California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 10 - Adult Day Health Centers › Article 3 - Services › Section 78319 - Basic Services: Nutrition Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) When meals are served in the center, they
				  shall meet the "Dietary Reference Intakes: The Essential Guide to Nutrient
				  Requirements" (2006) adopted by the National Research Council of the National
				  Academy of Sciences, Institute of Medicine, hereby incorporated by
				  reference.
(b) All food shall be
				  selected, stored, prepared and served in a safe and healthful manner.
(c) Each participant who is in the center for
				  four hours or more shall be served a meal that will supply at least one-third
				  of the National Research Council's Recommended Dietary Allowances.
(d) Each participant who is in the center for
				  eight hours shall be served a meal and between meal nourishments that will
				  supply at least one-half of the National Research Council's Recommended Dietary
				  Allowances.
(e) Each participant
				  receiving care for periods longer than eight hours shall be served at least two
				  meals and between meal nourishments.
(f) Any participant accepted at 7:00 a.m. or
				  earlier shall be served a nourishing breakfast unless it has been determined
				  that the participant has received a meal prior to arrival.
(g) Therapeutic diets shall be provided for
				  each participant whose diet has been prescribed by the participant's physician
				  as a medical necessity.
(h) The
				  diet order for each participant shall be reviewed every 90 days by a dietitian
				  and approved by the multidisciplinary team when reassessment is done.
(i) When food is provided by an outside
				  commercial food service, the applicable requirements shall be met. Equipment
				  and employees to receive and serve the food and for cleanup shall be provided.
				  Equipment for in-house preparation and service of food in emergencies shall be
				  maintained.
(j) When prepared food
				  and beverages are obtained from a food management service, the food management
				  service shall be approved in accordance with federal, state and local
				  requirements. The center shall obtain from the food management service evidence
				  of such approval. The food management service shall supply evidence to the
				  adult day health center that menus are planned by a qualified
				  dietitian.
(k) When low-sodium and
				  low-cholesterol diets are provided through Older Americans Act nutrition sites,
				  the adult day health center registered nurse shall meet with the nutrition site
				  dietitian to adjust menus to provide for special dietary requirements of
				  participants.
1. New
					 subsection (k) filed 9-20-79; effective thirtieth day thereafter (Register 79,
					 No. 38).
2. Amendment of subsection (a) filed 5-30-2023; operative
					 5-30-2023. Submitted to OAL for filing and printing only pursuant to Health and
					 Safety Code section
					 1275(g)
					 (Register 2023, No. 22).
Note: Authority cited: Section
						208(a),
						Health and Safety Code. Reference: Section
						1580,
						Health and Safety Code; Section
						14550(d),
						Welfare and Institutions Code.