PURPOSE: This rule establishes dietary and food service requirements in Opioid Treatment Programs, Substance Use Disorder Treatment Programs, Comprehensive Substance Treatment and Rehabilitation Programs (CSTAR), Gambling Disorder Treatment Programs, Recovery Support Programs, Substance Awareness Traffic Offender Programs (SATOP), Required Education Assessment and Community Treatment Programs (REACT), Community Psychiatric Rehabilitation Programs (CPRP), and Outpatient Mental Health Treatment Programs.

1. (1) Dietary Requirements. The organization shall comply with state, county, and city health regulations applicable to its food and dietary components. This includes food storage, preparation, and service, including catered food through a contractual arrangement and food brought to a program by individuals served.

   1. (A) All programs shall ensure—

      1. 1. Proper diet and food preparation are addressed as part

of the individualized treatment planning process, if identified as a need during the assessment or is a treatment goal of the individual;

1. 2. All appliances for food storage and preparation are

clean and in safe and good operating condition;

1. 3. Hand washing facilities including hot and cold water,

soap, and hand drying means are readily accessible to individuals and staff;

1. 4. Fresh water is available to individuals at all times;
2. 5. Consideration is given to the food habits, personal,

cultural, and religious preferences and medical needs of individuals served, including provisions for special diets for medical reasons;

1. 6. Meals and snacks are served in a clean dining area with

appropriate eating utensils for each individual as applicable;

1. 7. Meals and snacks are nutritious, balanced, and varied

based on The Dietary Guidelines for Americans 2015-2020, 8th Edition, published by and available from the Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services, 1101 Wootton Parkway, Suite LL100, Rockville, MD 20852 and downloadable at https://health.gov/ dietaryguidelines/2015/guidelines/. The referenced guide does not include any later amendments or additions.

1. 8. Meals and snacks are provided at scheduled times

comparable to mealtimes in the community;

1. 9. Food is stored to maintain safety and sanitation standards

based on the Missouri Food Code, 2013 edition, published by and available from the Missouri Department of Health and Senior Services, Bureau of Environmental Health Services, PO Box 570, Jefferson City, MO 65102-0570. The referenced guide does not include any later amendments or additions;

1. 10. Food preparation areas and utensils are cleaned and

sanitized after use and are kept in good repair; and

1. 11. Inspections are current, documented, and available on

site and in compliance with state, local, and/or city regulations.

AUTHORITY: sections 630.050 and 630.055, RSMo 2016.* Original rule filed Feb. 28, 2001, effective Oct. 30, 2001. Amended: Filed Nov. 5, 2018, effective June 30, 2019. *Original authority: 630.050, RSMo 1980, amended 1993, 1995, 2008 and 630.055, RSMo 1980.