(a)

1. (1) Nutrition services assess the nutritional needs of a child, develop and monitor plans to address those nutritional needs, and refer a child to appropriate home and community resources to carry out the nutritional goals in their IFSP.

2. (2) Nutrition services include:

   1. (A) Conducting individual assessments in:

(i) Nutritional history and dietary intake;

1. (ii) Anthropometric, biochemical, and clinical variables; and

   1. (iii) Feeding skills and feeding problems as well as food habits and food preferences;
   2. (B) Developing and monitoring appropriate plans to address the nutritional needs of a program-eligible child;
   3. (C) Parent and, or, or both caregiver education and training in nutritional and dietary needs and feeding practices of a program-eligible child with a disability to reach clearly defined IFSP goals and objectives;
   4. (D) Making referrals to appropriate community resources to carry out nutrition goals on the child’s and family’s IFSP.
2. (3) Nutrition services exclude feeding services provided in connection with speech pathology and occupational therapy services.

(b) Nutrition services must be performed by an individual who is:

1. (1) A registered dietician in good standing with the Academy of Nutrition and Dietetics;
2. (2) A provisionally certified registered dietician by the Academy of Nutrition and Dietetics; or

3. (3) A licensed physician in good standing with the Arkansas State Medical Board.

   1. (c) A local provider program must maintain the following documentation in the child’s electronic record for each nutrition service performed:
4. (1) The date and beginning and ending time for each nutrition service;
5. (2) The name of the parent and other caregiver or caregivers who participated in the nutrition service;
6. (3) The name and credentials of the individual providing the nutrition service and the name of their employer;
7. (4) A narrative of the instruction, training, and interaction provided to the participating parent or other caregiver;
8. (5) A description of the relationship of the nutrition service to the goals and objectives described in the child’s IFSP;
9. (6) A description of carry over activities and strategies the parent or other caregiver or caregivers participating in the nutrition services home and community visit will do between nutrition services sessions to support the child in reaching IFSP goals and, or, or both objectives (may be included in the narrative described in subdivision (c)(4) of this section or the written progress notes described in subdivision (c)(7) of this section); and
10. (7) Written progress notes that are dated and signed by the local provider program providing nutrition services.