In the realm of Texas adult day care centers, the H1654 form serves as a crucial tool for ensuring that daily nutritional needs are met and documented in compliance with state requirements. Introduced by the Texas Department of Agriculture in February 2008, this form is designed to meticulously record the daily menu provided to adults in care facilities. It facilitates a structured approach to meal planning and reporting, covering multiple meals and snacks throughout the day including breakfast, AM snack, lunch, PM snack, supper, and an evening snack. The form requires detailed information about the meal type, menu, food items used, the amount prepared, leftovers, and the number of individuals served, making a distinction between enrolled program adults and non-program adults. This structured documentation is vital for maintaining the quality and quantity of food served in these centers, ensuring a balanced diet is provided, and meeting the regulatory standards set forth for adult care facilities. Furthermore, the allowance for reporting leftovers, exclusive to programs that offer versus serve, adds a layer of flexibility and efficiency in managing food resources. The comprehensive nature of the H1654 form underscores its importance in the daily operations of adult day care centers, laying a foundation for health and wellness through meticulous meal planning and reporting.
Question | Answer |
---|---|
Form Name | Form H1654 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | Contracting, texas department of agriculture form h1654, servings, TX |
Texas Department of |
Adult Day Care Centers |
Form H1654 |
Agriculture |
Daily Menu Record |
February 2008 |
Name of Contracting Organization
Name of Facility
Program (TX) No.
TX -
Date
1.
Meal Type
Food Components
2.
Menu
3.
Food Items Used
4.
Amount
Prepared
5.
Leftovers*
6.Number Served Enrolled Program
Breakfast
1.Milk
2.Vegetables/Fruits
3.Grains/Breads (2 servings required)
Number of Complete Seconds
AM Snack (choose 2)
1.Milk
2.Vegetables/Fruits
3.Grains/Breads
4.Meat/Meat Alternates
Number of Complete Seconds
Lunch
1.Milk
2.Vegetables/Fruits (two or more)
3.Grains/Breads (two servings required)
4.Meat/Meat Alternates
Number of Complete Seconds
* Only programs using Offer vs. Serve may use leftovers. |
continued on page 2 |
Form H1654
Page
Adult Day Care Centers
Daily Menu Record (continued)
1.
Meal Type
2.
Menu
3.
Food Items Used
4.
Amount
5.
Leftovers*
6.Number Served Enrolled Program
PM Snack (choose 2)
1.Milk
2.Vegetables/Fruits
3.Grains/Breads
4.Meat/Meat Alternates
Number of Complete Seconds
Supper
1.Vegetables/Fruits (two or more)
2.Grains/Breads (two servings required)
3.Meat/Meat Alternates
Number of Complete Seconds
Evening Snack (choose 2)
1.Milk
2.Vegetables/Fruits
3.Grains/Breads
4.Meat/Meat Alternates
Number of Complete Seconds
* Only programs using Offer vs. Serve may use leftovers.