90 tion, and preferably eligible for registration by the association, and who, unless employed by a facility that also employs a dietitian, has had experience in institutional food management; "(B) a food service manager who has a bachelor's degree in foods, nutrition, or a related field, and who receives consultation from a dietary consultant; "(C) a responsible person who has had training and experience in meal management and service, and who receives consultation from a dietary consultant; and "(D) the person responsible for food and nutrition services should have had training or experi ence in providing services to the mentally retarded, and should be sensitive to their needs; "(5) the dietary consultant shall “(A) be eligible for membership in the American Dietetic Association, and preferably eligible for registration by the association; "(B) serve on a regularly scheduled and frequent basis when no full-time dietitian is available; and “(6) every person engaged in the preparation and serving of food in the facility shall have a valid food handler's permit, as required by State or local regu 1 2 3 4 5 6 7 8 9. 10 91 lations. No person who is afflicted with a disease in a communicable stage, or who is a carrier of a communicable disease, or who has an open wound, shall work in any food service operation. Every person en gaged in the preparation and serving of food in the facility shall annually be medically determined to be free of any disease in a communicable stage. All dieti tians and nutritionists shall adhere to the code of ethics of the American Dietetic Association. "(k) Appropriate to the size of the facility, an ongo11 ing inservice training program shall be conducted that is 12 designed to improve and maintain the skills of its food and 13 nutrition services staff, through means such as— "(1) seminars, workshops, conferences, and insti "(2) college and university courses; 14 "(3) participation in professional organizations; "(4) participation in interdisciplinary groups; "(5) visitations to other facilities; and "(6) access to adequate library resources, including current and relevant books and journals in nutrition and mental retardation. "(1) Opportunities should be provided, in cooperation with university and other training programs, for students to obtain practical experience, under appropriate supervision, 92 1 whenever the best interests of the residents are thereby 2 served. 3 "(m) There shall be adequate space, facilities, and 4 equipment to fulfill the professional, educational, administra5 tive, operational, and research needs of the food and nutrition 6 services. Dining areas and facilities for food storage, prepara7 tion, and distribution shall be "(1) designed in cooperation with a dietitian and, when appropriate, with assistance from a qualified food service and equipment consultant; food; "(2) adequate for the storage and preservation of "(3) in compliance with State and local sanitation and other requirements; "(4) adequate for the preparation and serving of food; and "(5) adequate for sanitary storage for all dishes and equipment. "Subchapter V-Library Services "SEC. 1166. (a) Library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, shall be available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. 93 1 Library services shall make available to the facility the re2 sources of local, regional, State, and National library systems 3 and networks. Library services shall be available to all resi4 dents, regardless of chronological age, degree of retardation, 5 level of communication skills, or accompanying disabilities or 6 handicaps. "(b) Library services to residents shall be rendered— "(1) directly, through personal contact between library staff and residents; "(2) indirectly, through contact between librarians and other persons working with the residents, designed to "(A) maintain an atmosphere that recognizes the rights of the resident to access to information and to personal use of library materials appropriate to his level of development in communication skills or to his desire to conform to peer groups; and "(B) enhance interpersonal relationships between direct-care workers and residents, through the mutual enjoyment of written, recorded, or oral lit erature appropriate to the resident's level of development and preference. "(c) Library services available to residents should 24 include 25 "(1) assistance in team evaluation and assessment 94 1 of the individual's level of development in communica2 tion skills, such as listening, comprehension, reading, and ability to respond to stimuli in a wide range and variety of media; "(2) provision of informational, recreational, and educational materials appropriate to individual residents at all stages of development in communication skills, including media to stimulate sensory development, both in the library and in the living unit. Such materials should include, but need not be limited to "(A) books, including picture, juvenile, adult, high interest-low vocabulary, large print, and talking books; “(B) magazines, including juvenile, adult pictorial, and magazines on talking books; "(C) newspapers; "(D) audiovisual media, including films, film strips, slides, video tapes, audio tapes, and records, and appropriate equipment; "(E) graphics; "(F) experiant materials, such as manipula tive materials, toys and games, realia, and animals; "(3) development of programs for individual or group enjoyment, for development of communication skills, for encouragement and satisfaction of natural hu 31-151 O 74 Pt. 1 - 16 |