Ariz. Admin. Code § 9-10-1114

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-1114 - Food Services

A. An administrator shall:

1. Designate a food service supervisor who is responsible for food service in an adult day health care facility; and

2. If an adult day health care facility provides a therapeutic diet to participants, ensure that:

a. The therapeutic diet is prescribed in writing by:

i. The participant's medical practitioner, or

ii. A registered dietitian; and

b. A current therapeutic diet reference manual is available to the food service supervisor.

B. A food service supervisor shall ensure that:

1. A food menu:

a. Is prepared at least one week in advance,

b. Includes the foods to be served each day,

c. Is conspicuously posted at least one calendar day before the first meal on the food menu will be served,

d. Includes any food substitution no later than the morning of the day of meal service with a food substitution, and

e. Is maintained for at least 60 calendar days after the last day included in the food menu;

2. Meals and snacks provided by the adult day health care facility are served according to posted menus;

3. Meals and snacks for each day are planned using the applicable guidelines in http://www.health.gov/dietaryguidelines/2010.asp;

4. A participant is provided a diet that meets the participant's nutritional needs as specified in the participant's comprehensive assessment, under R9-10-1107(F), or the participant's care plan;

5. Water is available and accessible to participants at all times, unless otherwise stated by the participant's medical practitioner; and

6. A participant requiring assistance to eat is provided with assistance that recognizes the participant's nutritional, physical, and social needs, including the use of adaptive eating equipment or utensils, such as a plate guard, rocking fork, or assistive hand device, if not provided by the participant.

C. An administrator shall ensure that food is obtained, prepared, served, and stored as follows:

1. Food is free from spoilage, filth, or other contamination and is safe for human consumption;

2. Food is protected from potential contamination;

3. Food is prepared:

a. Using methods that conserve nutritional value, flavor, and appearance; and

b. In a form to meet the needs of a participant, such as cut, chopped, ground, pureed, or thickened;

4. Potentially hazardous food is maintained as follows:

a. Foods requiring refrigeration are maintained at 41° F or below;

b. Foods requiring cooking are cooked to heat all parts of the food to a temperature of at least 145° F for 15 seconds, except that:

i. Ground beef and ground meats are cooked to heat all parts of the food to at least 155° F;

ii. Poultry, poultry stuffing, stuffed meats, and stuffing that contains meat are cooked to heat all parts of the food to at least 165° F;

iii. Pork and any food containing pork are cooked to heat all parts of the food to at least 155° F;

iv. Raw shell eggs for immediate consumption are cooked to at least 145° F for 15 seconds and any food containing raw shell eggs is cooked to heat all parts of the food to at least 155 °F;

v. Roast beef and beef steak are cooked to an internal temperature of at least 155° F; and

vi. Leftovers are reheated to a temperature of at least 165° F;

5. A refrigerator contains a thermometer, accurate to plus or minus 3° F, at the warmest part of the refrigerator;

6. Frozen foods are stored at a temperature of 0° F or below; and

7. Tableware, utensils, equipment, and food-contact surfaces are clean and in good repair.

D. An administrator shall ensure that:

1. If an adult day health care facility is licensed to provide adult day health services to more than 15 participants, the adult day health care facility:

a. Has a license or permit as a food establishment under 9 A.A.C. 8, Article 1; and

b. Maintains a copy of the adult day health care facility's food establishment license or permit;

2. If the adult day health care facility contracts with a food establishment, as established in 9 A.A.C. 8, Article 1, to prepare and deliver food to the adult day health care facility, a copy of the contracted food establishment's license or permit under 9 A.A.C. 8, Article 1 is maintained by the adult day health care facility; and

3. The adult day health care facility is able to store, refrigerate, and reheat food to meet the dietary needs of a participant.

Ariz. Admin. Code § R9-10-1114

Amended effective September 2, 1977 (Supp. 77-5). Repealed effective July 22, 1994 (Supp. 94-3). New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014.