North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter R - ADULT DAY CARE STANDARDS FOR CERTIFICATION › Section .0500 - PROGRAM OPERATION › Section 06R .0502 - NUTRITION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult day
				  care program shall provide a midday meal to each participant in attendance. The
				  meal shall provide at least one-third of an adult's daily nutritional
				  requirement as specified by the United States Department of Agriculture,
				  Dietary Guidelines for Americans, which are incorporated by reference,
				  including any subsequent amendments or additions to these guidelines. These
				  guidelines may be accessed at no cost at
http://www.health.gov/dietaryguidelines/
.
				  A licensed dietitian/nutritionist shall approve the menu following the
				  requirements set forth in this Paragraph.
(b) An adult day program shall offer snacks
				  and fluids to meet the participant's nutritional and fluid needs as determined
				  by their most current medical record. The adult day program shall offer a
				  mid-morning and mid-afternoon snack daily to participants. Snacks shall be
				  planned to keep sugar, salt and cholesterol intake to a minimum, as determined
				  by a licensed dietitian/nutritionist.
(c) An adult day program shall provide a
				  therapeutic diet, if prescribed in writing by a physician, physician's
				  assistant or nurse practitioner for any participant. If therapeutic diets are
				  prepared by program staff, such staff shall have training in planning and
				  preparing therapeutic diets or shall provide documentation of previous training
				  and education in planning and preparing therapeutic diets to prepare meals in
				  accordance with a physician, physician's assistant or nurse practitioner's
				  prescription.
(d) A licensed
				  dietician/nutritionist shall give guidance and training to the staff on basic
				  and special nutritional needs as set forth in this Rule and proper food
				  handling techniques as required by the Environmental Health Section of the
				  Division of Public Health and the prevention of foodborne illness.
(e) An adult day care program shall neither
				  admit nor continue to serve a participant whose dietary requirements cannot be
				  accommodated by the program.
(f) An
				  adult day care program shall store, prepare and serve meals following required
				  food handling techniques as required by the Environmental Health Section of the
				  Division of Public Health. The food service provider or adult day care program
				  shall abide by the food safety and sanitation practices required by the
				  Commission for Public Health and the United States Department of Agriculture,
				  including any subsequent amendments or additions, which are incorporated by
				  reference. Copies of the rules may be found at the following websites:
https://ehs.ncpublichealth.com/docs/rules/294306-14-3300.pdf
and
				  http://www.fsis.usda.gov/Fact_Sheets/Safe_Food_Handling_Fact_Sheets/index.asp.
Authority
					 G.S.
					 131D-6;
					 143B-153(2a);
					 143B-153(6);
Eff. July 1, 1978;
Amended Eff. February 1, 2008; July 1, 2007;
					 March 1, 1992; October 1, 1981; January 1, 1981;
Readopted Eff.
					 September 1, 2019.