally subsidized food and nutrition programs, including the congregate and home

delivered meal programs1, senior farmers’ market nutrition meal program (SFMNP), and the

Child and Adult Care Food Program (Accius 2008). Due to strong advocacy from organizations

like Meals on Wheels, funding for older adult meal programs has remained protected.

Nevertheless, counties have still found it challenging to meet the nutritional needs older adults

due to the limited funding available through the county allocation Home and Community Care

Block Grant (Pollan 2018c). (Administration for Community Living 2016).

Older adult meal providers currently use a variety of approaches to meet the nutritional

needs of older adults. A few counties use their own on-site commercial kitchens to prepare and

distribute congregate and home-delivered meal; however, some of the counties, such as Chatham

County, they have had to close their kitchen due to unsustainable costs. Other North Carolina

counties, that may even have their own commercial kitchen – such as Orange County, have

chosen to not operate their kitchen because of the intensive infrastructure, personnel and time

resources that are needed to successfully run a kitchen that meets the nutritional and safety

requirements set by the older adult meal program. These counties often realize that their

resources are better spent improving the quality of other services they provide (Pollan 2019c). As

the Triangle J Council of Government Area Agency on Aging Director said, “it is really hard to

do your own kitchen, that’s why most people got out of it. Most everyone is out [now]” (Pollan

2018c). Rather than cooking on site to meet the dietary needs of their clients, these counties

contract out their meals, often to national restaurant chains or meal services that can provide

(11)

meals within the set reimbursement rates (Pollan 2018c). For example, Guildford County

contracts their meals to Golden Corral (Pollan 2019a). Contracting out meals, however, often

means a loss of control over what food is served. According to the Triangle J Council of

Government Area Agency on Aging Director, many counties have commented on not being

happy with the senior meals provided by national food service providers, such as Aramark and

Bateman Food and Nutrition Services, emphasizing that the food quality is “not so great”

because these companies try to keep the meals as cheap as possible (Pollan 2018c). This trend

also represents a lost opportunity for regional and local food systems, which I will later provide

further argument for. Some counties, have been able to switch to more local catering kitchens,

such as Orange County who contract with a community-minded local restaurant that is able to

provide high-quality, nutritious meals with a strong working relationship with Department on

Aging that allow them a reasonable amount of control of the meals. However, the local

restaurant does not make any money off the catering contract, and benefits only through

increased name recognition within the community, meaning this model may not be replicable for

other communities (Pollan 2019c)

In light of these challenges older adult meal providers are facing across the state, new

models for improving access to healthy are required to address the needs of growing older adult

population in North Carolina. Multigenerational Planning, a holistic approach that takes into

consideration the needs of all age groups through stages of planning(Hodgson 2011), has gained

increasing prominence in the field of community planning as a result of the aging demographic

shifts (Hodgson 2011). In this approach, planners are striving to make cities and communities

accessible, safe, healthy and inclusive for children, youth and families, adults and the elderly.

(12)

need to successfully age in community are the same as families with children. These components

include: safe and walkable neighborhoods, opportunities for civic engagement, affordable and

mixed use housing, adequate public transit systems, and access to a complete range of health and

social service, including good schools, quality childcare, senior services, and healthy food

(Hodgson 2011; Warner and Greenhouse 2010). Many planners consider communities that foster

a multigenerational population to be more vibrant (Warner and Greenhouse 2010).

Communities across the U.S. are using the multigenerational community planning

framework in the development of their comprehensive plans and of new community services. For

example, in Ithaca, New York, they permanently co-located a local Head Start program in

retirement center, which has allowed older adults to work with preschoolers on a variety of

learning and social activities (Hodgson 2011). In Huntington Beach, California, they constructed

a multigenerational neighborhood that built affordable homes to fit different lifestyles and stages,

such as townhouses and carriage house for young families and downsizing baby boomers and

their aging parents (Warner and Greenhouse 2010). Developing centralized kitchens that provide

meals for multigenerational populations also fit within this framework.

Component #3: Local Food Procurement

In addition to improving the nutritional quality of food to support a healthy population,

FIG is interested in how farm-to-institution procurement can be an opportunity for regional and

local economies. Institutions, such as at K-12 schools, hospitals, and universities, and

(13)

education centers, offer unique market opportunities for local foods by creating critical scale

through their high-volume and consistent purchasing of food (Working Landscapes 2018).

Farm-to-Institution procurement can facilitate many benefits to individuals, and have

positive impacts on the social, economic and environmental characteristics of communities. At

the individual level, farm to institution sourcing can facilitate increased access to fresh, healthy

locally produced and processed foods, which promote positive health outcomes at the individual

and population levels (Anon 2015; Harris et al. 2012; Richman et al. 2019; Fitch and Santo

2016).Farm-to-institution sourcing can also help shift institutional procurement away from

industrial farms, and towards small and mid-sized family farmers, food entrepreneurs of color,

and local producers, distributors, and processors who have historically have been unable to

access large institutional markets (Anon 2015; Harris et al. 2012; Fitch and Santo 2016). While

direct economic impacts of farm-to-institution procurement are negligible, it can still have

valuable indirect economic impacts in local markets by helping open new opportunities to

farmers diversify their markets, increase off-season sales, and gain an outlet for surplus foods

that are less desirable in direct farm-to-consumer sales, and ultimately contributing the creation

of strong regional and local food system infrastructure. Farm-to-institution procurement also

promotes more environmentally sustainable practices in food production, processing,

transportation, consumption, and disposal (Fitch and Santo 2016).

Farm-to institution procurement can be included in an anchor institution framework,

whereby these procurement practices supports the development of more equitable food systems,

especially in rural communities. Anchor institutions are institutions embracing a commitment to

applying their social and economic influence and intellectual resources to improve the long-term

(14)

socially connected to place, are mostly non-profit organizations, hold significant investments and

real estate and social capital, are among the largest employers in their communities, and at a

minimum possess a social mission (Olinger et al. 2015);(Health Care Without Harm n.d.), Senior

meal programs and Early Childhood Education centers could position themselves as anchor

institutions committed to developing a robust farm-to-institution system. Additionally, these

institutions procurement power, combined with their use of public funds and public-serving

missions to provide food to many of the region’s most vulnerable residents, further position them

to be effective anchor institutions (Working Landscapes 2018)

There are a number of different perceived and real barriers to farm-to-institution

procurement, including sourcing products, cost and seasonality of local products, food safety

certifications and liability, lack of skilled labor for food preparation, lack of infrastructure for

food processing, and additional time required to find and purchase food from regional producers

(Harris et al. 2012; Fitch and Santo 2016). However, several organizations and researchers have

identified strategies to address some of these barriers to regional and local food procurement,

including creating food hubs, investing in value-added infrastructure, and developing local

procurement programs with distributors (Fitch and Santo 2016). Centralized kitchens are a

valuable strategy for addressing some of these barriers, specifically in terms of how they offer

for the robust infrastructure and skilled labor needed to process and prepare local foods, and the

ability procurement of large quantities that provide operational efficiency and procurement

(15)

Methodology

Research for this case study occurred in two main phases. The first phase included a

literature review and six key informant qualitative interviews with experts on older adult

services, early child care services, and nutrition services to provide contextual support to the case

selection and analysis. Qualitative interviews in the first phase included speaking with Henrietta

Zalkind, the Executive Director of the Down East Partnership for Children to understand her

perspective on centralized kitchens for Early Childhood Education centers and as opportunities

for building regional sustainable food systems; with David Yates, Early Childhood Education

Nutrition Services researcher at the Center for Health Promotion and Disease Prevention to

discuss his recent white paper on the feasibility and impact of centralized kitchens for early

childhood education centers; with Mary Warren, Director of the Triangle J Council of

Government Area Agency on Aging to learn more about funding mechanism and regulations for

older adult nutrition services and to understand recent trends in nutrition services among older

adult services providers; with the Janice Tyler, Myra Austin and Yvette Missri of the Orange

County Department on Aging to learn more about their department’s decision to not operate a

commercial and/or centralized kitchen, and with Dennis Streets, Executive Director of the

Chatham County Council on Aging, to discuss the council’s struggle with maintaining a

financially sustainable kitchen. I also frequently consulted with FIG for their expertise on

federally-subsidized nutrition programs and farm-to-institution procurement.

The second phase involved a series of semi-structured qualitative interviews of with

representatives from purposively selected existing centralized kitchens in North Carolina.

(16)

specific elements of interest, specifically if they serve multigenerational populations and/or

procure and process local foods. Figure 2 diagrams the case study selection.

Figure 2: Case Study Diagram

Each identified centralized kitchen selected an individual within their organization that they

thought could best speak to the operations of their centralized kitchen. Specifically, interviews

were conducted with Brownie Doss, Director of Older Adult Services, and Wanda Becton,

Health Services Manager at WAGES NC; with Christina Ogden, Executive Director, and Kevin

Underwood, Director of Operations at Food Runners Collaborative; and with Lisa Menna,

Nutrition Services Manager at Child Care Services Association. Tours of the centralized kitchen

were also given at Food Runners Collaborative and Child Care Services Association.

The case studies aimed to understand:

1. How can public-serving institutions in the same community creatively cooperate to feed individuals from vulnerable populations?

a. How did this central kitchen initially develop into their current form, including the role critical stakeholders and partner organizations?

(17)

2. How can resources– such as infrastructure, staff, time, funding, etc. – be coordinated and/or shared to improve food access and nutritional quality for multigenerational populations?

a. How do these central kitchens operate, including procurement food preparation, administrative, and reimbursement practices?

3. What, in practice, are the opportunities and challenges, of collaborative centralized kitchens for between older adult and early childhood nutrition programs?

a. What are the facilitators and barriers to the central kitchen’s ability to feed specific populations?

4. What capacity to centralized kitchens for older adult and early childhood meals have for strengthening local food supply chain?

(18)

Case Studies

This section presents three case studies in the following order: 1) WAGES NC (Wayne

Action Group for Economic Solvency, Inc.) in Wayne County, NC; 2) Food Runners

Collaborative in Raleigh, NC; and 3) Child Care Services Association in Durham, NC. WAGES

NC comes first because it offers the most developed case of a centralized kitchen preparing and

distributing federally-subsidized meals for a multigenerational population. While the other two

cases are less developed in terms of serving multigenerational populations, they each provide

other important insights to understanding the opportunities and challenges for centralized

kitchens. Food Runners Collaborative offers valuable insights into how to organizations with

shared missions can collaboratively approach developing and operating a centralized kitchen that

meets a growing regional demand for subsidized meal program catering, and Child Care Services

Association provides a compelling case of centralized kitchens’ opportunity to leverage their

capacity to produce high-quality, scratch-made meals with locally-sourced produce, at prices that

fit within a federally-subsidized meal program budget. Together, these cases offer valuable

lessons and ideas for organizations and/or regions considering centralized kitchens as a

collaborative strategy to address the nutritional needs of multigenerational populations.

Case Study #1: WAGES NC (Wayne Action Group for Economic Solvency, Inc.) in Wayne County, NC

Since the 1970s, WAGES NC has been successfully used a centralized kitchen to provide

(19)

case study provides valuable insights into how a centralized kitchen can successfully serve

multiple generations by carefully organizing and coordinating meal planning, preparation and

distribution between the kitchen and age-specific meal programs. This organization and

coordination facilitates the effective navigation of difference in the meal program requirements

and regulations, and offers mutually beneficial outcomes for all partners.

Background

WAGES NC is a private non-profit Community Action Agency located in Wayne

County, North Carolina. Established in 1966 as part of President Johnson’s War on Poverty,

WAGES NC has since evolved into an agency with facilities serving families throughout Wayne

County. Managed by a central administration, WAGES NC’s programs include an older adult

division with a nutrition program for the elderly/meals on wheels, an early childhood division

with seven Head Start and Early Head Start centers, and a food services program with a

centralized kitchen, among other human service programs. Each division essentially functions as

an independent non-profit, with its own staff and budget.

Older Adults Division

The Older Adults Division of WAGES NC is the primary agency responsible for the food

and nutrition programs for older adults in Wayne County. WAGES works closely with the

Wayne County Services on Aging; however, the Services on Aging receives Home and

Community Care Block Grant funding to deliver other older adult services.

WAGES NC began its congregate meal program in the 1970s with four meal sites: two in

Goldsboro -Wayne County’s capital, one in Fremont, and one in Mt. Olive. Today, there are

three congregate meal sites, including in at the Goldsboro Senior Center that opened in 2013. As

(20)

participants, 76 percent live at or below the poverty line, approximately half are ages 60 to 74

years old, and around 15 percent are age 85 and older over. The congregate meal program has

experienced some decline in participation over the last 20 years; the director of older adult

services suggested is may be a result of older adults needing to continue working these days.

Older adult services also operates 28 meals on wheels routes driven by volunteers that provide

319 meals every week day. Among these meal recipients, 88 percent live below the poverty line,

54 percent are non-white and 66 percent are age 75 or older. The director of older adult services

explained that there is “always a demand for Meals on Wheels… [because] people are living

longer and their family is not living there or their families cannot help their elderly everyday”

(Pollan 2018a).

Children and Families Division

The Children and Families Division of WAGES NC has been a Head Start and Early

Head Start grantee since the 1960s. WAGES NC operates 6 center sites, formally collaborates

with three private childcare centers, and partners with Wayne County Public schools on an

inclusive preschool classroom. They currently have a funded enrollment of 690 children for

Head Start, and because Head Start is an eligibility program, over 90 percent of the children live

below the poverty line. As part of their Head Start grant, WAGES NC is required to have a

health services advisory board, comprised of staff, parents and community partners. Within the

advisory board, WAGES NC chose to create a sub-committee for nutrition and menu planning.

This committee, coordinated by the childcare services nutrition assistant, meets on a monthly

basis to plan meals that meet Child and Adult Care Food Program dietary standards, address

dietary restrictions, and are culturally appropriate. The committee includes the four health

(21)

program, a kitchen staff representative, and, most importantly, parents of Head Start children.

WAGES NC is a Child and Adult Care Food Program sponsor, meaning that they submit their

Child and Adult Care Food Program paperwork directly to Raleigh, rather than through another

Child and Adult Care Food Program sponsor.

Centralized Kitchen

History

Originally, WAGES NC was located in an old school building that had a commercial

kitchen. The kitchen was used to prepare food for the congregate meal program; head start meals

were being purchased through the school system. In the early 1990s, WAGES NC moved out of

the old school building into a newly constructed building, where they decided to build a nice

commercial kitchen. Since then, all senior meals and early childcare lunches have been prepared

in WAGES NC’s commercial kitchen (Pollan 2018a). Today the kitchen serves approximately

1,300 daily meals, including for the congregate meal program, meals on wheels, the seven Head

Start and Early Head Start center sites, and for two private childcare centers.

Operations

The director of older adult services also oversees WAGES NC’s food services. In

addition, the kitchen has a kitchen manager who is in charge of the whole kitchen and orders

food for both programs. There are two heads cook - one responsible for senior meals and one

responsible for Head Start/Early Childcare meals. The kitchen prepares meals on Monday thru

Friday in the mornings for both programs at the same time; kitchen activities commence by 2PM

on most days.

In many ways the central kitchens functions like a caterer for the WAGES meal

(22)

program, the home-delivered meal program, the Head Start and Early Head Start center sites, and

two private childcare centers that contract their meals to WAGES NC. WAGES NC does not

prepare breakfast or snacks for Head Start and Early Headstart, due to limitations in the kitchen’s

capacity.

Coordination

Coordination of resources within the centralized kitchen between the two meal programs

is critical to the success of WAGES NC’s centralized kitchen. All three divisions (e.g. food

services, child and families and older adults) work together to effectively coordinate menus,

space, and regulation adherence within the central kitchen.

Menu planning is the first step in coordination, as both the senior meal program and the

early childcare meal program are required to submit their menus for approval from a dietitian

each month as part of their federal funding requirements. After each menu is planned and

approved separately, the two programs meet with the kitchen manager to coordinate menus based

on available space in the kitchen. While the kitchen is split in half, - with one side for each

program - there are some pieces of equipment that are shared and can only be used for one

program at a time. For example, there is only enough oven space to cook food for one program at

a time, and if both programs require an oven they will have to re-organize their menus. The two

programs trust the kitchen manager to honestly tell them what is possible each day. If

adjustments are necessary, the childcare menu is often adjusted; however, both programs’ staff

mentioned how they work together to fix any menu conflicts. In the summer, when only Early

Head Start is in session, the two programs will coordinate their more closely because the daily

(23)

Another major area of coordination is around meeting and tracking different regulations

associated with each meal program. As the Director of Older Adult Services explained, with the

exception of food temperature control, the two meal programs have very different restrictions

and sensitivities in monitoring, even though they are both using USDA funding. For example,

with Head Start they have to demonstrate that they have culturally appropriate menus, whereas

that would not be a concern for monitoring by the senior meal programs (Pollan 2018d). The

programs have different nutrition analyses, and different serving style best practices; Early

Childhood Education best practices is to serve all meals family style, whereas the senior meal

program requires them to serve each meal individually.

The final step of coordination is on the distribution of the meals to the different

congregate meal sites, head start centers, and child care centers. WAGES NC has three of its

own vans each with a van driver, each with a route: a route north, a route south to Mount Olive,

and one route within Goldsboro. The Mt. Olive route’s truck has both cooling and heating

because the route is longer. Both interviewees commented on the challenges of having long

distribution routes with multiple stops, especially in terms of keeping food at safe temperatures.

Foods are often covered in gravy or sauce to keep them at temperature to their final destination;

other foods, such as pizza, cannot make it to their final destination at temperature. This challenge

highlights one of the capacity challenges of this centralized kitchen.

Food Procurement Practices

Food procurement is also coordinated by the centralized kitchen, with the food services

staff responsible for ordering all the food for the approved menus. The two main priorities in

their purchasing are food quality and cost. Currently, WAGES NC is purchasing from three large

(24)

with any of these distributors, they are part of a Group Purchasing Organization through

Premiere in order to secure lower prices on certain products. They try to cook as much food as

possible from scratch, meaning they buy foods with minimal processing. In recent years, they

worked to limit their purchases of canned produce, and instead prioritize purchasing frozen

foods.

Currently, WAGES NC does not procure any local foods. According to the director of

older adult services, they do not have the capacity to process local fresh fruits and vegetables

within their centralized kitchen; it is too labor intensive. She gave the example of buying kale or

collards, and needing to wash, destem, and chop the produce before being able to use it, which is

a capacity their kitchen does not have (Pollan 2018a). In addition to capacity, the other major

barrier identified by WAGES NC for procuring local foods is price. Due to their limited budget

with the federally-subsidized meal programs, purchasing local foods is too expensive. The

director of older adult services did mention being interested in increasing their local food

procurement in the future; however, she had not identified a suitable approach to do so (Pollan

2018a).

Finances

Senior meals at WAGES NC are primarily funded by Home and Community Care Block

Grant with supplemental funds from USDA’s Nutrition Services Incentive Program, but they

receive additional funding from Wayne County, the City of Goldsboro, United Way, individuals,

churches and church foundations, and meal participants who choose to donate. Early Childhood

Education food costs are primarily covered by Child and Adult Care Food Program

(25)

Both meal programs use their funds to contract their meals from the WAGES NC

centralized kitchen, meaning that the kitchen functions essentially as an internal caterer for both

programs. At the end of each month, the kitchen is reimbursed from each funding source. The

reimbursements cover food purchasing, food preparations and daily maintenance and upkeep

costs are covered by the meal reimbursements from the two programs. The kitchen equipment

and operating costs, however, are covered by the WAGES NC central administration, meaning

that if WAGES NC wants to install something new in the kitchen, such as a new freezer or oven,

the WAGES NC administration would secure additional funding to do that, rather than the either

of the programs paying for it.

Because WAGES is a private non-profit, they do not need to earn a profit from their food

services. However, they do need to break even from their operations, which they currently are

able to do. The director of older adult services commented that reimbursements for senior meals

have been decreasing over time, while Child and Adult Care Food Program reimbursements have

remained relatively stable. This, according to the director of adult services, has allowed the

senior meal programs to rely on the stability of the Child and Adult Care Food Program funding,

in order to continue to serve the growing senior population in Wayne County without having to

seek additional funds to support the kitchen.

Themes and Key Takeaways

WAGES NC’s provides a valuable example of the benefits of central kitchens to meet the

nutritional needs of a multigenerational community, and on the role that coordination can play in

successfully navigating federally-funded meal program regulations.

(26)

WAGES NC is and has been working to meet the nutritional needs of low-income older

adults and young children in Wayne County for over 25 years. The unique structure of being a

Community Action Agency, and the agency’s decision to build a large commercial kitchen 25

years ago has made integrating meal production for a multigenerational population a solution

that emerged out of necessity and circumstance, rather than as an intentional collaborative

innovation. Nevertheless, WAGES NC food services program demonstrates how a centralized

kitchen can successfully serve as an internal caterer for two programs with separate funding

streams, if both programs can commit to coordinating and being flexible in meal planning,

purchasing, kitchen staff and space, and distribution systems. The programs’ commitment to

coordination is possible due to shared priorities for their meal programs, in terms of scale and

scope of their services, target populations served, nutritional quality, and cost.

WAGES NC also serves an example of how serving multigenerational populations out of

the same kitchen can serve to reduce overhead and food purchasing costs for both programs, and

if needed, have one program’s funding stream help balance budgets if and/or when the other

program experiences a change in their funding.

Finally, WAGES NC highlights the benefits of having an internal caterer (as compared to

an externally contracted caterer), as it increases the control that programs have over menu

planning, purchasing practices, distribution schedules, and meeting participant needs. The

convenience of an internal caterer is of particular value to Early Childhood Education centers

because of their need to have meals that meet the dietary restrictions of children in their

programs, sometimes at the very last minute. This level of communication and control would be

much more challenging with an external caterer.

(27)

While WAGES NC has been able to provide nutritious meals to a large number of people

on a daily basis, there is still a much greater need to increase healthy food access in Wayne

County that WAGES NC could potentially position itself to meet. However, as the director of

early childhood health services explained, WAGES NC’s centralized kitchen is at its maximum

capacity for preparing and distributing meals. This has become an issue already for WAGES

NC’s Head Start and Early Head Start that are unable to supply their breakfast and snacks

through the central kitchen. Instead, they are using processed meals prepared and heated up at

the center site. This on-site meal preparation has caused many costs to the Early Childhood

Education programs. First, the Early Childhood Education program has lost money from food

that has gone bad while being stored in a separate, lower-quality cold storage location at

WAGES NC. The spoiled food is also a source of frustration because of the inconvenience it

creates for the center sites. A second cost is the loss of staff time dedicated to serving children, as

these staff have to spend time preparing these meals that could ideally arrive to the center in a

ready-to-serve form. And finally, the nutritional quality of the meals is lowered as they are more

likely to serve processed foods than scratch made foods like they receive from the centralized

kitchen. In the current setting, serving a hot breakfast is not really an option, due to food safety

concerns around temperature. Similarly, the director of older adult services also discussed the

increasing demand for Meals on Wheels meals that they are currently unable to meet, due not

only to their kitchen’s limited capacity, but also due to limited funding and limited volunteer

power. If WAGES NC is to begin to address these concerns of increasing capacity to meet

increasing demand, then they will have to consider options to invest in expanding their current

(28)

The other area in which the central kitchen’s capacity is of concern is in WAGES NC’s

ability to increase their sourcing of local food, if they choose to do so. While expanding the

kitchen or creating a new kitchen would increase their capacity to process local foods, there are

also opportunities within the region to think more broadly about developing a value-chain for

local foods. For example, WAGES NC could consider investments in staff training to improve

their ability to process local foods. They should also consider looking at their neighbors in

Northeastern North Carolina under the organizing leadership of Working Landscapes, as a

source of inspiration and an example of how Southeastern North Carolina could intervene in the

traditional supply chain to increase access and ability to use local foods in meals for vulnerable

populations. Enhancing the local food value chain, as mentioned earlier, can have valuable

social, economic and ecological benefits to the region that align with the anti-poverty mission of

WAGES NC. In fact, these interventions address more upstream issues such as job creation,

community control over the means of production and capital flows, and concerns of

sustainability and environmental justice. The Child Care Services Association case study will

explore this question of local food sourcing in more depth.

Future Considerations

WAGES NC demonstrates that meal preparation for multi-generational population is not

only feasible in a centralized kitchen, but is in fact beneficial beyond what separate programs

would be able to achieve alone and to offers benefits to the larger community by providing a

publicly-oriented catering option for subsidized meal programs. Additionally, it demonstrates the

potential for successful centralized kitchens in rural communities, as most examples of

(29)

While WAGES NC could continue to operate at their current scale, there are certainly

opportunities for them to expand their services to meet the increasing needs of food insecure

older adults and children. There are also opportunities for them consider their role in a local food

(30)

Case Study #2: Food Runners Collaborative (Raleigh, North Carolina)

As seen earlier with the WAGES NC case, centralized kitchen can successfully serve

multigenerational population. However, because WAGES NC kitchen was built 25 years ago,

the case has limited utility for understanding the formation of a new centralized kitchen and how

to grow the capacity of an existing kitchen.

The Food Runners Collaborative (FRC) centralized kitchen, created in 1999, offers

insights into how organizations can approach the formation of a new centralized kitchen,

including making the initial infrastructure investment, building demand for their services, and

increasing capacity over time. The FRC case also demonstrates how organizations with similar

missions can collaborate on joint ventures that are mutually beneficial to the organizations, and

can take advantage of opportunities to increase the scale of their services to meet the needs of

multigenerational populations throughout a region.

Background

In 1999, MOW of Wake County and IFFS - two independent non-profit organizations

based in Raleigh, NC that focus on eliminating hunger in the region - were looking for a new

space to permanently house each of their organizations, both of which would include a

commercial kitchen. However, neither organized wanted to own or operate their own facility and

kitchen. After extended conversations, the two organizations decided to construct a building

together, and to establish a neutral, third party organization, FRC, to partner with them and to

(31)

MOW and IFFS began a joint capital campaign to for this new endeavor. Through

extensive research and consulting with area and state leaders, they created a plan for operating a

shared centralized kitchen that would meet both organizations needs and offer significant cost

savings to the community. They raised funds together for the construction of the new facility,

including from the A.J. Fletcher Foundation, Capital Broadcasting Company, Catholic Diocese

of Raleigh, State of North Carolina, City of Raleigh, Wake County, and Wake Med. The joint

venture also sought out critical political from the state government, which, included a major

in-kind donation NC’s Department of Agriculture for the land the facility is located. The facility’s

groundbreaking took place in 2002, and the facility opened in late 2004 (Anon 2016) The new

facility was divided between the three organizations by space need, with the kitchen specifically

divided in half between IFFS and MOW (Pollan 2019b)

MOW of Wake County and IFFS were highly strategic in defining FRC’s primary

functions, responsibilities, and financial feasibility and sustainability. As mentioned earlier,

FRC’s two primary function are to manage the shared facility and to serve as the caterer for

MOW of Wake County. As the facility manager for both MOW and IFFS, FRC is responsible for

the management of the building, management of the kitchen’s overall organization, and

maintenance of the centralized kitchen’s infrastructure and equipment. FRC receives occupancy

fees from both MOW of Wake County and IFFS that cover building maintenance fees, pay

utilities and fill reserve funds. Additionally, FRC has the ability to diffuse potential sources of

conflicts between the two organizations as an independent organization, and is positioned to

make decisions based on what is best for all partner organizations. FRC’s responsibilities

enabled each organization to keep focused on meeting their mission and on expanding their

(32)

FRC began operating the centralized kitchen less than six months after the facility

opened, shipping their first meal to MOW of Wake County in March of 2005. Within three

months, FRC was in full production, shipping senior meals to five programs in three counties. In

March of 2016, FRC has shipped six million senior meals from their kitchen.

Centralized Kitchen

As mentioned earlier, FRC has two primary functions: 1) to operate the facility that

houses both MOW and IFFS, including the commercial kitchen, and 2) to produce and distribute

senior meals (Pollan 2019b; Anon 2016). FRC’s relationship with the partner agencies is fairly

uniform for facility management. However, FRC’s relationship to each partner organization is

unique in terms of FRC’s kitchen operations responsibilities. FRC is the contracted caterer for

MOW of Wake County, which means MOW of Wake County contracts out their half of the

centralized kitchen space to FRC to operate as its kitchen manager and to prepare meals for its

programs. IFFS, on the other hand, does not contract out to FRC for their operations. Rather,

IFFS has its own kitchen managers who is responsible for IFFS operations in the centralized

kitchen, such as preparing child meals for their “backpack buddies” program and occasionally

preparing food for IFF’s “for-profit” catering business. In other words, while FRC is responsible

for the overall coordination of the centralized kitchen for all three partner organizations, they are

only involved with kitchen operations for MOW of Wake County and FRC’s own contracts.

FRC’s other catering contracts include MOW of Nash and Johnson Counties, an adult care

facility, and two privately owned day care centers.

Operations

On average, FRC’s centralized kitchen operations involves preparing 1,900 lunches per a

(33)

and thus primary focus is to produce and distribute senior meals. Their main contract, with

MOW of Wake County, includes both congregate and home-delivered meals. FRC maintains

contracts with all of their clients in order to lock them into the set meal prices. FRCs kitchen is

responsible for meeting all the nutritional and safety requirements set by the congregate and

home-delivered meal programs. To develop these menus, FRC first uses a computer programs

that helps them track the nutritional value of each meal; then they work with a dietician who

reviews and approves the menu based on its overall nutritional quality. Finally, the menu is sent

to Triangle J COG Area Agency on Aging for final approval. The childcare center does have

different nutritional requirements set by the USDA; however, FRC primarily interprets these

difference as being half the nutritional requirements of a senior meal. Once a menu is approved

by the Area Agency on Aging, FRC cannot change menu. Because the childcare menus are not

under the Area Agency on Aging, there is more flexibility to change them. While FRC is

responsible for meeting nutritional and food safety requirements of the subsidized meals, they

are not involved with the reimbursement process for any of their meals; MOW and the other

clients are responsible for applying for reimbursements.

FRC prepares all their food in the centralized kitchen, with their 10 FRC kitchen staff

members. They use the five vans they own to distribute the meals to the centers where the

congregate meals are served and the home-delivered meals are picked up by volunteers for

further distribution.

Coordination

As discussed earlier, FRC’s central kitchen houses both the operations for FRC’s catered

meals and for IFFS’s kitchen operations, which requires that FRC and IFFS work together to

(34)

the kitchen, the FRC director of operations explained that they “try to never divide the kitchen,

because we are partners in this kitchen…we can use the kitchen when we need to” (Pollan

2019b). Coordination is necessary to ensure FRC is following USDA safety guidelines and IFFS

is able to follow their Feeding America guidelines. Collaboration between the programs often

arises as they work together on coordination. For example, the FRC Director of Operations

shared that he and the IFFS Production Kitchen Manger frequently share good recipes and

collaborate on new projects.

Food Procurement Practices

FRC procures the majority of their food from U.S. Foods, including their produce. FRC

does work some with more regional produce distributors, such as Ford’s Produce; however,

Ford’s Produce prices are often too high for FRC. Through U.S. Foods, FRC is a member of a

cost-savings Group Purchasing Organization with Premiere, which their Director of Operations

claims is “such a great program” because it allows them to greatly reduce purchasing costs. The

Group Purchasing Organization requires them to buy a certain amount of food from U.S. Foods.

FRC receives a bonus reimbursement of a certain percentage of their percent (totals around a

couple thousand dollars) if they meet their requirements, but if they do not meet the Group

Purchasing Organization will send them a letter.

FRC often selects products based on what is available through their Group Purchasing

Organization. FRC uses price as the primary criteria for selecting products. Although they try to

avoid selecting the cheapest option, FRC ultimately have to select a product with a competitive

price due to their inability to increase meal prices because of their limited and rigid budgets. In

general, the Director of Operations tries to select a middle level product, and will select a lower

(35)

After price, customer satisfaction is the second most important criteria for selecting

products. As the Director of Operations, who is a self-proclaimed “customers first person”,

explained, “You have to think about what the customers will eat… They are 90 years old. They

love the smoked sausages. It is high in sodium, but if I took off the menu they would be very

angry with me…you can’t fight what older adults like” (Pollan 2019b). While the Director of

Operations is concerned about satisfying his customers preferences, he knows that serving foods

that many of his customers most like, such as smoked sausages and crab cakes, can only occur

intermittently. Thus, he strives to develop other recipes that are delicious and healthy, and works

closely with their dietician to develop menus that are still satisfying for their customers, yet

nutritionally balanced. FRC also has to ensure that they food can be served hot in trays, which

can greatly limit their product choices.

FRC procures a limited amount of local foods. As the FRC Director of Operations said

“if U.S. Foods has local foods, we will use it” (Pollan 2019b); however, local foods are

infrequently included in FRC menus. The seasonality of local foods can be difficult for FRC

because of their menus are already set and difficult to change based on what’s seasonally

available. Other barriers include processing local foods in the limited capacity of their kitchen

and higher prices. FRC would be interested in procuring more local foods, but the FRC Direct of

Operations expressed that it would be easier if they had a liaison who could help them get to

know the farmers and farms

IFFS receives donated foods, which they will use in their kitchen operations within the

FRC centralized kitchen. FRC, unfortunately, cannot purchase any of these donated products

(36)

food. FRC is, however, exploring options for having the food donated to MOW that FRC could

include in their contracted meals for MOW.

Finances

As discussed early, FRC was developed by MOW and IFFS to be financially feasible and

sustainable organization. Their main sources of revenue are their MOW of Wake County and

IFFS’s occupancy fees, and their meal contracts with MOWs, the adult day care center and the

Early Care and Education Center. FRC’s sustainable financial model allows them to carry out its

primary functions and responsibilities, without having to engage in any form of public

fundraising. This model was strategically designed by FRC’s partners to prevent any FRC from

detracting attention away from the partner organization’s fundraising efforts.

Themes and Key Takeaways

FRC’s centralized kitchen provides a useful example of how non-profit organizations can

creatively collaborate to leverage resources and create new organizational structures to reduce

costs, improve nutritional quality, and expand capacity to feed more individuals as demand for

meals increase in a region. Additionally, this case highlights and to the need of central kitchens

to align purchasing choices with the mission of a public-serving organization, and the

opportunity to provide meals at a small scale to multigenerational populations.

Benefits

FRC is a valuable example for understanding how publicly-oriented non-profit

organizations can align their missions and combine their resources to create mutually beneficial

strategies and solutions for meeting the needs of multi-generational populations in the same

region. MOW of Wake County and IFFS realized they could better achieve their similar missions

(37)

facility that met both their needs, and creating a new organization to operate that facility and

carry out an essential function of preparing senior meals. This structure offered many benefits to

the partners, including allowing each partner expand their organization’s capacity, cost savings

to both organizations and the larger community, and having a neutral partner to diffuse any

possible conflicts of interests between MOW and IFF

FRC’s strategic structure enables their partner agencies to focus on furthering their

missions with the peace of mind of stable infrastructure. Specifically, for MOW, FRC guarantees

a stable source of quality meals that does not require their direct resources or management, but

that still offers enough control over the meals they provide.

FRC’s position as the neutral partner among MOW and IFFS positions them to make

decisions based on what is best for all three organizations. The FRC Director of Operations

explained, FRC was created to be “looking out for everyone.” Both partners will come to FRC

with their need, and it is FRC’s responsibility to resolve potential conflict over competing

interests in spending on the building. For example, FRC could choose to replace the stove

because it is beneficial to all partners, even if that is not one partner’s specific preference.

Challenges

FRC’s status as a public-serving non-profit organization provides both limitations and

opportunities to meet their and their partner organization’s mission of feeding hungry individuals

in North Carolina. In the way FRC was designed by their partner organization to have a primary

function of providing support facilities and services to their partner agencies, and with its

financially sustainable model that prevents them from having to fundraise, FRC has restricted

amount of funding available to them. While this structure is ultimately beneficial to the joint

(38)

them. As a result, FRC frequently has to make choices between increasing the quantity of

low-priced meals and purchasing higher quality products. Because of their and their partner

organizations’ public-oriented mission, FRC tends to choose increasing producing more meals at

with lower price products, rather purchasing higher quality products, including local foods, that

would potentially limit the total number of meals they are able to produce. Part of this choice is

driven by public perception of FRC and its partner organizations’ primary goal of eliminating

hunger; the public would rather see as many people fed as possible, rather than seeing fewer

people fed with more expensive ingredients.

Future Considerations

FRC experience with producing meals for multigenerational populations provides

valuable insights into the opportunities and challenges of serving multigenerational populations.

FRC has been able to successfully produce meals for older adults, adult day care programs, and

Early Childhood Education centers. However, Early Childhood Education center meals only

make up around 50 of the 1,900 meals (e.g. less than 3% of total meals). This small share of

Early Childhood Education meals is reflective of FRC’s stated mission of producing and

distributing senior meals, but it also limited due to a few notable operational barriers. First, as

discussed earlier, older adult meals and early childhood meals have distinct food safety and

nutritional requirements. FRC must adjust their meals to meet these requirements, which

involves additional coordination and resources that are not required for older adult meals.

Second, providing Early Childhood Education meals requires the kitchen to be more flexible so

they can respond to the last minute requests made by the Early Childhood Education centers.

Because the number of ECE meals is so small in comparison to the older adult meals, the kitchen

(39)

Education meals increased, it could become too much of a challenge for the FRC kitchen to

handle. Third, while FRC has the capacity to produce greater volumes of Early Childhood

Education meals, it is not a major priority because, based on their mission, the primary

population FRC serves is older adults. If FRC chooses to expand their meal services to

multigenerational populations, they will have to implement significant adjustments to their

operations and consider revising the target population in their mission as justification for this

expansion. However, it is unclear if the desire and need exists for this expansion.

FRC’s status as a non-profit entity positions them as an accountable to responding to and

serving the public, but can also limit their ability to innovate due to limited funding. The FRC

Director of Operations commented that he thinks it is important that FRC is a non-profit entity,

in that is makes explicit their mission of serving the community. In recognizing that there are no

profits to be gained in the FRC model, they are able to promote FRC as a mechanism for serving

the community, rather than as a profit-generating entity. FRC’s collaborative, publicly-oriented

model has not only benefited the two main partner agencies, but also has offered a reliable

catering option for other federally-funded meal programs in the area. MOW of Johnston and

Nash County also have catering contracts with FRC, and thus are able to benefit from a resource

efficient, quality catering option that meets the nutritional and safety requirements set by their

federal-funding sources.

FRC, in partnership with MOW, have also worked on expanding the public recognition

of their work through recent collaborations with local celebrity chefs. According to the FRC

Director of Operations, while these efforts have offered new opportunities to collaborate in

feeding people, they have also fostered a more vocal public that expects to see as many people

(40)

waiting lists. In spite of these changes, FRC remains limited to the funds they receive through

their facility rental fees and contracts, challenging them creatively maximize their limited

funding to meet the public’s desire for expanded meal services. The tension between pressure for

expansion and limited funding could present new opportunities for FRC, such as allowing FRC

to fundraise in specific ways or revising their organizational structure to allow for new,

(41)

Case Study #3: Child Care Services Association (Durham, North Carolina)

Earlier, we learned that WAGES has an interest in local food sourcing, but has yet to

move in this direction. What would local food sourcing entail? What structures or model is

needed? To begin to address these questions, I now turn to the case of Child Care Services

Association (CCSA). This case explores how a centralized kitchen can be leverage their

kitchen’s capacity to procure and process local foods in order to efficiently produce high-quality,

nutritious meals at the low-prices required by subsidized meal programs.

Background

Child Care Services Association (CCSA) is a non-profit organization based in North

Carolina’ Research Triangle region that “works to ensure affordable, accessible, high quality

child care for all families through research, services and advocacy” (Child care Services

Association 2018). One employee described CCSA as an all-inclusive childcare resource center

for families and Early Childhood Education center directors that provides a range of support

services. One of the support services CCSA provides is quality meals for Early Childhood

Education centers through their centralized kitchen that opened in 2008. As of December 2018,

they had three kitchens: 1) a church kitchen in Chapel Hill, North Carolina that series

approximately 600 daily meals to children in Orange County, 2) a kitchen in Wake County that

services approximately with 450 children with capacity to grow, and 3) the centralized kitchen in

(42)

History

Starting in 1989, CCSA had access to a kitchen in Chapel Hill that they used to prepare meals for

Early Childhood Education centers in Orange and Chatham counties. Around 2008, CCSA

purchased land to build a larger facility in Durham. They decided to build a large commercial

kitchen in the new facility for a few reasons. First, and most simply, they had space to build the

kitchen in their new site. Second, CCSA began to receive inquiries and request for meal

resources from Early Childhood Education centers that were interacting with CCSA’s other

Early Childhood Education services; thus opening their own commercial kitchen emerged as a

natural fit for CCSA. And third, CCSA had had an interest in increasing their production volume

and switching to only scratch cooking, which a larger commercial kitchen would allow them to

do. Leaders from CCSA then went on site visit to a large production kitchen in North Virginia to

begin considering how to structure their new kitchen. The North Virginia kitchen basically

functioned as a caterer, sending off their meals for delivery, which inspired CCSA’s centralized

kitchen development. CCSA received substantial funding through the United Way and the State

Employees Credit Union, as well as instrumental support from State Representative David Price.

As of December 2018, the kitchen served approximately 1,200 daily meals out of their

centralized kitchen in Durham, in addition to the approximately 600 meals out of the kitchen in

Orange County, and approximately 450 meals out of their kitchen in Wake County. The Durham

kitchen serves 12 different Early Childhood Education centers. The centers range in size from 4

to 5 children, to the largest center with 150 children. Some of the centers are Head Starts, and the

head starts function in nearly the same way as a regular center. Many of the centers have been

using CCSA’s nutrition services for many years; there has been some turnover and CCSA has

(43)

Since the Durham kitchen opened, CCSA has had strong commitment to providing

exceptionally high-quality, nutritious, scratch-made meals. While initially motivated by needing

to meet Child and Adult Care Food Program nutritional requirements, CCSA’s meals often

exceed those requirements. The other major factor influencing CCSA’s meal quality is that

Durham’s Kitchen Manager is inspired to be creative with creating healthy, nutritious menus,

with an emphasis on highlighting seasonal and/or local produce. CCSA defines local as grown in

North Carolina. In the spring and summer, CCSA sources at least ten percent of their total food

purchasing from local sources.

Operations

CCSA’s centralized kitchen prepares all three Early Childhood Education meals each

day: breakfast, lunch, and a snack. Some centers order all three meals, whereas other centers may

only order one meal. This is especially true for larger Early Childhood Education centers that

have enough staff to prepare their own breakfast.

Menus are released on a monthly-basis, although the kitchen supervisor may amend them

based on what food is available. The menus are seasonally-inspired, as part of the kitchen

manager’s effort to incorporate local seasonal products into the meal, and are sent for review and

approval from a Durham County Department of Public Health Registered Dietician. CCSA

contracts with the dietician to ensure that that the menus meet Child and Adult Care Food

Program nutritional requirements; the menu is relatively similar each month so it is not a

challenging requirement. Each week includes a balance of lunches with seafood, beef, poultry

and vegetables.

Figure

FIG has proposed a framework that entails three interconnected components: a (1)  centralized kitchen that provides high quality meals to (2) multigenerational populations at a  sustainable price, and is able to (3) source local foods in order to strengthe
Figure 2: Case Study Diagram

References

Related documents

The Lithuanian authorities are invited to consider acceding to the Optional Protocol to the United Nations Convention against Torture (paragraph 8). XII-630 of 3

14 When black, Latina, and white women like Sandy and June organized wedding ceremonies, they “imagine[d] a world ordered by love, by a radical embrace of difference.”

The exclusion of coverage for the dishonest acts of owners, partners, principals of an insured does not apply when a management company is an insured under an

Reporting. 1990 The Ecosystem Approach in Anthropology: From Concept to Practice. Ann Arbor: University of Michigan Press. 1984a The Ecosystem Concept in

* This paper is presented to the 2nd KRIS-Brookings Joint Conference on "Security and Diplomatic Cooperation between ROK and US for the Unification of the

Note: Service from the Start programs must be purchased up front or within 30 days of the product purchase.

The CIDOC CRM provides interesting perspectives for good practice of conceptual modeling, global interoperability and information integration in a wide area of domains, in

Key policy drivers (IOM Health Professions Education: A Bridge to Quality (2003); Lancet Commission (Frenk et al., 2010), Framework for Action on Interprofessional Education