There are three tiers of food service, each with different
minimal requirements based on facility type or the number of residents in care.
Only one tier of service as listed in subsections (1)-(3), below, will be
applied to any facility. Facilities receiving or providing catered food must
meet applicable standards as described in subsection (4), below.
(1) Tier 1. Facilities meeting the definition
of "adult family-care home" regardless of the number of residents as defined in
Section
429.65(2),
F.S., and other community based residential facilities with a maximum capacity
to house up to 5 residents, shall comply with the following requirements:
(a) Food used in the facility shall be clean,
wholesome, free from spoilage and safe for human consumption. Home canned food
shall not be used. Canned food shall be from sources that are approved by
law.
(b) The facility shall protect
the food from dust, flies, rodents and other vermin, toxic materials, unclean
equipment and utensils, unnecessary handling, coughs and sneezes, flooding by
sewage, overhead leakage and all other sources of contamination at all times
during storage, food preparation, transportation both on and off premises, and
service.
(c) Food storage equipment
shall be provided to keep all potentially hazardous foods at safe temperatures,
41° Fahrenheit or below or 140° Fahrenheit or above, except during
necessary periods of preparation and service. Potentially hazardous food shall
not have been out of temperature more than 4 cumulative hours during the course
of thawing, preparation, service and cooling.
(d) At least one sink with hot and cold
potable water under pressure shall be provided in the food preparation
area.
(e) Refrigeration units and
hot food storage units used for the storage of potentially hazardous foods
shall be provided with a numerically scaled indicating thermometer accurate to
plus or minus 3°F. The thermometer shall be located in the warmest or
coldest part of the units as may be applicable and of such type and so situated
that the temperature can be easily and readily observed.
(f) Labeling and Dating. Food containers
shall be labeled with their contents and labels shall correctly identify the
contents of the container. Potentially hazardous foods and potentially
hazardous foods that are in a form which is edible without washing, cooking, or
additional preparation, including previously cooked foods such as leftovers,
must be stored in accordance with the date marking and disposition requirements
of subsections
64E-11.004(14) and
(15), F.A.C.
(2) Tier II. Except as described in
subsection (1), above, if food service is provided in a facility with a maximum
capacity to house from 6 to 10 residents, the facility shall comply with the
following requirements:
(a) In Chapter 64E-11,
F.A.C.:
4. Subsections
64E-11.005(1), (2)(b), (c), (e), (f), (3), (4),
(5), F.A.C., Personnel,
(b)
Facilities opening, initially licensed by the licensing agency, or renovating
on or after January 1, 2008, shall, prior to construction or renovation of a
food service operation or prior to substantial facility renovation, notify the
department and provide plans of the proposed construction or renovation, for
review and approval at least 90 days prior to the start of the project. Plans
shall be submitted by the owner, prospective operator, or their designated
representative. All plans shall be in compliance with this section, shall be
drawn to scale, describe the layout, construction, finish schedule, general
operation of the facility, equipment design and installation, and similar
aspects of the facility's food service operation. A copy of the intended menu
shall be provided to the department as part of the plan review.
(c) The floor surfaces in kitchens, all the
rooms and areas in which food is stored or prepared and in which utensils are
washed or stored, shall be of smooth, nonabsorbent material and constructed so
they can be easily cleaned and shall be kept clean and in good
repair.
(d) The walls and shelving
of all food preparation areas, food storage areas, utensil washing and
handwashing rooms or areas shall have smooth, easily cleanable surfaces. Walls
shall be washable up to the highest level reached by splash or spray.
(e) Hot and cold running water under pressure
shall be easily accessible where food is prepared and where utensils are
washed.
(f) A handwashing sink,
provided with hot and cold running water under pressure, shall be located
within the food preparation area. A sign must be posted clearly designating the
sink for handwashing purposes. A handwashing sink shall not be used for any
other purpose. Facilities inspected and approved by the department prior to
January 1, 2008, are exempt from this requirement until such time as kitchen
renovation will occur or substantial renovation will occur at the
facility.
(g) In addition to the
designated one compartment handwashing sink in paragraph (f), above, a two
compartment sink or one compartment sink and a residential use dishwasher shall
be provided for warewashing. Notwithstanding the provisions in subsection (f),
above, if a facility has a two compartment sink and a residential dishwasher,
one compartment of the two compartment sink can be designated as a handwashing
sink when labeled and used exclusively as such. Existing facilities shall have
until December 31, 2008, to comply with this requirement.
(h) Multi-use equipment and utensils shall be
constructed and repaired with materials that are non-toxic, corrosion resistant
and nonabsorbent; and shall be smooth, easily cleanable and durable under
conditions of normal use; and shall not impart odors, color or taste nor
contribute to the contamination of food.
(i) All multi-use eating and drinking
utensils shall be thoroughly cleaned with hot water and an effective detergent,
then shall be rinsed free of such solution.
(j) Refrigeration units and hot food storage
units used for the storage of potentially hazardous foods shall be provided
with a numerically scaled indicating thermometer accurate to plus or minus
3° Fahrenheit. The thermometer shall be located in the warmest or coldest
part of the units as may be applicable and of such type and so situated that
the temperature can be easily and readily observed.
(k) Potentially hazardous foods and
potentially hazardous foods that are in a form which is edible without washing,
cooking, or additional preparation, including previously cooked foods such as
leftovers, must be stored in accordance with the date marking and disposition
requirements of subsections
64E-11.004(14) and
(15), F.A.C.
(l) The facility shall protect food and food
equipment from all sources of contamination at all times during storage, food
preparation, service, and transportation both on and off premises.
(m) Live animals and pets living in or
visiting a community based residential facility shall not enter the kitchen or
any food preparation areas when food is being prepared or served. Preventing
pets and animals from entering the kitchen or food preparation areas must be
effective and may consist of passive restraint through obedience training, use
of physical barriers such as a gate, physical restraint such as limiting the
animal to a room outside of the kitchen or food preparation area, or any other
effective means. Animals and pets shall not be fed, watered, bedded, kept, or
caged in the kitchen, food preparation, food storage, or dining area. Animal
care supplies shall not be kept in the kitchen or other food storage areas. If
live animals have access to kitchen and dining areas during non-food
preparation and service times, then the facility shall effectively sanitize the
dining tables, kitchen counter top surfaces, food preparation surfaces, and
other similar surfaces immediately before the next meal service or food
preparation begins. Persons handling or having direct physical contact with an
animal must wash their hands immediately prior to preparing or serving
food.
(n) As part of an organized
activity, residents may participate in food preparation under direct
supervision of the designated staff person in charge of food service
activities, who is knowledgeable in food hygiene safety.
(o) Labeling. Food containers shall be
labeled with their contents and labels shall correctly identify the contents of
the container.
(3) Tier
III. If food service is provided in a hospice facility, or a facility with a
maximum capacity of 11 or more residents, it shall comply with Chapter 64E-11,
F.A.C. Existing facilities shall have until December 31, 2008, to comply with
the requirements of Chapter 64E-11, F.A.C., except for item paragraph (b),
below.
(a) Any organized food preparation
activity in which residents may participate in food preparation as part of the
organized activity must be under the direct supervision of a trained food
service employee, per Rule
64E-11.012, F.A.C. This does not
apply to specific designated therapeutic classes with activities for an
individual or a group of individuals provided by a licensed occupational or
physical therapist as part of their occupational, physical, or rehabilitation
therapy activities to regain basic self sufficiency skills.
(b) Facilities with capacities of 11-24
residents that have been in continuous operation since initial regulation or
licensing by the department prior to January 1, 2008, are exempt from
subsection
64E-11.008(7),
F.A.C., until the facility remodels the kitchen or dining area, or
substantially remodels the facility.
(4) Catering. If food is catered from outside
sources, the caterer shall be licensed or regulated by a state or federal
regulatory food program. If a community based residential facility caters
additionally to outside sources, it must meet all Chapter 64E-11, F.A.C.,
licensing standards.
(a) When catering is
provided as the primary means of food supply, a copy of a current catering
agreement shall be provided to the local county health department at least
annually and when a change in the agreement occurs. The agreement shall
minimally include the designated delivery times, method of hot and cold holding
once food is delivered, whether bulk or individually portioned food will be
provided, and a designated responsible party for cleaning and sanitizing any
multi-use equipment and utensils.
(b) Upon delivery of catered food to a
community based residential facility, catered food must be adequately protected
from contamination. The facility shall maintain a daily log indicating the date
and time of delivery, name or type of potentially hazardous food(s), and using
an accurate food thermometer measure and log the food temperatures upon
arrival. Entries in the log shall be made at the time of delivery. These
temperature logs shall be maintained and retained at the facility for a period
not less than 6 months. The records required by this section must be made
available for review by the department upon department request.
(c) If outside catering is not the primary
means of food supply to the facility, and the facility only partakes in the
occasional carry-out or delivery of items such as, pizza, wings,
sub-sandwiches, fried chicken, or barbequed food, the catering requirements
listed in paragraphs (a) and (b) above, do not
apply.