DCF 52.44(3)(a)(a) Plan meals and snacks in advance of the date of service and prepare menus in writing that specify the actual food to be served.

DCF 52.44(3)(b)(b) Post the menu for the day and next day in the food serving area or in another place where residents can read it.

DCF 52.44(3)(c)(c) Keep menus on file for the last 30 days of service.

DCF 52.44(3)(d)(d) When it is necessary to substitute another item for an item on a posted menu, ensure that the replacement item has the same nutritional value as the item replaced. The center shall provide for menu substitutes where religious beliefs prohibit consumption of certain food items such as pork for Jewish or Muslim residents or meat products on Lenten Fridays or other designated days of fast for Catholic residents.

DCF 52.44(4)(a)(a) In this subsection, “food service personnel” means staff who prepare breakfast, lunch, dinner and snacks for center residents.

DCF 52.44(4)(b)(b) If a center has its own food service personnel, the food service personnel shall be age 18 or over and meet the requirements of s. DHS 190.09 (1).

DCF 52.44(4)(c)(c) The director of a center shall appoint a food service director who shall be responsible for complying with this section and ch. DHS 190 as it relates to food service.

DCF 52.44(4)(d)(d) A center shall provide all center food service personnel in-service training annually. Training topics shall relate to proper food handling procedures, maintenance of sanitary conditions and food service arrangements. Training shall be documented and the documentation kept on file at the center.

DCF 52.44(5)(a)(a) A center shall meet the requirements of s. DHS 190.09 (2) to (9).

DCF 52.44(5)(b)(b) A center shall provide nutritious packed lunches for residents who are in school or vocational or work programs when on-site lunches are not available. The center shall make provision for holding a meal for a resident who returns to the center after a meal is served.

DCF 52.44(5)(c)(c) No resident may be force-fed or otherwise coerced to eat against the resident’s will except by order of a physician.

DCF 52.44(5)(d)(d) A staff person trained in the Heimlich maneuver for choking victims shall be present at mealtimes.

DCF 52.44(5)(e)(e) Residents shall have at least 30 minutes to finish a meal, and a resident with an eating disorder shall have as much time as is necessary to finish the meal.

DCF 52.44(5)(f)(f) The dining room in a center shall be clean, well-lighted and ventilated and shall offer a comfortable atmosphere for dining.

DCF 52.44(5)(g)(g) A center may not use disposable dinnerware at meals on a regular basis, except when it documents that use of disposable dinnerware for a particular resident is necessary to protect the health or safety of the resident or others.

DCF 52.44 HistoryHistory: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections in (4) (b), (c) and (5) (a) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.

DCF 52.45(1)(a)(a) A center shall arrange a physical examination comparable to a comprehensive HealthCheck screening for each resident at intervals recommended by the medical assistance program for HealthCheck screening, except if a resident is privately insured. A privately insured resident shall be reexamined no less frequently than as required by HealthCheck or in accordance with policy coverage. The physical examination shall be conducted by a HealthCheck provider or by a physician and shall document areas found on department HealthCheck age-appropriate forms.

DCF 52.45 NoteNote: A HealthCheck form may be obtained from any local public health agency, from the Department of Health Services website at http://dhs.wisconsin.gov/forms/FtoM.asp or by writing or telephoning any field office listed in Appendix D.

DCF 52.45(1)(b)(b) A center shall arrange a thorough dental examination for each resident at intervals recommended by the medical assistance program for HealthCheck screening, except if a resident is privately insured. A privately insured resident shall be reexamined no less frequently than as required by Healthcheck or in accordance with policy coverage. The dental examination shall be conducted by a licensed dentist.

DCF 52.45(1)(c)(c) A center shall arrange and provide for necessary remedial and corrective measures for every resident as soon as possible after a physical or dental examination which indicates need for remedial or corrective measures.