rules and regulations for assisted living facilities level ii - Arkansas ...

advance practice nurse and take appropriate action to ensure the physician
or advance practice nurse’s instructions are implemented. If a resident
chooses not to consume regular meals, this must be documented in the
resident’s service plan portion of the occupancy admission agreement. In
the event that the resident refuses to provide a written statement, the
facility shall document the refusal, as well as all contact with the
resident’s personal physician or advance practice nurse regarding the
resident’s refusal to eat.
700.3.5 A supply of food shall be maintained on the premises at all times. This
shall include at least a 24-hour supply of perishable food and a three (3)-
day supply of non-perishable food. The food supply shall come from a
source approved by the State Department of Health. Assisted living
facilities attached to other licensed long term care facilities may utilize the
kitchen facilities of the attached long term care facility, however, the
assisted living facility shall ensure that the kitchen facilities so utilized are
adequate to meet the needs of the residents of the assisted living facility.
700.3.6 Dietary personnel and universal workers shall wear clean clothing and hair
coverings while in the kitchen preparing or handling food.
700.3.7 Each facility shall comply with all applicable regulations relating to food
service for sanitation, safety, and health as set forth by state, county, and
local health departments.
700.3.8 Food service personnel and universal workers shall ensure that all food is
prepared, cooked, served, and stored in such a manner that protects against
contamination and spoilage.
700.3.9 The kitchen and dining area must be cleaned after each meal.
700.3.10 An adequate supply of eating utensils (e.g., cups, saucers, plates, glasses,
bowls, and flatware) will be maintained in the facility’s kitchen to meet
the needs of the communal dining program. An adequate number of pots
and pans shall be provided for preparing meals. Eating utensils shall be
free of chips or cracks.
700.3.11 Each assisted living facility shall have adequate refrigeration and storage
space. An adequately sized storage room shall be provided with adequate
shelving. The storage room shall be constructed to prevent the invasion of
rodents, insects, sewage, water leakage or any other contamination. The
bottom shelf shall be of sufficient height from the floor to allow cleaning
of the area underneath the bottom shelf.
700.3.12 Refrigerator temperature shall be maintained at 41 degrees Fahrenheit or
below, and freezer temperatures shall be maintained at 0 degrees
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Assisted Living Facilities Level II R. 08/01/11