Md. Code Regs. 10.12.04.20 – Nutrition.

A. 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.
B. The center shall provide snacks consisting of a nourishing food or beverage, or both, to participants.
C. The minimum number of meals and snacks shall be provided as follows:
Hours at Center Minimum Meals and Snacks Proportion of RDA
4—6 hours 1 meal and 1 snack 1/3 plus
7—8 hours 2 meals and 1 snack or 1 meal and 2 snacks 1/2
More than 8 hours 2 meals and 2 snacks 2/3
D. A center may prepare food on-site if the center meets the requirements of COMAR 10.15.03.
E. 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.
F. Therapeutic diets approved by a registered and licensed dietitian shall be served only as ordered.
G. Staff shall assist participants who may be unable to feed themselves, in accordance with the ADCAPS.
H. A Registered Dietitian shall perform a nutritional assessment for all participants with a potential, or an actual, nutritional deficit.

Hours at Center	Minimum Meals and Snacks	Proportion of RDA
4—6 hours	1 meal and 1 snack	1/3 plus
7—8 hours	2 meals and 1 snack or 1 meal and 2 snacks	1/2
More than 8 hours	2 meals and 2 snacks	2/3

Authority: Health-General Article, §§2-104, 14-206, and 14-304; State Government Article, §10-226; Annotated Code of Maryland

Effective date: January 12, 1979 (6:1 Md. R. 17)

Regulations .01; .02B, E; .03A, C, D; .04A—E; .05A, G, H, L, M, N; .06A; .07A, C; .08B; .09C; and .11B, K amended effective July 11, 1980 (7:14 Md. R. 1350)

Regulation .04F repealed effective July 11, 1980 (7:14 Md. R. 1350)

Chapter recodified from COMAR 10.26.01 to COMAR 10.12.04 and Regulations .01, .02A, .04—.08, .09C, .10A, and .11A amended effective November 13, 1989 (16:22 Md. R. 2365)

Regulation .02E amended effective July 5, 1993 (20:13 Md. R. 1049)

Regulations .01—.12 repealed and new Regulations .01—.52 adopted effective November 23, 2006 (33:23 Md. R. 1795)

Regulation .02B amended effective January 20, 2014 (41:1 Md. R. 13)

Regulations .01—.52 repealed and new Regulations .01—.53 adopted effective December 13, 2014 (41:12 Md. R. 668)

Regulation .04A amended effective December 21, 2015 (42:25 Md. R. 1543); August 29, 2016 (43:17 Md. R. 953)

Regulation .04C amended effective August 29, 2016 (43:17 Md. R. 953)