Current through Register Vol. 49, No. 13, September 23, 2024
Subpart
1.
Food service and nutrition.
A center shall meet the requirements in items A to H.
A. Procedures for preparing, handling, and
serving food, and washing food, utensils, and equipment must comply with
chapter 4626, Requirements for Food and Beverage Establishments, and with
applicable local ordinances. If the food is prepared off-site by another
facility or if food service is provided according to a center's contract with a
food service provider, the facility or provider must comply with chapter 4626
and applicable local ordinances.
B.
The center shall provide refrigeration for dairy products and other perishable
foods, whether supplied by the center or supplied by the participant. The
refrigeration must have a temperature of 40 degrees Fahrenheit or
less.
C. If a participant is at the
center for more than 4-1/2 hours, the participant must be served a meal which
meets one-third of the recommended dietary allowances of the Food and Nutrition
Board of the National Research Council, National Academy of Sciences, specified
in Recommended Dietary Allowances, 9th Edition, 1980. This publication is
incorporated by reference. It is not subject to frequent change and is
available at public libraries through Minitex interlibrary loan system and from
the Printing and Publication Office, National Academy of Sciences, Washington,
D.C. 20418.
D. The center shall
offer a midmorning and a midafternoon snack.
E. The menus for all meals and snacks must be
approved by a registered dietitian and must meet all applicable state rules and
laws and United States Department of Agriculture regulations.
F. The center shall provide modified diets
for participants whose written records specify dietary restrictions.
G. Drinking water must be available to
participants throughout the hours of the center's operation.
H. The center must maintain a record
indicating the menu for all meals served for at least six months.
Subp. 2.
Transportation.
If a center provides transportation, the following
requirement must be met.
The maximum transportation time for any participant being
transported by a center vehicle between the participant's home and the center
shall be 90 minutes, one way.
Subp.
3.
Health services.
The center shall offer health services developed in
consultation with a registered nurse. A registered nurse shall provide
consultation and review of the health services at least monthly. Health
services must include:
A. monitoring
participants' health status and reporting changes to the participant's
caregiver and physician and the center director;
B. educating and counseling participants on
good health practices;
C.
maintaining a listing of professional health resources available for referrals
as needed by participants;
D.
developing policies and monitoring procedures for participant self
administration of medications for training unlicensed personnel who provide
medication assistance; and
E.
supervising staff distribution of medication and assistance with participant
self administration of medication and ensuring compliance with part
9555.9680, subpart
2, item C.
Subp. 4.
Structured exercise
program.
The center shall offer a daily structured exercise program
for participants whose physicians have authorized their participation. The
program shall be developed in consultation with a registered physical
therapist. A registered physical therapist shall provide consultation and
review of the exercise program, at least quarterly.
Subp. 5.
Activities of daily
living.
The center shall provide participants assistance, when
needed, in managing activities of daily living such as dressing, grooming, and
eating, and in developing or maintaining the skills necessary to manage these
activities on their own.
Subp.
6.
Daily program activities.
The center shall have a monthly plan for diversified daily
program activities. Program activities shall be designed to meet the needs and
interests of the participants and shall include:
A. socialization activities, such as group
projects and recreational activities;
B. cultivation of personal interests, such as
arts, crafts, and music; and
C.
activities designed to increase the participant's knowledge and awareness of
the environment and to enhance language and conceptual skills.
Subp. 7.
Social
services.
A center shall offer the social services in items A to
D:
A. interviewing the participant
and, when possible, the participant's caregiver as part of the admission
procedure specified in part
9555.9700;
B. maintaining a family and social history
for the participant's record that is updated annually;
C. observing and recording psychological,
emotional, social, financial, legal, employment, transportation, and other
living situation factors related to the participant's achieving objectives
specified in the participant's plan of care; and
D. referring the participant and caregivers
to community services as required to meet the needs identified by the
observation in item C.
Statutory Authority: MS s
31.101;
31.11;
144.05;
144.08;
144.12;
157.011;
245A.09
