Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 12 - ADULT HEALTH
Chapter 10.12.04 - Day Care for the Elderly and Adults with a Medical Disability
Section 10.12.04.20 - Nutrition
Current through Register Vol. 51, No. 19, September 20, 2024
A. The center shall ensure that each participant who is present for 4 or more hours is provided with a meal that meets 1/3 of the recommended dietary allowance of the Food and Nutrition Board of the National Research Council.
B. The center shall provide snacks consisting of a nourishing food or beverage, or both, to participants.
C. The minimum number of meals and snacks shall be provided as follows:
Hours at Center |
Minimum Meals and Snacks |
Proportion of RDA |
4-6 hours |
1 meal and 1 snack |
1/3 plus |
7-8 hours |
2 meals and 1 snack or 1 meal and 2 snacks |
1/2 |
More than 8 hours |
2 meals and 2 snacks |
2/3 |
D. A center may prepare food on-site if the center meets the requirements of COMAR 10.15.03.
E. The center shall ensure that food prepared off-site from the center is prepared in a center which meets the requirements of COMAR 10.15.03.
F. Therapeutic diets approved by a registered and licensed dietitian shall be served only as ordered.
G. Staff shall assist participants who may be unable to feed themselves, in accordance with the ADCAPS.
H. A Registered Dietitian shall perform a nutritional assessment for all participants with a potential, or an actual, nutritional deficit.