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WIC Nutrition Risk Criteria

System Assigned (SA); System or CPA Assigned (SA/CPA); CPA Assigned (CPA); Automatic High Risk* (HR) Code Category [Priority] Risk Criteria/Definition Required Documentation 20

• Heat source for sterilization. • Refrigerator or freezer for storage. Failure to prepare, handle, and store bottles, storage containers or breast pumps properly; examples include: Human Milk • Thawing/heating in a microwave. • Refreezing. • Adding freshly expressed unrefrigerated human milk to frozen human milk. • Adding freshly pumped chilled human milk to frozen human milk in an amount that is greater than the amount of frozen human milk. • Feeding thawed refrigerated human milk more than 24 hours after it was thawed. • Saving human milk from a used bottled for another feeding. • Failure to clean breast pump per manufacturer’s instruction. • Feeding donor human milk acquired directly from individuals or the internet. Formula • Failure to prepare and/or store formula per manufacturer’s or physician instructions. • Storing at room temperature for more than 1 hour. • Using formula in a bottle one hour after the start of a feeding. • Saving formula from a used bottle for another feeding. • Failure to clean baby bottle properly. 411.10

Feeding dietary supplements with potentially harmful consequences: Examples of dietary supplements which, when fed in excess of recommended dosage, may be toxic or have harmful consequences: • Single or multi-vitamins. • Mineral supplements. • Herbal or botanical supplements/remedies/teas.

411.11

Routinely not providing dietary supplements recognized as essential by national public health policy when an infant’s diet alone cannot meet nutrient requirements.