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CMS Manual System - Louisiana Department of Health and Hospitals

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(Rev. 48; Issued: 06-12-09; Effective/Implementation Date: 06-12-09)<br />

§483.35(i) - Sanitary Conditions<br />

The facility must –<br />

§483.35(i)(1) - Procure food from sources approved or considered satisfactory by<br />

Federal, State or local authorities; <strong>and</strong><br />

§483.35(i)(2) - Store, prepare, distribute <strong>and</strong> serve food under sanitary conditions<br />

INTENT: (Tag F371) 42 CFR 483.35(i) Sanitary Conditions<br />

The intent <strong>of</strong> this requirement is to ensure that the facility:<br />

Obtains food for resident consumption from sources approved or considered satisfactory<br />

by Federal, State or local authorities; <strong>and</strong><br />

Follows proper sanitation <strong>and</strong> food h<strong>and</strong>ling practices to prevent the outbreak <strong>of</strong><br />

foodborne illness. Safe food h<strong>and</strong>ling for the prevention <strong>of</strong> foodborne illnesses begins<br />

when food is received from the vendor <strong>and</strong> continues throughout the facility‘s food<br />

h<strong>and</strong>ling processes.<br />

DEFINITIONS<br />

Definitions are provided to clarify terms related to sanitary conditions <strong>and</strong> the prevention <strong>of</strong><br />

foodborne illness.<br />

―Cross-contamination‖ refers to the transfer <strong>of</strong> harmful substances or disease-causing<br />

microorganisms to food by h<strong>and</strong>s, food contact surfaces, sponges, cloth towels, or<br />

utensils which are not cleaned after touching raw food, <strong>and</strong> then touch ready-to-eat foods.<br />

Cross-contamination can also occur when raw food touches or drips onto cooked or<br />

ready-to-eat foods. 1<br />

―Danger Zone‖ refers to temperatures above 41 degrees Fahrenheit (F) <strong>and</strong> below 135<br />

degrees F that allow the rapid growth <strong>of</strong> pathogenic microorganisms that can cause<br />

foodborne illness. Potentially Hazardous Foods (PHF) or Time/Temperature Control for<br />

Safety (TCS) Foods held in the danger zone for more than 4 hours (if being prepared<br />

from ingredients at ambient temperature) or 6 hours (if cooked <strong>and</strong> cooled) may cause a<br />

foodborne illness outbreak if consumed.<br />

―Dry Storage‖ refers to storing/maintaining dry foods (canned goods, flour, sugar, etc.)<br />

<strong>and</strong> supplies (disposable dishware, napkins, <strong>and</strong> kitchen cleaning supplies).<br />

―Food Contamination‖ refers to the unintended presence <strong>of</strong> potentially harmful<br />

substances, including, but not limited to microorganisms, chemicals or physical objects in<br />

food. 2

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