Special Meal Accommodations
MEAL SUBSTITUTIONS FOR MEDICAL OR SPECIAL DIETARY REASONS
USDA Regulation 7 CFR Part 15b requires substitutions or modifications in school meals for children whose disabilities restrict their diets. A child with a disability must be provided substitutions in foods when that need is supported by a signed statement from a licensed physician.
In Cases of Food Allergy
Generally, children with food allergies or intolerances do not have a disability as defined under either Section 504 of the Rehabilitation Act or Part B of IDEA, and the school food service may, but is not required to, make food substitutions for them. However, when in the licensed physician’s assessment, food allergies may result in severe, life-threatening (anaphylactic) reactions, the child’s condition would meet the definition of “disability”, and the substitutions prescribed by the licensed physician must be made.
School food service may make food substitutions, at their discretion, for individual children who do not have a disability, but who are medically certified as having a special medical or dietary need. Such determinations are only made on a case-by-case basis. This provision covers those children who have food intolerances or allergies, but do not have life-threatening reactions (anaphylactic reactions) when exposed to the food(s) to which they have problems.
Medical Statement for Children with Special Dietary Needs
Each special dietary request must be supported by a statement explaining the requested food substitution and must be signed by a recognized medical authority. The Medical Statement must include:
- An identification of the medical or other special dietary condition which restricts the child’s diet;
- The food or foods to be omitted from the child’s diet; and
- The food or choice of foods to be substituted.
If we do not receive a medical statement from a recognized medical authority, your child will receive a regular lunch tray. Medical statements completed by parents or guardians will not be accepted.
Rochester School Corporation
Food Service Department
Food Allergy Plan 2014-15
- Food Service Director will show Food Allergy Power Point presentation to all Food Service Staff, Food Service Substitutes, and Dining Room Monitors that will cove what food allergies are, possible symptoms of allergic reactions and staff responsibilities. (Power Point)
- Dining Room Monitors will need to be aware of signs that a student is having allergic reactions and proper procedure to follow.
- Each Cafeteria/Kitchen will keep a current food label file. FSM will show all staff and sub staff where file is stored. Train all staff to read food labels and follow standard recipes.
- Each Kitchen has a designated food allergen prep station in kitchen
- Food Service Director will establish alternative food choices based on doctor recommendations and meet with FSM to review and monitor a food offerings
- Train all food staff, tech service staff, and other staff where needed on proper cleaning and sanitizing of stations, tables, chairs, drinking fountains, floors, etc that may have had potential allergy foods on the contact surfaces.
- School Medical Professional include Food Service Manager (FSM) and/or Food Service Director (FSD) in meetings with parents of student with food restrictions, and send copy of doctor medical script that has what restriction is, recommended alternate foods, restricted foods, any known reactions that must be monitored, and degree of severity to Food Service Manager and Food Service Director.
- FSM will set up student In Case of Emergency (ICE) folder for each student with food restrictions that will include doctor’s script, restricted foods list, and doctor designated alternate food choice list, degree of severity, known reactions and contact information.
- FSM will make contact with parents/guardians of new students or prior students with food allergy when food item question arises or needs clarity.
- FSM will enter Food Allergy Alert on Student Meal Account for all students that have a doctor’s script on file. Train cashiers to watch Point of Sale (POS) monitors for allergy alerts per student account and check tray for safety.
- NO SHARING OF FOOD signage will be posted to discourage this potential danger. Cafeteria Monitors will need to monitor and give verbal warning to students that participate in this activity.
- All above mentioned adults involved with students that have food restrictions need to keep continuous and open communication with each other
- FSM will show Food Service Subs where to find food ingredient list, proper handling of food with allergens, proper cleaning and sanitizing of equipment.
- Columbia Food Service agrees not to use peanut/peanut butter in foods prepared in the kitchen
- Cannot guarantee that breaded items, ice cream or prepackaged foods are all free from peanut allergens
- Children will need to ask about items that they are not sure of.
- Parents will need to be diligent in knowing what is served to help their children in making choices. When you question an item you may call FSD or FSM for help.
Our Cafeterias do not claim to be peanut or allergen free, but will do our best to prevent items from being introduced to those students.
Parent form for Physician's Special Dietary Prescription