<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".20" citation="COMAR 10.12.04.20" title_num="10" subtitle_num="12" chapter_num="04" heading="Nutrition.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The center shall provide snacks consisting of a nourishing food or beverage, or both, to participants.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The minimum number of meals and snacks shall be provided as follows:</text>
  </paragraph>
  <paragraph num="D.">
    <text>A center may prepare food on-site if the center meets the requirements of COMAR 10.15.03.</text>
  </paragraph>
  <paragraph num="E.">
    <text>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.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Therapeutic diets approved by a registered and licensed dietitian shall be served only as ordered.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Staff shall assist participants who may be unable to feed themselves, in accordance with the ADCAPS.</text>
  </paragraph>
  <paragraph num="H.">
    <text>A Registered Dietitian shall perform a nutritional assessment for all participants with a potential, or an actual, nutritional deficit.</text>
  </paragraph>
</regulation>