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Dietary Consulting Expert Witness

Expert Witness No.2757


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. Expert witness in legal cases while with CDPH and after retirement. More details are listed below. References upon request.  
Commission on Dietetic Registration (since 1982)


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 


November 2007-present:

  • Owner:  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 and regulatory compliance (See 8 CEU published self study Training Manuals below)
  • Expert Witness (info upon request), experience with Declarations. Depositions, and Testimony
  • Part time Adjunct Instructor at San Diego Mesa College in Dietetic Service Supervisor Program/Advisory Board 


  • 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 -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 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 2012 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
  • 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)  

SAMPLING OF ARTICLES, Available Upon Request:  
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) 2
  • 003: 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 (Sacramento, CA)  


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