Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 87 - Sanitation Requirements for Long-Term Care Facilities › Section 19 CSR 30-87.030 - Sanitation Requirements for Food Service

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes standards related to
				  food supplies, food protection and storage, food preparation and handling, food
				  service, food equipment and utensils, dishwashing methods and other general
				  requirements related to the food preparation and service area. These rules have
				  been adapted from the 1976 recommended ordinance governing food service
				  establishments and established by the United States Food and Drug
				  Administration.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Employees shall maintain a high degree of
				personal cleanliness and shall conform to good hygienic practices during all
				working periods. II/III
(2)
				Employees shall thoroughly wash their hands and the exposed portions of their
				arms with soap and warm water before starting work, during work as often as is
				necessary to keep them clean and after smoking, eating, drinking or using the
				toilet. Employees shall keep their fingernails clean and trimmed.
				II/III
(3) The outer clothing of
				all employees shall be clean and employees shall use effective hair restraints
				to prevent the contamination of food or food-contact surfaces. III
(4) Employees shall consume food only in
				designated dining areas. An employee dining area shall not be so designated if
				consuming food there may result in contamination of other food, equipment,
				utensils or other items needing protection. Nothing in this section shall
				prohibit staff from dining with residents when the facility utilizes the social
				model for mealtime. III
(5)
				Employees shall not use tobacco in any form while engaged in food preparation
				or service, nor while in areas used for equipment or utensil washing or for
				food preparation. Employees shall use tobacco only in designated areas. An
				employee tobacco-use area shall not be designated for that purpose if the use
				of tobacco there may result in contamination of food, equipment, utensils or
				other items needing protection. III
(6) The traffic of unnecessary persons
				through the food-preparation and utensil-washing areas is prohibited.
				III
(7) Food preparation and
				storage shall not be conducted in any room used as living or sleeping quarters.
				In a facility licensed for more than twelve (12) residents, except in an
				existing residential care facility, food service operations shall be separated
				from living or sleeping quarters by complete partitioning and solid,
				self-closing doors. Nothing in this section shall prohibit an assisted living
				facility from providing kitchen and family style eating areas for use by
				residents. III
(8) Maintenance and
				cleaning tools such as brooms, mops, vacuum cleaners and similar equipment
				shall be maintained and stored in a way that does not contaminate food,
				utensils, equipment or linens and shall be stored in an orderly manner.
				III
(9) Live animals, including
				birds and turtles shall be excluded from the food storage service and
				preparation areas. This exclusion does not apply to edible fish, crustacea,
				shellfish or to fish in aquariums. Patrol dogs accompanying security or police
				officers, or service or guide dogs assisting residents or visitors shall be
				permitted in dining areas. Other dogs and cats may be permitted in the dining
				area if food service sanitation is not compromised and residents do not object.
				III
(10) Birds within enclosed
				aviaries may be in the dining area with the following stipulations:
(A) The facility ensures the aviary is
				cleaned at least twice a week and more often as needed to maintain a clean
				environment; III
(B) The facility
				provides proper hand washing instructions to those staff having access to the
				birds and monitors to ensure compliance; and III
(C) The facility contacts the local or county
				Health Department and informs that department that an aviary has been
				installed. III