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Title: Section 487.8 - Food service

487.8 Food service. (a) The operator shall provide meals which are balanced, nutritious and adequate in amount and content to meet the daily dietary needs of residents.

(b) The operator shall provide at a minimum:

(1) three meals a day, served at regularly scheduled times; and

(2) a nutritious evening snack.

(c) Information on each resident's prescribed dietary regimen and food allergies shall be available in the food service area and shall be used in the planning, preparation and service of resident meals and snacks.

(d) Menu planning. (1) Menus for regular and modified diets and snacks are to be planned to furnish sufficient nutrients and calories to meet the recommended dietary allowances of the Food and Nutrition Board of the National Academy of Science, National Research Council, adjusted for age, sex and activity.

(2) The following food groups shall be included in each daily menu:

(i) milk--two or more cups served as beverage or used in cooking. Fortified whole, skim or low fat milk, flavored whole or fortified milk, buttermilk, cheese may be used. Cheese may be used as milk or meat, but not both;

(ii) meats--two or more servings of meat, fish, poultry, eggs, cheese or other equivalents. Each serving must provide an edible portion of at least two ounces;

(iii) vegetables and fruits--four or more servings of at least onehalf cup each, citrus fruit or other fruit and vegetable with vitamin C should be used daily. A dark green or deep yellow vegetable or fruit with vitamin A should be used at least every other day. Fruit and vegetable juices may be used;

(iv) breads and cereals--four or more servings. Whole grain or enriched breads, cereals, pasta products may be used.

Other foods may be added to the meal to provide personal satisfaction, additional nutrition and calories.

(3) Water, milk, coffee, tea, and a hot decaffeinated beverage must be available and offered at each meal.

(4) Menus used for planning shall specify the size of servings and the anticipated number of each type of meal (regular and modified) to be served.

(5) Meals shall be planned and served to provide variety in methods of preparation and content, and shall reflect the seasonal availability of food. At a minimum, the food items within the meat and the vegetable and fruit groups must be different or prepared differently for each day of the week.

(6) Each day's menu shall include a hot entree at one meal other than breakfast.

(7) Menus shall be prepared and served as planned; occasional substitutions shall be of like nutritional value.

(8) Menus shall be:

(i) planned a minimum of three weeks in advance; and

(ii) recorded on an approved menu planning form.

(9) Menus shall be conspicuously posted in a public area accessible to residents and visitors, and shall include any daily changes or substitutions.

(10) Copies of current menus must be available in the food preparation area.

(11) Dated copies of menus, as planned and as served, including any changes or substitutions, shall be kept on file for a period of six months.

(e) Food purchasing, storage and preparation and service. (1) The operator shall comply with regulations relating to food service for sanitation, safety and health, as set forth by the New York State Sanitary Code (10 NYCRR Part 14) and other applicable county and local health codes.

(2) In the event that a facility has been inspected by State or local health authorities, a record of such inspection shall be kept on file at the facility for review by the department.

(3) Food purchases and preparation shall be based on:

(i) planned menus;

(ii) tested quantity recipes, adjusted to yield the required number of servings; and

(iii) the estimated number of meals to be served.

(4) Food on hand shall be sufficient to permit the preparation and service of meals in the event of emergency for a minimum of three days.

(5) Food preparation, service and storage areas shall be equipped in accord with standards set forth in section 487.11 of this Part, with the New York State Sanitary Code (10 NYCRR Part 14) and applicable local codes.

(6) Food preparation, service and storage equipment shall be maintained in accord with standards set forth by the New York State Sanitary Code (10 NYCRR Part 14), applicable local codes and manufacturers' specifications.

(7) Freezer temperatures shall be no warmer than 0µF(-18µC).

(8) Storage, preparation and service procedures shall:

(i) preserve flavor and appearance of food; and

(ii) conserve the nutritive value of food.

(9) Storage, preparation and service procedures shall minimize the potential for contamination or spoilage.

(10) Food that is adulterated, contaminated or otherwise unfit for human consumption shall not be served.

(11) Any food service system other than single-seating table service shall require prior written approval of the department.

(12) Tableware appropriate for the meal being served shall be used.

(13) Disposable plates and utensils shall not be regularly used for service.

(14) No more than 15 hours shall elapse between service of the evening meal and breakfast the next morning.

(15) The evening meal shall be served no earlier than 4:30 p.m.



VOLUME B-1 (Title 18)