Cal. Code Regs. Tit. 22, § 72335 - Dietetic Service-Food Service
(a) The dietetic service shall provide food
of the quality and quantity to meet each patient's needs in accordance with the
physicians' orders and to meet the "Dietary Reference Intakes: The Essential
Guide to Nutrient Requirements" (2006) by the National Research Council of the
National Academy of Sciences, Institute of Medicine, hereby incorporated by
reference, and the following:
(1) Not less
than 3 meals shall be served daily and with not more than a 14-hour span
between the last meal and the first meal of the following day.
(2) Between-meal feeding shall be provided as
required by the diet order. Bedtime nourishments shall be offered to all
patients unless contraindicated.
(3) Patient food preferences shall be adhered
to as much as possible and substitutes for all food refused shall be from
appropriate food groups. Condiments such as salt, pepper or sugar shall be
available at each meal unless contraindicated by the diet order.
(4) Table service shall be provided for all
patients who can and wish to eat at a table. Tables of appropriate height shall
be provided for patients in wheelchairs.
(5) No food ordered for the facility shall be
diverted or taken from the facility. No rebates shall be received or allowed to
the facility or its owners, directors, officers or employees from any
commercial food source.
(6) When
food is provided by an outside resource, the facility shall ensure that all
federal, state and local requirements are met. The facility shall maintain a
written plan, adequate space, equipment and food supplies to provide patients'
food service in emergencies.
(7)
Recipes for all items that are prepared for regular and therapeutic diets shall
be available and used to prepare attractive and palatable meals, in which
nutritive values, flavor and appearance are conserved. Food shall be served
attractively, at appropriate temperatures with appropriate eating utensils and
in a form to meet individual needs.
(b) A current profile card shall be
maintained for each patient, indicating diet order, likes, dislikes, allergies
to foods, diagnosis and instructions or guidelines to be followed in the
preparation and serving of food for the patient.
(c) All regular and therapeutic diets shall
be prescribed by a person lawfully authorized to give such an order. Verbal
orders may be received and recorded by a qualified dietitian and shall be
signed by the prescriber within five days.
Notes
Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Section 1276, Health and Safety Code.
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