ADMINISTRATIVE WPPM #130-00 Subject: Local Agency Staff Requirements Item: Staffing Requirements and Responsibilities Overview

Revised August 30, 2019 California WIC Policy and Procedure Manual Page 1 of 3 PURPOSE: To ensure the quality of nutrition services in the WIC Program and to assist local agencies (LA) assign appropriate roles and responsibilities to the staff. POLICY: I. The LA must have on staff at least one: A. Registered Dietitian (RD) for the agency. B. Competent professional authority (CPA) at every site. C. Breastfeeding Coordinator for the agency. II. The LA may employ additional staff such as: A. Receptionists or Office Support staff. B. Peer Counselors (PCs). C. International Board Certified Lactation Consultants (IBCLCs). D. Registered Eligible Nutritionist (REN) or Registered Dietitian Eligible (RDE). E. Dietetic Technician, Registered (DTR). F. Degreed Nutritionists (DN). G. Mastered Degreed Nutritionists (MDN). H. Registered Nurses (RN). I. Physician Assistants (PA). J. Physicians (MD). III. Acceptable Responsibilities for Staff: The following chart summarizes the services that specific levels of appropriately trained staff may provide in the WIC Program. Specific roles and responsibilities are outlined in detail in WPPM 130-10 through 130-100.

ADMINISTRATIVE WPPM #130-00 Subject: Local Agency Staff Requirements Item: Staffing Requirements and Responsibilities Overview

Revised California WIC Policy and Procedure Manual Page 2 of 3 August 30, 2019 WIC Staff Responsibilities Overview Responsibility Non- WNA WNA (CPA) PC IBCLC Nutritionist Staff (DTR, DN, RN, RD, REN, MDN) Answer telephone Yes Yes PC only Yes Yes Schedule appointments Yes Yes PC only Yes Yes Screen applicants Yes Yes No No Yes Determine income, ID, Residency, and Category Yes Yes No No Yes Issue California WIC Card Yes Yes No No Yes Conduct participant orientation Yes Yes No No Yes Triage level of nutrition need No Yes No No Yes Assess Nutritional Risk No Yes No No Yes Develop Care Plan No Yes No No Yes Add a food package or change foods in an assigned food package No Yes No No Yes Void food benefits No Yes No No Yes Provide individual nutrition education No Yes+ No No Yes Provide group education (nutrition related) No Yes No No Yes Provide group education (non-nutrition related) Yes Yes No No Yes Provide breastfeeding education (group or individual) No Yes# Yes& PC only Yes Yes Issue breast pumps Yes Yes PC only Yes Yes Provide non-required referrals (At non- certification appointments) Yes Yes PC only Yes Yes Document required referrals in WIC WISE (At certification appointments) No Yes No No Yes Provide specific nutrition education stated in Care Plan prepared by CPA No Yes No No Yes Provide nutritional high risk counseling No No No No Yes

ADMINISTRATIVE WPPM #130-00 Subject: Local Agency Staff Requirements Item: Staffing Requirements and Responsibilities Overview

Revised California WIC Policy and Procedure Manual Page 3 of 3 August 30, 2019 Footnotes: +: May provide nutrition education to participants with protocol, standard orders, or with training on the medical condition/health care system as determined by the LA. #: May provide breastfeeding education to participants only if the WNA has 20 hours of breastfeeding training. &: Cannot be counted toward required nutrition education contacts unless the PC is also a WNA and is using WNA time. AUTHORITY: Federal Regulations 7 C.F.R. §246.2 7 C.F.R. §246.6(b)(2) 7 C.F.R. §246.11(c)(7)(ii) State Regulations 22 C.C.R. §40669 CROSS REFERENCE: WPPM 130-10 Registered Dietitian: Requirements and Responsibilities WPPM 130-20 Office Support Staff: Requirements and Responsibilities WPPM 130-30 WIC Nutrition Assistant (WNA): Requirements and Responsibilities WPPM 130-40 Dietetic Technician, Registered (DTR): Requirements and Responsibilities WPPM 130-50 Degreed Nutritionist (DN): Requirements and Responsibilities WPPM 130-60 Masters Degreed Nutritionist (MDN): Requirements and Responsibilities WPPM 130-70 Registered Nurse (RN): Requirements and Responsibilities WPPM 130-80 Staff Eligibility to take Registered Dietitian Exam (RDE): Requirements and Responsibilities WPPM 130-90 Competency Requirements and Certification: WIC Nutrition Assistants (WNAs) WPPM 130-100 Local Agency Breastfeeding Coordinator