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RD Poll
Title 22 BONUS ROUND!!! 
Please visit this week's NEW POLL after you have reviewed Title 22. One winner with a perfect score will recieve a $22.00 Safeway gift card. Correct answers will be posted next week.
Food For Thought
Title 22 tells us that menus shall be revised quarterly. This means that on our 6 week menu cycles that are changed every 6 months, the Dietary Manager needs to be gathering input from the Resident Council and including facility preferences at least quarterly. They should also be switching their seasonal fresh fruits and vegetables at least quarterly to meet the intent of this regulation.
Janet M RedFeel free to send me  your food and menu related questions.  
Janet Montano, RD Director of Menu Services
  
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Editor Judy Morgan, MBA, RDPlease send your RDNews comments, suggestions & questions to  Judy Morgan, MBA, RD
Issue: 14 April 6, 2010
Greetings!       

Are you ready for your next State survey? Do you have a good grasp of the State's Regulations? How well do you know Title 22?

Survey Alert: Title 22 Regulations
QuizThanks to all of you that responded to last week's RDNews and took the quiz to test your knowledge of the state Title 22 regulations. Are you as ready as you think you are to help your facilities comply with California state regulations?
Here are the results from the quiz last week:
  • 54% correct for the required menu postings
  • 77% correct for the dietary schedule postings
  • 30% correct for the resident profile card
  • 38% correct on the menus filed
  • 75% correct on beverages dispensed
  • 31% correct on the diet manual revision
     
The correct answers can be found by reading Title 22 regulations on the HMC website. 
 
You can also view and print the same tool that the state surveyors will be using when conducting the dietary Title 22 survey in the skilled nursing facilities. Click or browse to the HMC staff website under the RD Toolbox, Reference File, Regulations, Title 22 State Licensing Survey Standards.
 
See the Title 22 Inservice Article and Quiz with correct answers from last week on the HMC Staff Site.
 
Here is one of last week's questions with the answer from the regulations quoted from the survey tool:

How long does the menu as served have to be kept on file?       
72341(g) Dietetic Service-Menus
"A copy of the menu as served shall be kept on file for at least 30 days."
RD Tip
  • Print a copy of the Title 22 tool below and place it in your reference binder or RD binder at the facility.
  • Share a copy with the DSS and ED for survey readiness.
  • Read the regulations and posting requirements and check for compliance. 
  • Do your facilities have resident profile cards on file with the required information?
  • Are menus as served kept on file for 30 days?
  • Are records of food purchases kept on file for 1 year?
  • Are menu changes written, dated and posted?

RD Toolbox, Reference File, Regulations, "Title 22: State Licensing Survey Standards". You will find the regulations, a checklist to monitor for compliance, as well as a helpful list of postings required (including menus) in the facility.  

Dear Dietitian;

We want you to be comfortable in your regulatory expertise. Please read the Title 22 State Licensing Survey Standards, then take the "Bonus Round" quiz this week and see if you have improved your knowledge. 

Judy Morgan, MBA, RD
Corporate Dietitian
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