Sanitation and Safety
24%of exam
TemperaturesHACCPCooling + HoldingStorage OrderCleaning vs SanitizingSanitizers
Foodservice
22%of exam
Recipes + YieldProduction SystemsInventoryForecastingMeal ServiceQAPI
Nutrition
20%of exam
NutrientsTherapeutic DietsTexture DietsScreeningFeeding RoutesCare Process
Personnel and Communications
20%of exam
StaffingSchedulesTrainingDisciplineCommunicationSurveys
Business Operations
14%of exam
BudgetsFood Cost %PurchasingSpecs + BidsCost TypesRevenue
Quick Facts
- Exam
- CDM Credentialing Exam
- Credential
- CDM, CFPP
- Questions
- 160 (140 scored)
- Time
- 3 hours
- Fee
- $425
- Body
- CBDM / ANFP
- Delivery
- PSI (in person)
- Recert
- 45 CE / 3 yrs
Pathogen Growth: FAT TOM
Food, Acidity, Temp, Time, Oxygen, Moisture
Temp 41-135 FTime 4 hr maxControl any factor
Clean vs Sanitize
Clean
- Removes soil
- Visible debris
- Done first
Sanitize
- Reduces pathogens
- On clean surface
- Done second
Clean then sanitize
Cook Temp Picker
- Chicken or turkey→165 F(15 sec)
- Stuffed meat / pasta→165 F(15 sec)
- Hamburger, sausage→155 F(Ground)
- Shell eggs (hold)→155 F(Buffet)
- Fish or shellfish→145 F(15 sec)
- Beef / pork steak→145 F(15 sec)
- Reheat leftovers→165 F(Within 2 hr)
Minimum Cook Temps
- Poultry
- 165 F / 15 secHighest
- Stuffing / casserole
- 165 F / 15 sec
- Ground meat
- 155 F / 15 sec
- Eggs (hold)
- 155 F / 15 sec
- Seafood / fish
- 145 F / 15 sec
- Whole roasts
- 145 F / 4 min
- Eggs (serve now)
- 145 F / 15 sec
- Reheat for hot hold
- 165 F / 2 hours
Cook Temps Ladder
165 poultry > 155 ground > 145 fish
165: poultry/reheat155: ground/eggs145: fish/steak
Cook Temp vs Hold Temp
Cook
- 165 / 155 / 145
- Kills pathogens
- One-time target
Hold
- Hot 135+
- Cold 41-
- Maintain over time
Reach vs maintain
Holding + Cooling Picker
- Keep hot food safe→135 F+(Hot hold)
- Keep cold food safe→41 F-(Cold hold)
- Cool hot batch→135-70 in 2hr(Stage 1)
- Finish cooling→70-41 in 4hr(Stage 2)
- Stage 1 too slow→Reheat / discard(Not safe)
- TCS 4 hr in zone→Discard(Toxins form)
Time + Temperature
- Danger zone
- 41-135 FTCS
- Max in zone
- 4 hours cumulative
- Cold holding
- 41 F or below
- Hot holding
- 135 F or above
- Receiving cold TCS
- 41 F or below
- Frozen storage
- Keep solidly frozen
- Thaw safely
- Cooler, under 41 F
- Calibrate probe
- Ice bath 32 F
Cooling Two-Stage
135 to 70 in 2, 70 to 41 in 4
6 hours totalShallow pansStage 1 critical
HACCP vs SOP
HACCP
- Hazard-based plan
- CCPs + limits
- Monitor + correct
SOP
- Routine procedure
- How a task runs
- Daily consistency
Risk plan vs routine
Two-Stage Cooling
- Stage 1
- 135 to 70 F2 hr
- Stage 2
- 70 to 41 F4 hr
- Total time
- 6 hours max
- Stage 1 missed
- Reheat or discard
- Speed cooling
- Shallow pans, ice bath
- Blast chiller
- Fast safe cooling
HACCP 7 Principles
- 1 Hazard analysis
- Identify risks
- 2 CCP
- Control point
- 3 Critical limit
- Measurable value
- 4 Monitor
- Check CCPs
- 5 Corrective action
- Fix deviation
- 6 Verify
- Confirm it works
- 7 Recordkeeping
- Document logs
Sanitizers + Storage
- Chlorine
- 50-100 ppm
- Quat (QAC)
- 200 ppm
- Iodine
- 12.5-25 ppm
- Hot-water sanitize
- 171 F immerse
- Test strips
- Verify ppm
- Storage order
- By cook temp
- Top shelf
- Ready-to-eat
- Bottom shelf
- Raw poultry
FIFO vs LIFO
FIFO
- Oldest used first
- Less spoilage
- Standard rotation
LIFO
- Newest used first
- More waste
- Avoid for food
Rotate oldest first
Foodservice Operations
- Standardized recipe
- Consistent yield, cost
- Yield
- Portions a recipe makes
- Conversion factor
- Desired / original yield
- AP weight
- As purchased, with waste
- EP weight
- Edible, after prep
- Cycle menu
- Rotating menu set
- Par level
- Reorder threshold
- FIFO
- First in, first out
- Batch cooking
- Small loads, fresher
- Cook-chill
- Cook, chill, reheat
Calories per Gram
Carb 4, Protein 4, Fat 9, Alcohol 7
Fat densest = 9Carb/protein tie = 4Alcohol = 7
Enteral vs Parenteral
Enteral
- Tube into gut
- Gut works
- Preferred route
Parenteral
- IV bloodstream
- Bypasses gut
- Gut not usable
Gut works, use it
Diet + Feeding Picker
- Trouble swallowing→Pureed(Dysphagia)
- Trouble chewing→Mechanical soft(Texture)
- Rest the GI tract→Clear liquid(Short-term)
- Gut works, no PO→Enteral(Tube feed)
- Gut not usable→Parenteral(IV)
- Small appetite→Fortify foods(Nutrient-dense)
Nutrients + Calories
- Carbohydrate
- 4 cal/gram
- Protein
- 4 cal/gram
- Fat
- 9 cal/gramDensest
- Alcohol
- 7 cal/gram
- 6 nutrient classes
- Carb, protein, fat
- Non-energy three
- Vitamins, minerals, water
- Nutrient-dense
- Nutrients per calorie
- Fortification
- Boost intake, same size
Diets + Care
- Therapeutic diet
- Provider-ordered modification
- Clear liquid
- Short-term, incomplete
- Mechanical soft
- Chewing difficulty
- Pureed
- Dysphagia, aspiration risk
- Enteral
- Tube, working gut
- Parenteral
- IV, bypass gut
- Screening
- Flag at-risk clients
- NCP steps
- Assess, dx, intervene, monitor
- Liberalized diet
- Client rights, quality life
Personnel + Communication
- Job description
- Duties of position
- Job specification
- Required qualifications
- Recruitment
- Attract applicants
- Selection
- Choose best candidate
- Orientation
- First-days introduction
- In-service
- On-site skill refresh
- Progressive discipline
- Verbal, written, suspend, fire
- Master schedule
- Recurring staffing pattern
- Daily schedule
- Adjust for absences
Operating vs Capital Budget
Operating
- Food + labor
- Recurring costs
- Day-to-day
Capital
- New oven
- Long-term assets
- Approved separately
Daily vs big-ticket
Business + Costing
- Operating budget
- Recurring daily costs
- Capital budget
- Major equipment buys
- Fixed cost
- Same any volume
- Variable cost
- Rises with volume
- Food cost %
- Food cost / sales
- PPD
- Cost per patient day
- FTE
- Full-time equivalent
- Purchase spec
- Written quality detail
- Competitive bid
- Multiple vendor quotes
- GPO
- Group purchasing org
Common Traps
Clean vs sanitize
Clean removes soil ≠ Sanitize kills germs
Cook vs hold temp
Cook reaches once ≠ Hold maintains over time
Reheat vs hot hold
Reheat 165 F ≠ Hot hold 135 F
Enteral vs parenteral
Enteral via gut ≠ Parenteral via IV
Screening vs assessment
CDM screens ≠ RDN assesses
Operating vs capital
Operating recurring ≠ Capital equipment
Last Minute
- 1.Weights: 24/22/20/20/14
- 2.Danger zone 41-135 F
- 3.TCS max 4 hours
- 4.Poultry 165, ground 155, fish 145
- 5.Hot hold 135, cold hold 41
- 6.Cool 135-70-41 in 6 hr
- 7.Reheat leftovers to 165 F
- 8.Clean first, sanitize second
- 9.Storage order by cook temp
- 10.FIFO rotates oldest first
- 11.Fat 9 cal, carb/protein 4
- 12.Gut works = enteral feeding
