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Special Meal Accommodations - CDE Medical Statement

Special Meal Accommodations

Special Meal Accommodations

Accommodating Students with Special Dietary Needs Black Oak Mine Unified School
Policy & Procedure 

Overview 

The Americans with Disabilities Act (ADA) Amendments Act made important changes to the meaning and interpretation of the term “disability”. In September 2016 these updates were issued to USDA school meal programs. The ADA Amendments Act simplified the question of whether a child has a disability by requiring a broad interpretation of what constitutes a disability. Under the ADA, anything that substantially limits a major life activity (most physical and mental impairments) constitutes a disability. This includes conditions that impair immune, digestive, neurological, and bowel functions, as well as many others. Schools shall focus on what can be done in order to ensure equal opportunity for all children to participate in school meal programs. The process of providing modified meals for children with disabilities shall be as inclusive as possible. The school shall work collaboratively with parents and guardians to ensure children receive a safe meal and have an equal opportunity to participate in the school meal programs.

 The nutrition department shall use a team approach that includes parents and guardians and (as age-appropriate) the child, when providing modified meals.

Accommodating Children with a Disability
 
Black Oak Mine Unified School District (BOMUSD) will provide food substitutions to a child with a disability when the need for a substitution is supported by a written medical statement or completed CDE medical statement form that is signed by a licensed physician, a physician assistant, or a nurse practitioner. 

According to the ADA, most physical and mental impairments will constitute a disability. This includes conditions that impair immune, digestive, neurological, and bowel functions, as well as many others. General health concerns, such as a parent’s preference that a child eats a gluten-free diet because the parent believes it is healthier for the child, are not disabilities,s and do not require a modification. All disability considerations must be viewed on a case-by-case basis. 

To receive reimbursement for meals served to children with disabilities who do not meet Program meal pattern requirements, the written medical statement must identify/include the following details: 
  • Information about the child’s physical or mental impairment that is sufficient to allow the SFA to understand how it restricts the child’s diet; 
  • An explanation of what must be done to accommodate the child; and 
  • The food or foods to be omitted and recommended alternatives, if appropriate. 

Medical statements are not required to be updated on an annual basis. However, BOMUSD does receive updated medical information, those updates must be reflected in the medical accommodations. If medical accommodations are no longer required, the school will maintain a record of the request to end the medical accommodation, such as a copy of an email from the parent stating the child no longer needs a meal accommodation.

Accommodating Children without a Disability

BOMUSD is not required but will attempt to provide food substitutions to a child with a special dietary preference that is not considered a disability. An individual who does not have a disability but cannot consume a particular food because of a non-disability reason, such as religious or moral reasons, is considered to have a food preference. All meals served to students with a food preference must meet USDA meal pattern requirements to qualify for reimbursement. These accommodations will be considered on a case-by-case basis. 

Recordkeeping 

The “Medical Statement to Request Special Meals and/or Accommodations” form must be returned to the school nutrition program staff or school nurse for meal accommodations that do not meet program meal pattern requirements. 


Updated April 17, 2025 
USDA Nondiscrimination Statement 
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its agencies, offices, employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. 
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the state or local agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages other than English. 
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call 866-632-9992. Submit your completed form or letter to USDA by: 
mail: 
U.S. Department of Agriculture 
Office of the Assistant Secretary for Civil Rights 
1400 Independence Avenue, SW, Mail Stop 9410 
Washington, D.C. 20250-9410; 
fax: 
202-690-7442; or 
email: 
Program.Intake@usda.gov.