Cal. Code Regs. Tit. 22, § 76882 - Food and Nutrition Services-Food Services
(a) The food and nutritional needs of clients
shall be met and adjusted for age, sex, activity, and disability through a
nourishing, balanced diet.
(b) Food
services shall include:
(1) Not less than 3
meals served daily, with not less than 10 hours between the first meal and the
last meal of the day, and not more than 14 hours between the third meal and the
first meal of the following day.
(2) Mealtimes comparable to existing norms in
the community.
(3) Nourishment or
between meal snacks shall be provided as required. Bedtime nourishments shall
be offered to all clients unless contraindicated by the interdisciplinary
professional staff/team, attending physician or the dietitian.
(4) Food items that are repeatedly refused by
individual clients shall be replaced with food items from the same food group
for those individuals. Clients who routinely refuse to eat most foods from a
food group shall be evaluated by a physician or a dietitian for nutritional
status and the need for substitutions and/or diet counseling
determined.
(5) Condiments such as
salt, pepper and sugar shall be provided at each meal unless
contraindicated.
(6) All clients
shall eat in dining rooms, except where contraindicated for health reasons upon
the written order of the attending physician. Table service shall be provided
for all clients who can eat at a table, including clients in wheelchairs.
Dining areas shall be equipped with tables, chairs, eating utensils and dishes
designed to meet the developmental needs of each client.
(7) Food shall be served attractively at
appropriate temperatures and in a form to meet individual client
needs.
(8) Withholding food shall
not be used as a punishment, nor shall the timely service of regularly
scheduled meals or snacks be made contingent upon a client's
behavior.
(9) Clients shall be
encouraged and assisted in feeding themselves whenever possible. Clients shall
be permitted to eat in a manner consistent with their developmental needs.
Whenever self-feeding is not possible, clients shall be provided assistance in
eating.
Notes
Note: Authority cited: Sections 208.4 and 1267.7, Health and Safety Code. Reference: Section 1276, Health and Safety Code.
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