Oklahoma Administrative Code › Title 340 - Department of Human Services › Chapter 105 - Aging Services › Subchapter 10 - Policies and Procedures Manual for Title Iii of the Older Americans Act of 1965, as Amended › Part 7 - PROGRAM STANDARDS FOR SERVICES FUNDED UNDER TITLE III OF THE OLDER AMERICANS ACT OF 1965, AS AMENDED › Section 340:105-10-72 - Congregate meals project staffing requirements

Current through Vol. 41, No. 20, July 1, 2024
(a)
Policy.
Each congregate
				  meals project maintains sufficient staff to carry out the required service
				  activities.
(b)
Authority.
The authority for this Section is Section 1321.11 of
				  Title 45 of the Code of Federal Regulations.
(c)
Procedures.
The congregate
				  meals project complies with guidelines in (1) through (4) of this subsection.
(1) A full-time director is employed who is
				  empowered with authority to conduct the project's daily management and
				  administrative functions;
(2) The
				  project obtains nutrition consultation services from a licensed registered
				  dietitian (RD) as either an employee or independent consultant, unless provided
				  by the Area Agency on Aging (AAA) or through a statewide contract.
(A) A paid caterer or certified dietary
				  manager is not acceptable in this position. If obtaining the services of a
				  licensed RD consultant exceeds three months, the nutrition project or AAA:
(i) provides documentation of hiring efforts
				  in the form of newspaper advertisements and job announcements to Community
				  Living, Aging and Protective Services (CAP);
(ii) requests in writing a temporary waiver
				  for an additional time period, not to exceed three months; and
(iii) submits a revised budget reflecting the
				  reallocation of funds not used while the position was
				  vacant.
(B) AAA notifies
				  CAP contract monitor(s) within 72 hours following the loss of RD services by
				  project or AAA.
(C) The state RD is
				  contacted to approve menu substitutions in the absence of an RD.
(D) The RD verifies by signature on the
				  Dietary Consultant's Report performance of required consultation activities,
				  including:
(i) limiting site visits to one
				  per day per RD;
(ii) visiting each
				  site at least every other month for a minimum total of six site visits per
				  year;
(iii) monitoring food
				  service, including food temperature and portion measurement, and assessing food
				  quality and adherence to contract specifications;
(iv) training staff and volunteers in areas
				  of food service management, nutrition, food safety, and sanitation;
(v) assessing participant satisfaction and
				  preferences;
(vi) reviewing menu
				  and commodity utilization;
(vii)
				  approving and coordinating monthly nutrition education programs;
(viii) monitoring perpetual
				  inventory;
(ix) documenting site
				  recommendations for improvement;
(x) documenting on the site visit date the
				  number of:
(I) reservations;
(II) meals prepared;
(III) meals served;
(IV) full meals leftover; and
(V) menu substitutions; and
(xi) providing nutrition
				  counseling for participants whose total nutrition score on the Title III
				  Program Registration form is six or more.
(I)
				  Counseling for congregate meals participants is provided with the participant's
				  approval, and may be provided for home delivered meals participants where
				  feasible.
(II) Counseling may be
				  provided upon participant request where feasible.
(3) A nutrition project
				  consultation is provided at least quarterly that includes:
(A) assessing food preferences;
(B) preparing menus and documenting nutrition
				  analysis to meet one third recommended dietary allowance for each
				  meal.
(4) Determine
				  appropriate staffing patterns for each meal site in the project service area.
				  AAAs are the final authority on appropriate staffing patterns in the Title III
				  projects.