Cal. Code Regs. Tit. 22, § 78319 - Basic Services: Nutrition Services

(a) When meals are served in the center, they shall meet the "Dietary Reference Intakes: The Essential Guide to Nutrient Requirements" (2006) adopted by the National Research Council of the National Academy of Sciences, Institute of Medicine, hereby incorporated by reference.

(b) All food shall be selected, stored, prepared and served in a safe and healthful manner.

(c) Each participant who is in the center for four hours or more shall be served a meal that will supply at least one-third of the National Research Council's Recommended Dietary Allowances.

(d) Each participant who is in the center for eight hours shall be served a meal and between meal nourishments that will supply at least one-half of the National Research Council's Recommended Dietary Allowances.

(e) Each participant receiving care for periods longer than eight hours shall be served at least two meals and between meal nourishments.

(f) Any participant accepted at 7:00 a.m. or earlier shall be served a nourishing breakfast unless it has been determined that the participant has received a meal prior to arrival.

(g) Therapeutic diets shall be provided for each participant whose diet has been prescribed by the participant's physician as a medical necessity.

(h) The diet order for each participant shall be reviewed every 90 days by a dietitian and approved by the multidisciplinary team when reassessment is done.

(i) When food is provided by an outside commercial food service, the applicable requirements shall be met. Equipment and employees to receive and serve the food and for cleanup shall be provided. Equipment for in-house preparation and service of food in emergencies shall be maintained.

(j) When prepared food and beverages are obtained from a food management service, the food management service shall be approved in accordance with federal, state and local requirements. The center shall obtain from the food management service evidence of such approval. The food management service shall supply evidence to the adult day health center that menus are planned by a qualified dietitian.

(k) When low-sodium and low-cholesterol diets are provided through Older Americans Act nutrition sites, the adult day health center registered nurse shall meet with the nutrition site dietitian to adjust menus to provide for special dietary requirements of participants.

Notes

Cal. Code Regs. Tit. 22, § 78319

1. New subsection (k) filed 9-20-79; effective thirtieth day thereafter (Register 79, No. 38).
2. Amendment of subsection (a) filed 5-30-2023; operative 5-30-2023. Submitted to OAL for filing and printing only pursuant to Health and Safety Code section 1275(g) (Register 2023, No. 22).

Note: Authority cited: Section 208(a), Health and Safety Code. Reference: Section 1580, Health and Safety Code; Section 14550(d), Welfare and Institutions Code.

1. New subsection (k) filed 9-20-79; effective thirtieth day thereafter (Register 79, No. 38).
2. Amendment of subsection (a) filed 5-30-2023; operative 5/30/2023. Submitted to OAL for filing and printing only pursuant to Health and Safety Code section 1275(g) (Register 2023, No. 22).