Current through Register Vol. 41, No. 14, April 7, 2022
Provision of dietary services. The administrator or operator of each adult day
care facility shall ensure the provision or coordination of dietary services to
residents as identified in each resident's negotiated service agreement. If the
administrator or operator of the facility establishes a contract with another
entity to provide or coordinate the provision of dietary services to the
residents, the administrator or operator shall ensure that entity's compliance
with these regulations.
The supervisory responsibility for dietetic services shall be assigned to one
(1) A dietetic services supervisor
or licensed dietician shall provide scheduled on-site supervision in each
facility with 11 or more residents.
(2) If a resident's negotiated service
agreement includes the provision of a therapeutic diet, mechanically altered
diet, or thickened consistency of liquids, a medical care provider's order
shall be on file in the resident's clinical record, and the diet or liquids, or
both, shall be prepared according to instructions from a medical care provider
or licensed dietitian.
Menus. A dietetic services supervisor or
licensed dietitian or, in any facility with fewer than 11 residents, designated
facility staff shall plan menus in advance and in accordance with the dietary
guidelines adopted by reference in K.A.R. 26-39-105
(1) Menu plans shall be available to each
resident on at least a weekly basis.
(2) A method shall be established to
incorporate residents' input in the selection of food to be served and
scheduling of meal service.
Food preparation. Food shall be prepared
using safe methods that conserve the nutritive value, flavor, and appearance
and shall be served at the proper temperature.
(1) Food used by facility staff to serve to
the residents, including donated food, shall meet all applicable federal,
state, and local laws and regulations.
(2) Food in cans that have significant
defects, including swelling, leakage, punctures, holes, fractures, pitted rust,
or denting severe enough to prevent normal stacking or opening with a manual,
wheel-type can opener, shall not be used.
(3) Food provided by a resident's family or
friends for individual residents shall not be required to meet federal, state,
and local laws and regulations.
(e) Food storage. Facility staff shall store
all food under safe and sanitary conditions. Containers of poisonous compounds
and cleaning supplies shall not be stored in the areas used for food storage,
preparation, or serving.