Section 390.1810 Director of Food Services

Section 390

Section 390.1810  Director of

Food Services

a)         A full-time person, qualified by training and experience,

shall be responsible for the total food and nutrition services of the facility.

This person shall be on duty a minimum of 40 hours each week.

1)         This person shall be either a dietitian or a dietetic service

supervisor.

2)         The person responsible for the food service may assume some

cooking duties but only if these duties do not interfere with the

responsibilities of management and supervision.

b)         If the person responsible for food services  is not a

dietitian, the person shall have frequent and regularly scheduled consultation

from a dietitian. Consultation,  given in the facility, shall include training,

as needed, in areas such as menu planning and review, food preparation, food

storage, food service, safety, food sanitation, and use of food equipment.

Clinical management of therapeutic diets shall also be included in consulting,

covering areas such as tube feeding; nutritional status and requirements of

residents, including weight, height, hematologic and biochemical assessments;

physical limitations; adaptive eating equipment; and clinical observations of

nutrition, nutritional intake, resident's eating habits and preferences, and

dietary restrictions.

c)         A minimum of eight hours of consulting time per month shall be

provided for facilities with 50 or fewer residents.  An additional five minutes

of consulting time per month shall be provided per resident over 50 residents,

based on the average daily census for the previous year.