<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".14" citation="COMAR 10.07.16.14" title_num="10" subtitle_num="07" chapter_num="16" heading="Dietary Services.">
  <paragraph num="A.">
    <text>The facility shall ensure sufficient numbers of trained and qualified staff to meet the nutritional needs of residents served by the facility.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Nutritional Needs. The facility shall ensure that:</text>
    <paragraph num="(1)">
      <text>A resident is provided three meals in a common dining area and additional snacks during each 24-hour period, 7 days a week;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Meals and snacks are well-balanced, varied, palatable, properly prepared, and of sufficient quality and quantity to meet the daily nutritional needs of each resident with specific attention given to the preferences and needs of each resident;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>All food is prepared in accordance with all State and local sanitation and safe food handling requirements;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Food preparation areas are maintained in accordance with all State and local sanitation and safe food handling requirements;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Residents have access to snacks during the evening hours; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Staff prepares or arranges for the provision of therapeutic or special diets as ordered by the resident's physician or as needed by the resident's condition.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The facility shall ensure that menus are:</text>
    <paragraph num="(1)">
      <text>Written at least 1 week in advance with portion sizes to meet the resident’s dietary needs; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintained on file, as served, for 2 months.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Dining Room. A facility shall provide a well-lit, adequately ventilated, and appropriately furnished dining area.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Food Service.</text>
    <paragraph num="(1)">
      <text>A facility shall have a kitchen that has adequate:</text>
      <paragraph num="(a)">
        <text>Storage, refrigerator, and freezer space for perishable and nonperishable foods;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Food preparation area or areas with cleanable surfaces;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Equipment to deliver foods at safe and palatable temperatures;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Space and equipment to wash, sanitize, and store utensils;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Space to store and clean garbage cans;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Ice-making capabilities;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Equipment for the preparation of food; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Equipment for serving and distributing food to residents.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A facility’s dietary services shall be licensed by the local health department and comply with the requirements of COMAR 10.15.03.</text>
    </paragraph>
  </paragraph>
</regulation>