Registered Dietitian, with two Masters Degrees in Dietetics and Adult Education, over thirty years experience and training, including 13 years as dietitian surveyor/trainer, CA Dept of Public Health. Participated on many hundreds of hospital and nursing home survey teams. Provided the training in the “New Surveyor Academy” in Sacramento on how to survey dietary services for 13 years. Currently providing guidance to healthcare dietary leadership and collaborating staff (Nursing, Infection Control, Quality) regarding CA state and demanding CMS federal regulatory requirements. These include: Mock PreSurveys, GAP Analysis, & development of Plans of Correction after difficult surveys. Developed 8 CEU self study dietary training manuals & numerous national articles/presentations. Has volunteered extensively on professional committees/in leadership. Advocate for patient/resident choice and dining rights. Honored as “2010 Distinguished Member” at annual FNCE (Food and Nutrition Conference) of Academy of Nutrition and Dietetics. More details are listed below. References upon request.

#623784: Commission on Dietetic Registration Handy Dietary Consulting 2010 W San Marcos Blvd, # 38 San Marcos, CA 92078 Office/Messages: 760-466-7676 Fax: 760-539-8012

1984 M.S. in Food Service & Nutrition, Framingham State, MA 1981-2 Dietetic Traineeship (qualifying internship for Registered Dietitian) at Boston City Hospital, Boston, MA 1976 M.Ed. U Mass/Boston State, Boston, MA 1969 B.S. in Food and Nutrition, Brigham Young University, Provo, UT

CURRENT: November 2007-present: Owner: Handy Dietary Consulting --Part time: Regional Consultant with Crandall Corporate Dietitians; Hensleit Healthcare Consulting --Provider of mock surveys to Hospitals & Skilled Nursing Homes and assistance with Plans of Correction, after difficult surveys or when Condition of Participation (Dietary Services) not met. (Endorsements upon request) --CE Dietary Presenter/Educator (See Topic/presentations below) --Author with focus on dietary preparation for healthcare surveys (See CEU self study Training Manuals below) --Expert Witness
--Part time Adjunct Instructor at San Diego Mesa College in Dietetic Service Supervisor Program/Advisory Board

PAST: November 1994-Oct 2007: (Retired) Public Health Nutrition Consultant III, California Department of Public Health, Licensing and Certification, Sacramento Nutrition Consultant Unit, Office in San Diego North District Office @ 7575 Metropolitan Dr Ste 104, San Diego, CA 92108 Brief Description: ----Loaned from CDPH to participate on CMS Federal workgroup to revise the F 371 Sanitation’s Interpretive Guidelines and first Investigative Protocol for Kitchen Observation for Long Term Care Facilities, implementation date: Sept 2008, still in use --Ten years as trainer in CDPH Academy for New Surveyors (Teaching over 1,000 new surveyors in areas of Sanitation, Kitchen Review, Dining); --Specialty Dietitian Surveyor/Expert, testimony and research for state and federal cases, informal dispute resolution, appeals, & immediate jeopardy; --Consultation & inservice training to CDPH surveyors in all dietary/nutrition related areas; --Specialty surveyor on challenging surveys, state projects, & review of program flexibilities and alternate methods of dietetic service; --State dietitian surveyor on initial survey team for all small Critical Access Hospitals and Correctional Treatment Centers (Prison Hospitals); --Presentations to public/providers of health care, College/internship seminars on government regulation and inspections;
Nov 1991-Nov 1994 Consultant Dietitian to SNF facilities in So.CA
Jan 1994-Nov 1994: Food Service Director/Campus Dietitian, Remington Club, Continuing Care Retirement Center (99 bed SNF), 16925 Hierba Dr., San Diego, CA 92127
Oct 1991-Feb 1993: Director of Dining Services, Casa de las Campanas, Continuing Care Retirement Center (99 bed SNF), 18655 W. Bernardo Dr, San Diego, CA 92127
Sept 1984-Oct 1991: Director of Dietary Services/ Campus Dietitian, Fredericka Manor Continuing Care Retirement Center (176 bed SNF), 183 3rd. Ave, Chula Vista, CA 92010
Aug 1982-June 1984: Associate Professor in Dietetic Division, Full time, Laboure College for Allied Health Care, 2120 Dorchester Ave, Boston, MA
1984-1993: Part time instructor in dietetics at several local colleges: Palomar College, Grossmont College, and Cal State San Bernadino

2013-Present: Advisory Board Member of “Consulting Dietitians of California”, Planned and presented in 8 CEU seminars for Dietitians and Dietary Managers throughout CA, on regulatory compliance and performance improvement 2014-5 Speaker for two annual conferences for CA Dietetic Association April 2014; 2015;

On CMS/Pioneer Network expert panel Task Force “II”, issue date for “Toolkit” with Protocols, QAPI, and regulatory compliance for New Dining Practice Standards (Implemented Sept, 2011); Toolkit includes Handy document for implementing CMS mandated QAPI to Dining Practice Standards 2012-5; American Medical Director’s Association, Editorial Advisory Panel for Periodical “Caring for the Ages” ; IDT Advisory Panel 2012-3 Provided Consultation to one of the CA NH in the CMS Demonstration Project for QAPI, including piloting Handy QAPI Toolkit

Oct 2011 Honored as “Distinguished Member” at annual FNCE (Food and Nutrition Conference) of Academy of Nutrition and Dietetics (formerly ADA), for contributions to profession 2010-2011 On CMS/Pioneer Network expert panel Task Force “I” for Symposium Creating Home II: Dining 2010 and development of New Dining Practice Standards 2010-11 ADA subgroup for Developing the Scope of Practice/Scope of Professional Responsibility for RD in Extended Care Facilities, published JADA April 2011 2011

Author of two Position Papers for Dietary Manager’s Assoc, “Role of the CDM in Resident Directed Dining”, DMA magazine April 2011; “Role of CDM in QAPI” in August 2001; Article on QAPI (and revised regs) January 2017 in ANFP ( CDMs) Edge Magazine

2010; Reviewer for revision of Dietary Manager Association’s manual: Nutrition and MNT for Dietary Managers and new manual: Nutrition Documentation and LTC Compliance 2009 Project for Revision of CD HCF Manual: Nutrition Care of the Older Adult, (Coordinator for revision of Chapter 16 Nutrition Assessment)

American Dietetic Association 2008 Speaker at PreFNCE, for DHCC (subgroup: Dietitians in Health Care Communities) on Regulatory Compliance in Dietary Services 2008 Dietitian Specialist & liaison to facilities, CA Coalition for Culture Change Dining Project

2007 Loaned from CDPH, to participate on CMS Task Force for Revision of F 371 Sanitation "Surveyor Interpretive Guidance" and to develop the First detailed Protocol for Observing Kitchen/Dietary Services, implemented 2008 to present

2000-Present: Advisory Board of San Diego Mesa College Dietetic Service Supervisor Program; Speaker (for last 10 years) at annual Professional Development Day sponsored by local consulting dietitians to LTC and the college 1989-90

State Legislative Chair (California Dietetic Association) 1988-89: President of San Diego District (CDA) 1987-88: Chair of the San Diego Consulting Dietitians in Health Care Facilities (CDHCF), member of CD-HCF, aka DHCC for over 25 years 1984-Present: California Dietetic Association (CDA) 1982-Present: American Dietetic Association (ADA) NOTE: Unable to hold a professional position during state service with CA Dept of Public Health (1994-2007)

PRESENTATION TOPICS (References Upon Request): Many, many presentations 2008-16 based upon training manuals and articles listed below: (Dietitian’s state associations or Dietary Manager’s Groups, APIC: Infection Control & LTC nurses, & state healthcare groups across the nation)

November 2016 “Mastering CA Title 22 and Survey Procedures, QAPI”(for Consulting Dietitians in CA) May 2016 “Mastering QAPI” (Regional Meeting for Dietary Managers ANFP) April 2015 “Applying QAPI to Clinical Nutrition Systems” (for Annual meeting of Practice Group (AND) for Clinical Nutrition Dietitians) Jan 2013 “Applying CMS mandated QAPI in Dietary Services for Hospitals and Nursing Homes” (for Pioneer Network Annual Conference) 2010 CMS/Pioneer Network Symposium, Paper and Webinar: “Survey Interpretation of Regulations” Oct 2008 “Regulatory Compliance” (PreFNCE, Practice Group DHCC)
Webinars for Dietary Manager’s Association ANFP: Jan 2011: “Resident Rights & Choices: Facilities Best Practices” Nov 2010: “Quality Concerns” Aug 2010: “MDS 3.0” Mar 2010: “Culture Change in Dining and Regulatory Compliance” Jan 2010: “Food Code 2009 and Regulatory Compliance in Healthcare” Webinar for RDs (DHCC practice group) Culture Change, August 2009 SAMPLING OF ARTICLES, Available Upon Request:
AMDA “Caring for the Ages”, “Freedom of Choice, Liberalizing Diets” Sept 2015 Fall 2011 New Dining Practice Standards, Consulting Dietitians (DHCC)/ADA newsletter Summer 2011 RD’s Role in Sanitation and Regulatory Compliance, Consulting Dietitians (DHCC)/ADA newsletter June 2010 “Culture Change in Dining and Regulatory Compliance” archived>publications>Dietary Manager’s Magazine (Edge) January 2017 QAPI Quality Assurance and Performance Improvement ANFP April 2010 “Food Code 2009 and Regulatory Compliance” ANFP Winter 2010 “The RD Role in Culture Change in Dining” Consulting Dietitians (DHCC)/AND newsletter August 2009 “Quality Assurance in Dietary Services” ANFP May 2009 “Nutrition Under A Microscope F325” Provider Magazine Fall 2008 Newsletter “Surveying for Safe Food Systems F 371” Consulting Dietitians in Health Care Facilities
Sept 2008 “Deficiency Free in Nutrition Status: Think Like a Surveyor Using New Interpretive Guidance and Protocol for F 325” ANFP June 2008 Safe Dining for Susceptible Customer F 371” ANFP
7 CEU Self Study TRAINING MANUALS By Linda Handy: (CE for RD, DTR, CDM) See reviews and ordering at
November 2016 Mastering CA Title 22 and New Survey Procedures in Dietary Services

February 2014 Is Your Staff Competent and Survey Ready in Food Safety?
June 2013 Dietary Services: Mastering Survey & Mastering QAPI
Feb 2011 Culture Change in Dining and Regulatory Compliance (revised 2016)
March 2010: Food Code 2009 and Regulatory Compliance in Healthcare (discontinued, replaced with Is Your Staff Competent and Survey Ready in Food Safety?)
June 2009: Surveyor MO on Nutritional Status F 325 (Discontinued)
April 2009: California Title 22 Review of Dietary Services and Nutrition Care (discontinued, replaced with Mastering CA Title 22, and New Survey Procedures in Dietary Services)
July 2008: Safe Dining for the Susceptible Customer: 7 Professional Views During Survey F 371 with Wayne Toczek(Discontinued)


May 2007: “Quality Assurance for RD and DSS” San Diego Mesa College Professional Development Day, College Campus May 2006: “FDA Food Code Revision and Application” (with Richard Ramirez, So. Calif FDA), San Diego Mesa Professional Development Day, College Campus May 2003: “Maximizing the RD and DSS Roles with Damage Control for Survey Deficiencies” San Diego Mesa College Professional Development Day/Sysco, Poway, CA May 2001: “Nutrition-Hydration Awareness” Inland District (CDA) Riverside, CA January 2001: “ New Skills for Dietary Supervisor and Dietitian: Getting Your Act Together” Seminar sponsored by HM Composite, Fresno, CA; Fremont, CA; Walnut, CA March 1999: “Malnutrition and Dehydration—Not in My Facility!” Seminar sponsored by HM Composite, Livermore, CA; Walnut, CA
March 1998: “Applying Dining Skills to OBRA and Title 22 Regulations” Dining Skills Workshop, Consultant Dietitians in Health Care Facilities Professional Development Day, San Diego, CA November 1997: “Food Safety and Sanitation” Palomar College, San Marcos, CA November 1997: “”Dietary: Outcomes Management …Process, Form & Survey Implications” CAHF Trade Show/CDA , Palm Springs, CA April 1997: “The Supervisor, Technician & Dietitian Connection: Maximizing and Maximized?” California Dietetic Association Annual Meeting (Anaheim, CA) March 1996: “Dietetic Topics for Survey” Chaffey College PDD

Additional CMS and CDPH Trainings: 1994-2007 Extensive Training during employment with California Department of Public Health (formerly called Department of Health Services), partial list:
2007: Coalition of CMS, CDPH, Providers: Bridge to the Future-Culture Change (Glendale, CA) 2004: CMS: Advanced Acute Care Training, Revised Regulations (Chicago, IL) 2004: CMS: ESRD & Renal Training (Minneapolis, MN) 2003: CMS: Care Plan Deficiency Identification & Documentation (Sacramento, CA) 2003: National Certified Investigator/Inspector Training Specialized Advanced Program-Eastern Kentucky University (Sacramento, CA) 2003: CMS: R.A.I. Manual Update (Sacramento, CA) 2001: CDPH: Non-Accredited Hospital Training (Sacramento, CA) 2001: National Certified Investigator/Inspector Training Basic Program—Eastern Kentucky University (Sacramento, CA) 1999-Present: Qualified to be ServSafe Instructor (for training Certified Food Protection Managers), National Restaurant Association 1999: Train the (State) Trainers on FDA Food Code—Food & Drug Administration, ( Phoenix, AZ) 1998: CDPH: Dialysis (Sacramento, CA) 1997: CMS: ICF/MR Clinical Practicum (Burlingame, CA) 1997: CDPH: Pressure Sores and Nutritional Implications (Sacramento, CA) 1996: CMS: Basic Acute Care Training (Burlingame, CA) 1995: CMS: Basic Health Facility Surveyor Training (Billbrae, CA) 1995: CMS : Nursing Home Survey Protocol and Enforcement Training (Irvine, CA) 1995: CDPH: Correctional Treatment Centers (Sacramento, CA) 1995: CDPH: Academy for New Surveyors (Sacram