Current through Register Vol. 46, No. 39, September 25, 2024
(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) milktwo 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) meatstwo
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 fruitsfour or more
servings of at least one-half 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 cerealsfour 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 0°F (-18°C).
(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.