Parent /Guardian notifies Food

1
Managing a Students Special Dietary Needs
July 20, 2015
System Overview

• Parent /Guardian notifies Food Nutrition
  Services (FNS) about a dietary disability

Parent

• Special Diet Information Packet is provided to
  parent /guardian.
• www.d11.org/fns/page/specialdiets.aspx or
  available at any CSSD11 School Kitchen

FNS

• Parent/Guardian complete and submit
• Medical Statement for Dietary Disability-
  School Meal Modification form completed for
  dietary disability(special meal accommodations
  made only for dietary disabilities) with
• Licensed Physician signature printed name.
• An identification of the medical or other special
  dietary condition which restricts the childs
  diet
• The major life activity affected by the
  disability and
• The food or foods to be omitted from the
  participants diet, and the foods that must be
  substituted.
• CSSD11 Administrative Dietitian may contact
  Doctors office with any questions or to confirm
  information provided.
• Parent/Guardian returns applicable form to
  Schools Kitchen Manager once complete.
• If any changes to diet order are made, a new
  Medical Statement for Dietary Disability- School
  Meal Modification form must be completed, signed
  by a licensed physician and submitted to D11 FNS.
  Before a diet order can be stopped,
  Discontinuation of School Meal Modifications
  Prescribed by a Licensed Physician form must be
  completed, signed by a licensed physician and
  submitted to D11 FNS.

Parent

• Kitchen Manager makes copies for School Office
  and kitchen, sending original forms to the Food
  Nutrition Services office.
• Administrative Dietitian reviews Medical
  Statement for Dietary Disability- School Meal
  Modification for completeness.
• Administrative Dietitian determines if students
  condition is a disability and/or life threatening
  special dietary need, notifying parent.
• Administrative Dietitian completes the CSSD11
  Kitchen Information Card for the student and
  sends to the school with a small colored dot for
  the students ID or meal card. Copies provided
  to schools nurse and office.
• Administrative Dietitian creates customized
  electronic student profile and sends instructions
  for accessing ingredient information and ordering
  meals to parent/guardian.

FNS
2
Managing a Students Special Dietary Needs
July 20, 2015
FNS Response for Requests with Special Dietary
Needs

• Fluid Milk/ Lactose Intolerance (Non- life
  threatening)
• CSSD11 FNS Response
• Water and/or juice are available to all students
  daily at breakfast and lunch, with the exception
  of Breakfast in the Classroom schools where juice
  is available twice weekly. No special food or
  beverage accommodations are made for lactose
  intolerance that does not rise to the level of
  dietary disability.

Fluid Milk Intolerance

• Solid Food Sensitivity (Non-life threatening)
• CSSD11 FNS Response
• No special meal will be prepared for student by
  CSSD11 Food Nutrition Services personnel.
• Parent/guardian has the option to set up
  customized student profile to review menu
  ingredients at www.d11/org/fns/pages/specialdiets.
  aspx.
• Once parent/guardian has completed online
  registration at www.d11/org/fns/pages/specialdiets
  .aspx, they will have the option of selecting
  specific foods that their student has been found
  to have a sensitivity to (non-disability).
  Parent/guardian will then have the ability to
  view published school menus and ingredients of
  each menu item.
• Parent/guardian should work with student to
  decide which foods on the menu are appropriate
  meal choices for their student when they choose
  to eat in the school cafeteria.

Solid Food Sensitivity

• Dietary Disability
• CSSD11 FNS Response
• Kitchen Information Card is completed for the
  student copies provided to School Kitchen staff,
  School Office staff and School Nurse.
• Parent/guardian notified that their students
  special dietary need has been processed as a
  dietary disability by Administrative Dietitian.
  Determination based on information provided in
  Medical Statement for Dietary Disability-School
  Meal Modification that has been completed and
  signed by a licensed physician. PLEASE NOTE No
  accommodations can be made for dietary
  disabilities unless signed by a licensed
  physician (M.D. or D.O.).
• Allercode is created by Administrative
  Dietitian and parent/guardian is given
  instructions to access custom student profile on
  www.d11/org/fns/specialdiets.htm.
  Information/instruction sent to parent/guardian
  via US Mail.
• Students ID or Meal ID card is marked with a
  small colored dot to alert kitchen staff about
  the special diet needs. Managers Alert is set
  in POS system.
• Parent/guardian reviews available menu choices
  for student on www.d11/org/fns/specialdiets.htm,
  choosing from regular menu items or special
  entrée available. Parent/guardian completes
  electronic FNS Special Diet Daily Order Form and
  submits to Kitchen Manager via www.d11/org/fns/pag
  es/specialdiets.aspx not later than noon two days
  prior to the Special Meal service.
  Parents/Guardians may submit up to a weeks worth
  of FNS Special Diet Daily Order Forms at one
  time. PLEASE NOTE Items that are part of the
  regular printed menu have not been prepared in a
  manner to prevent cross contamination of other
  allergens. Parent/guardian selects these items at
  their own discretion.
• If we do not receive a FNS Special Diet Daily
  Order Form for your student and he/she requests a
  meal, a designated meal that has been determined
  to be appropriate for your students special diet
  may be served to your child.
• NOTE It is the responsibility of the
  parent/guardian to contact the schools Kitchen
  Manager by 730 a.m. the day of meal service if
  a meal was ordered and the student will not be
  eating on the day of the specified meal service.
  If a meal is prepared and the student does not
  pick up the meal, the students account will be
  charged full meal price for that meal if it is
  wasted.

Dietary Disability
3
Managing a Students Special Dietary Needs
July 20, 2015
Roles and Responsibilities
Parent

• Educate the child in self-management of their
  food allergy including
• Safe and unsafe foods
• Review the CSSD11 Web Site and/or
  Allerschool.com website with child to learn which
  foods contain various allergens
• Strategies for avoiding exposure to unsafe
  foods
• Symptoms of allergic reactions
• How and when to tell an adult that they may be
  having an allergy-related problem
• How to read food labels (age appropriate)
• Maintain updated records at all times with Food
  Nutrition Services
• Provide an updated Medical Statement for Dietary
  Disability-School Meal Modification form.
• Note nothing can be evaluated and implemented
  until a current Medical Statement for Dietary
  Disability-School Meal Modification form is
  received, reviewed, approved, and distributed by
  the CSSD11 Administrative Dietitian.
  Parent/guardian will be notified.

• All responses to requests will be made in
  accordance with guidance provided by USDA on this
  matter.
• Administrative Dietitian maintains student
  special diet profile in District 11 database of
  reported special diets. Administrative Dietitian
  creates customized student profile according to
  licensed physicians direction as documented in
  the Medical Statement for Dietary
  Disability-School Meal Modification form.
• Kitchen Manager Responsibilities
• Special Diets may only be accommodated by FNS
  Staff when current forms are approved and on file
  with the Administrative Dietitian.
• CSSD11 Kitchen Information card is maintained in
  the Kitchens Student Special Diet Binder at the
  POS station on the serving line.
• Maintain current information in an organized
  manner within the binder provided.
• Meet with student, parent/guardian, dietitian,
  and nurse when requested to review information.
• Set POS warning in system and mark the ID Card or
  Meal Card with a small color coded dot to
  identify special diet exists.
• If Student ID (MS/HS), call student into kitchen
  to mark ID card.
• Provide information as needed to help the
  student, parent, and the FNS Department.
• Work with the Administrative Dietitian to manage
  the special diet in District 11 School Meal
  Programs.
• Make food substitutions as required by CSSD11
  FNS, watching for foods that may contain
  identified food allergens.
• Students with life threatening special diets
  and/or disabilities that involve special meal
  service requires FNS Staff to prepare a special
  wrapped plate.
• Cross contamination must be prevented for these
  students. The wrapped plate is a full meal,
  including beverage.

FNS
Note Staff should never make dietary/menu
changes without approved FNS forms as per USDA
regulations.