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HomeMy WebLinkAboutMiscellaneous - 594 CHICKERING ROAD 4/30/2018 (3) CORRESPONDENCE . nter 544 chid4r, 594 CHICKERING ROAD 070.0-001Z Complaint Detail Report Printed On:Thu May 0 Complaint#: CT-2011-000039 Status: Closed GIS#: 4335 Viola or: Knowledge Learning Corporatio ,jaRrh Address: -MI NG ROAD Map: 1070.0 Address: rollaway Date Recvd.: Jan- ITime Recvd.. 10:05 AM Block: 10017 PORTLAND,OR 97232 Category: oo-Handling Lot: Type: Commercial 40 s GeoTMS Module: Board of Health District:+ Trade: Day Care Center �ss�cwuss Recorded By: Pamela DelleChiaie Zoning: _ Structure:Kindercare Learning Center#14 Description: Complaint: See email dated 1/13/2011: Thank you for contacting us Bob.Kindercare holds a food establishment permit with us and your concerns are very important ones,especially when they relate to our children.Your complaint has been logged and our inspector,Michele Grant,will check out the establishment,and discuss the complaint and any items she may observe. Thank You Susan Sawyer Health Director From:Bob Smith[mailto:sportsfanusa74@yahoo.com] Sent:Wednesday,January 12,2011 12:23 PM To:Sawyer,Susan;Sawyer,Susan Subject:concern I have a concern about kindercare in North Andover on Chickering Road. I do not believe the use of gloves when handling food is something they are doing,also the food that the children are given is many times brought out to the classroom for snack then brought into the kitchen mixed together with other left overs and used again! Many times the food has expired in the fridge,freezer,and on shelves the food is taken out of original containers and not dated so many times it is full of mold. As a parent it makes me sick and nothing is done when you complain to them. please check into this before a child gets sick. Comments: Inspector Assigned to Complaint: Michele Grant Contacts Contact Type Date Time Name Phone Best Time To Reach Recorded By Response Caller Jan-13-2011 10:05 Bob Smith Email: Pamela DelleChiaie Follow-Up by Health AM sportsfanusa74@yahoo. Inspector com Actions Taken GeoTMS Module Status Date Time Response Type Action Taken Comments Board of Health REFERRAL GeoTMS®2011 Des Lauriers Municipal Solutions, Inc. Page 1 of I PRINTED BY:Pamela DelleChiaie-PLEASE LEAVE IN PRINT-OUT TRAY.......THANK YOU. DelleChiaie, Pamela From: Sawyer, Susan Sent: Thursday, January 13, 2011 10:05 AM j To: 'Bob Smith' Cc: Grant, Michele; DelleChiaie, Pamela Subject: RE: concern Thank you for contacting us Bob. Kindercare holds a food establishment permit with us and your concerns are very important ones, especially when they relate to our children. Your complaint has been logged and our inspector, Michele Grant, will check out the establishment, and discuss the complaint and any items she may observe. Thank You Susan Sawyer Health Director From: Bob SmithLmailto:sportsfanusa74@yahoo.coml Sent: Wednesday, January 12, 2011 12:23 PM To: Sawyer, Susan; Sawyer, Susan Subject: concern I have a concern about kindercare in North Andover on Chickering Road. I do not believe the use of gloves when handling food is something they are doing, also the food that the children are given is many times brought out to the classroom for snack then brought into the kitchen mixed together with other left overs and used again! Many times the food has expired in the fridge, freezer, and on shelves the food is taken out of original containers and not dated so many times it is full of mold. As a parent it makes me sick and nothing is done when you complain to them. please check into this before a child gets sick. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/ore/preidx.htm. Please consider the environment before printing this email. I IOFI DelleChiaie,Pamela PAYEE: NORTH ANDOVER TOWN OF DATE: 04-NOV-10 BOARD OF HEALTH 1600 OSGOOD ST BLDG 20 STE 2-36 CHECK NO: 10545956 NORTH ANDOVER,MA 01845 AMOUNT: *********60.00 VENDOR:NORTH ANDOVER TO 16132 INVOICE DATE DESCRIPTION P.O.NO. GROSS AMT. DISCOUNT NET AMOUNT 301485100210 02-OCT-10 X1557 301485 60.00 0.00 60.00 0 1 D i ti 7DEC '; 5 2010 • TOWN OF NORTH ANDOVER HEALTH DEPARTMENT KNOWLEDGE LEARNING CORPORATION TOTALS 60.00 1-800-214-1607 f �2r},�1� ! .a � r •� ��'♦ ri • � �° �• I� ��I}�i��,! .?• , �• ,���'��•r�•=moi i°'Ya'••I� { t♦ �4� � .. � , � tib s t r•+ Rr: t ,•• � �b iS (i fir?'���+ T.~��y,.'l. i �K4 it f .�._r�rf iV� �(i•�/r�'�� 1't.~�'�.�`b3 YV .��*j+:r y .• A `Y:�'d i r = .V i i7'r: 'F• 1li.. j�..••• ;f + �."`V`� f • :a: 4 t Y• :e• ,a11 i^ •!`- .. f .• « �.• all T . 1 �`i j• 51 •9,l. f T , `� #�v l ,i .l .a' fa .f. ♦ •1 i i. \/d♦1;�'.+ L x I M'4t +�{.��ti�i _Y S'R;l•rie r�r,Y•'j'�lai� ;/ L l/ lel 5t .�c�{�r F� _Y51 j:�J4 .0 r1 1•� �/QI�r � L l� 13'1t �£"i� F! ~ Y rt•. ::�;�F`��.•..:���r}®.: !•"�� •rr �1:�„�'�y'' +'.+••`���•;+•����R,a 1"7�� rl. Sy�ry Y>'r�r�r � e �►�. ►�. _ -�� r �,, .rr. ti L� - fr"..r '^�•:�c_ :.•r .' 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J.i' �r,�.a•�;`,.�r,,f}jc- .�•la•• Y;.:i:''.2. ��.{ ► J,i+s�r• a:r•�.-�rN �E�• r. �• cfr'.t "a" ♦ 1} r * a•r• �`�+ iE� 1 + ;.r`I '' � •!�''� •`•• f�:`�,�•� ��*�' '! !":y .1 '���;. .♦ �� .�� `1 • *�� L �} .^'i,may j.r � •ism. .' � r• .r►' ��r' �}.. `. ,;,r .: r. .% r+fY►..�{v � " :/.:. a• i •f _ �rt r'' � -..1 ►r .s'y' .,1 i �' •r��w� ..i �.— �� �h ,. .f�at•�� '+ 's`i r "��4 ,tr� � ."i;,ry •_I• .f+17�H4 r � s"+�S" w.� +t r"I i�'l :E'�.^. . s PRINTED BY:Pamela DelleChiaie- PLEASE LEAVE IN PRINT-OUT TRAY.......THANK YOU. 1 DelleChiaie, Pamela From: Bixby, Melanie[mbixby@klcorp.com] Sent: Friday, December 17, 2010 4:31 PM To: DelleChiaie, Pamela Cc: Bixby, Melanie Subject: FW: Town of North Andover checks Attachments: 20101217123850621.pdf Hi Pamela, I received this from our corporate offices. We had a building inspection at the beginning of the week and the inspector said we only send in $60.00. I was not here but I think you have the $100.00 check and the Building department has the bumpster Permit check. Please let me know what to do. Sincerely, Pat Corsaro Melanie Bixby Center Director KinderCare Learning Center of North Andover 594 Chickering Road North Andover, MA 01845 Phone 978.685.8111 / Fax978.557.9668 From: Luce, Michael Sent: Fri 12/17/2010 3:40 PM To: Song, Esgel Cc: Bixby, Melanie Subject: FW: Town of North Andover checks Esgel—could you please look into or forward to the correct person in AP for the copies of the checks?? Thanks I OF 5 DelleChiaie,Pamela PRINTED BY:Pamela DelleChiaie-PLEASE LEAVE IN PRINT-OUT TRAY.......THANK YOU. Or -JKicfweCLuce- Knowfedge universe 503-872-1557 ph 503-872-1314 fax From: Bixby, Melanie Sent: Friday, December 17, 2010 10:47 AM To: Luce, Michael Subject: Town of North Andover checks Dear Michael, I am still having problems with the town receiving the right checks for the right permits. Could you possibly FAX me copies of the checks? I think what happened was: The Building Dept. received a check for an inspection for $60.00 (which was for the dumpster permit) The Board of Health received the $100.00 check for the building inspection not the dumpster permit. Thank you in advance for your help. Sincerely, Pat Corsaro Melanie Bixby Center Director KinderCare Learning Center of North Andover 594 Chickering Road North Andover, MA 01845 Phone 978.685.8111 / Fax978.557.9668 Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hftp://www.sec.state.ma.us/are/preidx.htm. Please consider the environment before printing this email. 5 5OF5 DelleChiaie,Pamela . . ie "View: Rjldee -rdolsWindow _e P l ,mi > ® ' NORTH ANDOVER TOWN OF USD 1 o Invoice Amount Withheld Am 100 OOJ 16132 �j` BLDG DEPT -- y _ 100.00 . ;11/0812010 ; BUILDING DEPARTMENT IF - - I 1600 OSGOOD ST RUSH110810 r `BLDG 20TH:STE 2-36 I`fE RIc%pTLI ii Rlfl AYfC fI_FA-A f1A0Af. ) Reconciled 100.001_ �>"" BANK OF AMERICA DISBURSEMENTSI 11/2312010 `' AP DISBURSEMENT I plications ,.. n 4 larm ;Check _— Discount Taken [_] m. ®- I c 301495100810 ---_ 100.0011!082010 x1557'59C09 ad8rGar&Lea to I Center#1 85 STCrn ! U A-AadavarMA-01�4 51 InvoimOveriiew .:Bank` Sup'plrer Payments ayment OverVietn+ Overview. `.Distributions, r. -air i WPM r. r M Tppe Supplier. Supplier:Num Site Source: Invoice Date Invoice Num: InvoiceCurr Invoice Amount' V'Jithheld Am Manual Invoice.Entry_ Standard NORTH AN 16132 1660,0St -;10.102/2010 301485i0021t USD 60.00 NORTHANDOVER TOWWOF01 - � a I� General _ . 60:00 16132 - 1600 OSGOODj v 1170412010 BOARD.OF HEALTH 76U0°OSGO0D°ST Payrent.tvlethoc LD RUSH110410 BG 20 STE:2=36 � ' RIAllTL1 ARl II AS-1Cr1 RA A�P!kQA r. Negotiable • + - BANWOF AMERICA DISBURSEMENTS : .- --- AP:DISBURSEMENT (� 001485100290 60.00 111/OV2010 � X1557 301485 Kinder.0 1e erste Center#1485 I I N.Andover,MA 01845 Invoice.Overview, Bank Supplier Payments Knowledge Learning Corporation® Void/Reconciled Check Request Where Lifetime Learning Begins' CHECK ONE ❑✓ KinderCare ❑Knowledge Learning Corporation ❑KC Distance Learning Attach a screen print of AP90.5(Lawson)or Payment Overview(Oracle) DATE OF CHECK(must be older than 14 days) CHECK NUMBER TOTAL AMOUNT OF CHECK 11/4110 10545956 $60.00 REQUESTED BY DATE PHONE/EXT. Mike Luce for C301485 12/17/10 1557 ❑Void Request ❑✓ Copy Request ❑ Vold and Reissue ❑ Print Copy(front and back) ❑ Void and No Reissue ❑ Return Copy To: Why is the void required? Q Email Copy To: C301485 Attn:Pat TAbove to be completedbyRequester ........_._._._._._._._.,....,...._._._. .................... _ ..... E Below to be completed by Accounts Payable y T Bank of America 1 DATE CHECK CASHED DATE CHECK STOPPED ❑Cashed F]Stopped COPY SENT/EMAILED TO DATE 12/17/10 DATE OF VOID AND REISSUE DATE OF VOID AND NO REISSUE PROCESSED BY --•_._._._._,_._._,_._._._ NOTES: 140016-FIN-APY 3W 0 2009 OMedge Learning Corporat(on.Ag*Is reserved. w Knowledge Learning Corporation® Void/Reconciled Check Request Where Lifetime Learning Begins' CHECK ONE ❑✓ Kindercare []Knowledge Learning Corporation ❑KC Distance Learning Attach a screen print of AP90.5(Lawson)or Payment Overview(Oracle) DATE OF CHECK(must be older than 14 days) CHECK NUMBER TOTAL AMOUNT OF CHECK 1118/10 10546481 $100.00 REQUESTED BY DATE PHONE/EXT.. Mike Luce for C301485 12/17/10 1557 ❑Void Request [✓] Copy Request ❑ Void and Reissue ❑ Print Copy (front and back) ❑ Vold and No Reissue Why is the void required? El Return Copy To: Q Email Copy To: C301485 Attn: Pat be completedequester ..................... ............ T_Above to.................by............................................. ........ _.^._....._._._._._....._._._._...,.. J Below to be completed by Accounts Payable 1 Bank of America DATE CHECK CASHED DATE CHECK STOPPED ❑Cashed El Stopped COPY SENT/EMAILED TO DATE 12/17/10 DATE OF VOID AND REISSUE DATE OF VOID AND NO REISSUE PROCESSED BY ..-•_._..._._._._._._._._._.._._._._._ NOTES: 140016-MAPY M ®2009 KWMedge Learning CorporaCon.M dghts reserved. t; I C Ub.;1NING CENTERS, INC. LOST CHILD PLAN It is required that children be supervised at all times by qualified staff. Should it at any time occur that a child is missing, it is important to immediately take the following action: 1 . Stay calm. Let the Director or designated person in charge know at once. 2. Check the sign-out =beet. Make a quick, complete search of the total buildi g and grounds. Ask if anyone saw child leave and with whon;. Determine when and by whom child was last seen. 3. Call the parent(s ) :.r guardian. Tell them their child is missing. Inquire il' they have the child or know of where the child is. Tell them you will now call others authorized to pick up if appropriate. 4. Call the police to ,inform them; tell them your name, ECLC Learning Center, 594 Chickering Road, we are reporting a lost child. Give child's name, give description of him/her from child 's folder. 5. The Director or designated person will call Corporate Office of SCLC to let them know. The Director will keep notes of action taken, ti_,tes, by whom. 6. Call CHILD FIND for their help. P.&•V%A. : ��.� L � 7. Stay with it and do.; 't panic. Be positive, time is important. Move fast. REMEMBER! Actively sup,_rvise at all times. If you ever see anyone hanging around c.. coming to the fence report it at once to the office. Keep a _List of authorized persons for pick-up in your attendance boob:. Report any changes of telephone # or address to office. r 594 CHICKERING ROAD, NORTH ANDOVER, MASSACHUSETTS 01845 TEL. 685.8111 .lj a r � Hepatitis A Training - 2005 Through the North Andover Health Department And U-Mass Lowell Nursing Students Hepatitis A immunizations will be offered to all food handlers within the community. We strongly encourage your business to participate in this program for the benefit of your establishment and the health of your patrons. The participation of your establishment with the program will be kept on record and made available to the public. Please indicate the interest of your establishment by putting your name and contact person and phone number on the enclosed form,and respond with the included self addressed stamped envelope within 5 business days. The target date for the training will be sometime in the second week in April. We will notify you when confirmed. There will be a small fee associated with the application of the shots. lGnderCare l eamingCer�rt RECEIVED Name of Establishment: Center#1485 594 Chickedng ROL MAR 2 4 2005 N.Andover,MA 01845 Contact Person, l ,�j TOVVIV Oi=N0,fjTH ANDOVER HEALTH DEPARTMENT Contact Phone Number(s): How many employees do you anticipate will attend the training? / ❑ Check here if you need additional information ❑ Check here if DO NOT wish to participate and do not wish to be contacted Call the Health Department at 978.688.9540 with any questions or information. AIDS AND HEPA THIS B PREVENTION FOR CHILDCARE WORKERS (Compliance Training for the Bloodborne Pathogen Standard 29 CFR 1910.1030), Batts Healthcare Consulting Services 14 Wyndcliff Drive Acton,Massachusetts 017204818 0 copyright by R Batts 1993 AGENDA Objectives Definition of Terms Video on Hepatitis B Virus (HBV) and Human Immunodeficiency Virus (HIV) Risks and Recognition of Exposure Conditions for Childcare Workers Universal Precautions Personal Protective Equipment Safety Practices for Preventing Exposure Required Labeling and Color-Coding of Biohazardous Materials&/or Waste Procedures to Follow In The Event of An Occupational Exposure Record Keeping Requirements Questions and Answers OBJECTIVES Upon completion of this training program the participant will be able to Describe the two bloodborne viruses that pose the most serious exposure risks in a childcare setting; Name the modes of transmission for these viruses and list the body fluids that could contain enough HIV or HBV to transmit infection; Define Universal Precautions and describe the steps that should be taken to minimize risks of exposure; List the steps that should be taken after an exposure incident to prevent infection. 1 c BLOODBORNE PATHOGEN STANDARD The General Duty Clause of the Occupational ,Safety and Health Act of 1970 requires that employers provide a workplace that is free from recognized hazards likely to cause death or serious physical harm. In addition, the Bloodborne Pathogen Standard 29 CFR 1910.1030, promulgated by OSHA on December 6, 1991, clearly mandates that employers take measures to reduce the risk of exposure to bloodborne pathogens including training on what the risks are and how to control the risk of exposure at work through the use of personal protective equipment and safety practices. BLOODBORNE PATHOGENS DEFINED A "pathogen" is an organism that causes disease. "Bloodborne" means that the disease is spread through direct contact with infected blood or certain other body fluid; that is, the infected blood or body fluid enters another individual either by injection, transfusion, sexual intercourse or by entering through cuts or openings in the skin, or through the mucous membranes of the eyes, mouth or nose. Although there are other diseases that are bloodborne, such as syphilis, the two bloodborne viruses that pose a special risk to healthcare workers and others who provide first aid, are the Hepatitis B Virus (HBV) and the Human Immunodeficiency Virus (HIV). HBV According to recent statistics published by the Centers for Disease Control (CDC), HBV infects 9,000 of the 5 million U.S. healthcare workers each year resulting in 400-500 hospitalizations and 200 deaths. About 80% of people who get HBV experience sub clinical symptoms; that is, they don't even know they have the virus or that they are infectious. Hepatitis B is an inflammation of the liver. Its symptoms range from very mild flu- like complaints to clinical illness characterized by lack of appetite, dark urine,jaundice, nausea, vomiting, abdominal pain and diarrhea. Some people become chronic carriers of Hepatitis B. Chronic carriers are people without active HBV who can transmit the infection to others for 6 months or more. Some people remain chronic carriers for several years or for life. Blood tests can be used to detect active HBV infection, past infection, immunity or carrier status. There are several vaccines available for preventing HBV. They are safe and over 90% effective in preventing HBV. b l ab a qou ik-x - 2 Q HIV The risk of getting HIV from occupational exposure is very small. As of December 1991, out of 5 million healthcare workers in the U.S., 29 workers had been documented as infected with HIV through occupational exposure. However, the number of diagnosed cases of AIDS in the US general population was already at 315,000 by October 1, 1993 and is growing rapidly. HIV is a virus which attacks the body's immune system, limiting the body's ability to fight off infections. Once infected with HIV, the virus remains in the body for life. Everyone who gets infected with HIV becomes a life-long carrier. HIV can cause flu-like illness with fever, rash, swollen glands and joint pain that develops within a few weeks after exposure and goes away within a few days. HIV can also cause AIDS Related Complex(ARC)with persistent swelling of the lymph nodes, chronic fever, weight loss, diarrhea, fatigue, thrush, or other symptoms. Many people with ARC go on to develop AIDS. Acquired Immunodeficiency Syndrome(AIDS) is HIV infection accompanied by serious immune system deficiency and one or more opportunistic infections. Opportunistic infections are either rare, or rarely infect people with healthy immune systems. Some of the opportunistic infections listed by the CDC include tuberculosis, pneumocystis carinii pneumonia, Kaposi's sarcoma(a form of skin cancer), and thrush (an oral fungal infection). About 30% of people with known HIV infection develop AIDS within 5 years, but the incubation period may be as long as 14 years or more. About 50% of people with AIDS die within 18 months; 80% die within 3 years; and the 5-year mortality rate approaches 100%. MODES OF TRANSMISSION FOR HBV AND HIV HBV and HIV live in blood and certain other body fluids and tissues. Blood is the single most important source of HIV and HBV in the workplace, but other materials that may contain enough virus to transmit infection are: fluids containing visible blood; semen; vaginal secretions; fluid from the spine,joints, heart, abdomen and lungs; amniotic fluid; and body tissue. Tears, saliva, nasal secretions, urine, feces, sputum, sweat and vomit are NOT considered sources of HIV or HBV infection unless the material contains visible blood. Only nursing babies or employees exposed to large amounts of breast milk(i.e., breast milk banks) risk getting HIV or HBV from this fluid. Transmission occurs when infectious body fluids or tissue enter the bloodstream. In the general population, HIV and HBV are transmitted through intimate sexual contact, 3 9 sharing used needles, receiving infected blood or blood products, and by passing the infection from mother to baby during pregnancy or through breast feeding. In the healthcare or first aid setting, the primary transmission modes are: puncture wounds caused by contaminated sharp objects-, ♦ skin contact that allows infectious materials to enter the body through breaks in the skin; mucous membrane contact that allows infectious fluid or tissue to enter the body through the eyes, mouth or nose. Your personal level of risk depends, in part, on how much blood or "risky" material you are exposed to and how often you are exposed. Occupational exposure means "reasonably anticipated skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's duties". Some occupational exposures include: ♦ all first aid occurrences in which blood or other potentially infectious materials are present; direct care for any child with open, oozing sores or rashes; any other situation in which blood or other potentially infectious materials are present. An exposure incident is an occupational exposure in which there was specific skin, eye, other mucous membrane or piercing contact with blood or other potentially infectious materials. In the childcare setting, examples of exposure incidents might include: ♦ A bite from a child with bloody saliva or an open and bleeding wound in his/her mouth. The bite causes a break in the skin of the childcare worker. A child sustains a bloody wound or nose bleed;the childcare worker performs first aid without gloves and has open areas or cracked skin on his/her hands, or the blood is accidentally splashed into the eyes, nose or mouth of the childcare worker. A childcare worker changes the diaper of a child with a bloody bowel movement or of a child with a weeping diaper rash. The childcare worker does not wear gloves and has open wounds on his or her hands. ♦ A childcare worker assists a sick child who is vomiting. There are streaks of blood in the vomitus. The childcare worker does not wear gloves and has very chapped hands. 4 9 EXPOSURE CONTROL METHODS UNIVERSAL PRECAUTIONS You can minimize your risk of exposure at work and perform your job safely by exercising "Universal Precautions" whenever you handle blood or any other potentially infectious materials. Universal Precautions are guidelines developed by the Centers for Disease Control, the recognized expert on the spread and control of diseases in the workplace. Universal Precautions stress that the blood and certain other body fluids of all persons are potentially infectious for HIV, HBV and other bloodborne diseases. Therefore, whenever a worker can expect to have contact with potentially infectious materials, they must wear the appropriate personal protective equipment and use safe work practices which minimize or eliminate the risks of direct exposure. PERSONAL PROTECTIVE EQUIPMENT The types of personal protective equipment which should be available in a childcare setting include: gloves, waterproof gowns or aprons, masks and goggles or face shields. Gloves should be worn by childcare workers whenever performing first aid for open wounds or any bleeding condition, changing diapers on babies with diaper rashes and any other situation which poses a risk of exposure to potentially infectious materials. SAFE WORK PRACTICES Safe work practices are specific procedures or controls that employees follow to reduce their exposures to bloodborne pathogens. Any procedure or task that involves exposure to blood or other risky material must be performed in a manner that minimizes skin contact or splashing. Safe work practices include process procedures such as the proper method of removing contaminated gloves, proper regulated waste disposal and methods for decontaminating equipment or surfaces which have become soiled with blood or other potentially infectious materials. POST-EXPOSURE FOLLOW UP PROCEDURES If an occupational exposure to blood or other potentially infectious material occurs (first aid incident), regardless of whether you had actual skin, eye, other mucous membrane, or puncture contact with blood, you must report the exposure to your employer immediately and complete a written account of the circumstances. Your employer is required by law to keep a log of all such exposures. Your employer is also required to offer you the Hepatitis B vaccine following an occupational exposure. 5 1 If, in addition to the occupational exposure, you have an actual exposure incident (blood gets into eyes, mouth, nose, or onto broken skin), your employer must arrange for you to have a medical evaluation by a licensed healthcare professional as soon as possible but no later than twenty-four hours after the incident. For more details on what to do following an occupational exposure or an exposure incident, refer to your center's BLOODBORNE PATHOGEN EXPOSURE CONTROL PLAN. You have the right to access and review of your center's EXPOSURE CONTROL PLAN. Check with your employer for its location and hours of availability. STAY SAFE AND HEALTHY FOLLOW YOUR COMPANY'S EXPOSURE CONTROL PLAN 6 THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH Date: 12/30/99 Fee: $25.00 Permit# 259-OD This is to certify: Kinder Care Learning Centers, Inc., 594 Chickering Road, North Andover, MA 01845 is hereby granted a.... F- DUMPSTER PERMIT This permit is granted in conformity with statutes and ordinances relating thereto, and expires December 31, 2000 unless sooner suspended or revoked. Gon Osgood, Chairman J Francis P. Mac Ulan, ., Member John S. Rizza, D.M.D., Member TOWN OF NORTH ANDOVER BOARD OF HEALTH 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE (978) 688-9540 APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 3 1 A AND 3113 OF CHAPTER III OF THE GENERAL LAWS, AND RULES AND REGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH DATE: Application is hereby �made n forya permit to maintain a dumpster(s) on property located at lJ Qy ���C�e�i N 4 C3C.2_I\)• is N�C7y'er 0�<f L"� in accordance wi the rules and regulations of the Board of Health. Number of Dumpsters: Check use: ( ) Residential use (4 Commercial use ( ) 30 day temporary () Annual Name of applicant: Owner of property: Kc Nde� Ce Less ti C�k`` Telephone#: �9 7--g) Dumpster Company: W�\t Mctj- mo,A Telephone#: Pick-Up Schedule: Trash Contractor: Frequency of Pick-Up: On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. FEE: $25.00 per establishment Payable to: Town of North Andover LATE FEE AFTER JANUARY 1st WILL BE DOUBLED - $50.00 THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT Date: 12/30/99 Permit # 199-OFS Fee: $100 In accordance with regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a permit is hereby granted to: Kinder Care Learning Centers, Inc. #1485, 594 Chickering Road, North Andover, MA 01845 . ermit`Expires: December 31, 2000 Type of business and any restrictions: Food Service To operate a food establishment in: North Andover, MA Gal 6 Ff ;good, an Francis P. MacMillan M.D., Member Jo . Rizza, D.M.D., ember GK ttq � _ ids TOWN OF NORTH ANDOVER HOARD OF HEALTH r�� tir 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE# (978) 688-9540 FOOD SERVICE APPLICA'T'ION Name of Establishment: KvK,6_eCsre_ L��N U� Ce�k� Location:S-9 It �,��e�'�N Ta . 'Telephone#: Name of Firm: L e cc-N-3 y CQN --,s - Address of Firm:�5xI/X_HIL cy f 41-4 Telep hone#: - Owner(s)/Operator(s): oc Type of Business: Corporation(Partnership ( ) Owner( ) Days and Hours of Operation: (;36 -(e- )00 �k-17- Type of Establishment: Food Service ( ) Retail( ) Mobile ( ) Limited Retail( ) Home Cook O Catering O Farm Stand O V ey cc,e Corporation Officers Telephone# President: -,Soo 3 Treasurer: Clerk: JV Please list licenses, permits, or registrations issued by other municipal, state or federal agencies: 1)v fvxpsk, 6 ccS Lt�eNS_e Seating Capacity: ft o? CIIIN Size of Establishment (square footage) Names and positions of employees trained and certified in choke saving technique and dates of certification as on certificate (attach copies of certifications): Names and positions of certified Food Handlers (attach copies of certifications): Describe your insect/rodent control program, including the name and address of exterminator and how many times a month the establishment is serviced: U Nm Type of Food Sold (check all that apply): Bulk food (,_ Consumed on Premise O Salad Bar ( ) Shell Food ( ) Pre-Packaged(( Take-out () Baked Goods ( ) I, the undersigned, have obtained and reviewed Article X of the State Sanitary Code. Date: 1-3-60 Name of Person Completing Form: ��\ IF YOU DO NOT RENEW BY JANUARY 1" THE FEE WILL DOUBLE. ,YIDO.06 # 881 THE COMMOA WF-ALTH OF MASSACHUSETTS Office of the Secretary of the Commonwealth Regulation Filing To be completed 17yjiling agency CHAPTER NUMBER 105 CMR 430.000 Minimum Sanitation and Safety Standards for Recreational Camps CHAP TIER =L for Children, State Sanitary Code,. Chapter IV AGENCY: Department of Public Health SUMMARY OF REGUL4TION State the general requirements and purposes of this regulation: Significant amendments to 105 CMR 430.000 include: amend camp definition to include limited time periods, require staff background checks, require orientation policy, mandate reporting of neglect and abuse, modify required staff certifications, modify required immunizations, expand role of health care consultant, limit tobacco use, promote protection from the sun, require policy on discipline and bring transportation policy into incompliance with stautory requirements. REGUL4TORY AUTHORITY: MGL c 111, §§3 and 127A AGENCY CONTACT: Howard Wensley P H 0 E: 617-983-6761 ADDRESS: 305 South Street, Jamaica Plain, MA Compliance with M.G.L. C. 30A EMERGENCY ADOPTION, If this regulation is adopted as an emergency regulation, state the nature of the emer- gency. N/A PRIOR NOTIFICATION AND/OR APPROVAL Ifprior notification to and/or approval of the Governor, legislature or others was re- quired, list each notification, approval and date, including notice to the Local Go e mnt Advisory Commission: uern- EOCD - 1/8/98 MMA - 1/8/98 PUBLIC REVIEW% Was notice of the hearing or comment period filed with the Secretary of State published in appropriate newspapers and sent to persons to whom, Specific notice must be given at least 21 days prior to such hearing or comment veriod? Yes xx Date of public nearing 0, comment -DeriOd: February 4, 1998 57 X FISCAL EFFECT Estimate the focal effect on the public and private sectors: Additional costs are 0-$10.. per person for CORI For the first and second years* checks and a one time $500 cost for additional For tbefirstfiveyears: water testing of private wells. No fiscal effect.- SMALL BUSINESS IMPACT State the impact of this regulation on small business. Include a description of report- ing, record keeping and other compliance requirements as uell as the appropriateness of performance versus design standards and whether this regulation duplicates or conflicts witb any otber regulation. If the purpose of this regulation is w set rates for The state this section does not apply. Additional recordkeeping requirements for maintaining personnel records and private well testing results. CODE OF MASSACHUSETTS REGULATIONS INDEX List key subjects entries that are relevant to this regulation: 105 CMR '430.000 PROMULGATION State the action taken by ibis regulation and its effect on existing provisions of the Code of Massacbusetts Regulations(CMR) to repeal, replace or amend. List by CMR number.• Amends 105 CMF. 430..000 - ATTESTATION The regulation described berein and attacbed hereto is a true copy of the regulation adopted by this age A 7r S 8 Signature: i T T/ Date: r Publication To be completed by the Regulations Division MASSACHUSETTS REGISTER NUMBER: 8.39 DATE: 3/20/98 EFFECTIVE DATE: 3/20/98 CODE OF MASSACHUSETTS REGULATIONS A riUCWOH,YATTj=S.f i Remove these pages: Insert these pages: + CMR: Vol. 59 - 62 59 - 62 71 72 71 & 72 G SEC°�ARYCETH�CO':hiE'.,,IiNE:A TH 1715 - 1742 1715 - 1742.2 DATE CLERK`J 58 105 CMR: DEPARTMENT OF PUBLIC HEALTH 105 CMR 430.000: MINIMUM SANITATION AND SAFETY STANDARDS FOR RECREATIONAL CAMPS FOR CHILDREN (STATE SANITARY CODE, CHAPTER IV) Section 430.001: Purpose 430.002: Authority 430.003: Citation 430.010: Scope 430.020: Definitions 430.090: Employment Background Information 430.091: Staff Orientation 430.093: Prevention of Abuse and Neslect 430.100: Camp Counselor Requirements and Required Ratio of Counselors to Campers 430.101: Camp Director Requirements 430.102: Supervision of Specialized Activities 430.150: Health Records 430.151: Medical Log 430.152:' Availability of Health Records and Logs 430.153: Injury Reports 430.154: Physical Examinations by Physician and Immunization Required 430.155: Required Immunizations 430.156: Physical Examinations or Immunization Excepted 430.157: Communicable Disease Reporting 430.158: Reporting of Outbreak of Disease 430.159: Health Care Staff to be Provided - , 430.160: Storage and Administration of Medication 430.161: Emergency/Medical Facilities and Equipment 1 430.162: Personal Hygiene and Laundry 430.163: Protection From the Sun 460.165: Tobacco Use 430.190: General Program Requirements 430.191: Requirements for Discipline 430.201:, Riflery Program Requirements 430.2021 Archery Program Requirements 430.203'. Personal Weapons Restricted 430.204: Waterfront and Boating Program Requirements 430.205: Crafts Equipment 430.206: Playground and Athletic Equipment and Facilities Requirements 430.207: Storage and Operation of Power Equipment 430.208: Horseback Riding Program Requirements 430.209: Telephones Required 430.210: Plans Required to Deal with Natural Disasters or Other Emergency(Residential and Day Camps) 430.211: Special Contingency Plans for Day Camps 430.212: Emergency Procedures-Primitive,Travel and Trip Camps 430.213: Emergency Communication System Required 430.214: Storage of Hazardous Materials 430.215: Fire Prevention 430.216: Smoke Detectors Required 430.217: Requirements for Tents 430.250: Vehicles Requirements 430.251: Transportation Safety 430.252: Qualifications of Driver 430.253: Automobile Insurance 430.300: Potable Water Required 430.301: Installation and Maintenance of Plumbing -� 430.302: Cross Connections Prohibited 430.303: Testing of Water Supplies 430.304: Common Drinking Cup Prohibited 430.320: Compliance with 105 CMR 590.000: State Sanitary Code Article X-Minimum Sanitation Standards for Food Establishments, Required _. 3/20/98 105 CMR- 1715 r 105 CMR: DEPARTMENT OF PUBLIC HEALTH Section: continued ` 430.321: Special Provisions for Primitive,Travel and Trip Camps 430.330: Nutritious Meals to be Served 430.331: Minimum Daily Food Requirements for Camps Providing Three Meals 430.332: Minimum Daily Food Requirements for Day Camps 430.333: Therapeutic Diets 430.334: Feeding 430.335: Meals Provided From Home 430.350: Facilities for Solid Waste Storage 430.355: Final Disposal of Solid Wastes 430.360: Sewage Disposal 430.370: Toilet Facilities Required 430.371: Urinals May be Substituted 430.372: Location and Maintenance of Toilet Facilities 430.373: Handwashing Facilities 430.374: Bathing Facilities 430.375: Ventilation Required 430.376: Hot Water Temperatures 430.377: Maintenance of Sanitary Facilitiez- 430.378: Toilet Facilities for Special Needs Campers 430.379: Handwash Basins for Special Needs Campers 430.380: Shower Facilities for Special Needs Campers 430.400: Rodent and Insect Control-Residential and Day Camps 430.401: Weed Control-Residential and Day Camps 430.432: Bathing Beaches 430.450: Site Location 430.451: Certificate of Occupancy Required 430.452: Screening Required 430.453:• Lighting Required 430.454: Maintenance of Floors 430.455: Egresses Required 430.456: Egress to be Free of Obstructions 430.457: Shelters for Day Camps _ 430.458:, Shelters for Residential Camps 430.459 Non-Ambulatory Campers 430.479: Separate Beds to be Furnished 430.471: Sleeping Prohibited in Food Areas 430.472: All Bedding and Towels to be Cleaned 430.631: Original License 430.632: Board of Health Shall Grant,Suspend or Revoke License 430.633: Posting of License 430.650: Inspections Required 430.651: Inspection Report Forms 430.700: Orders to Correct Violations 430.701: Violation Which May Endanger or Materially Impair the Health,Safety or Well-Being of the Public 430.702: Contents of Order 430.703: Service of Orders 430.730: Request for Hearing 430.731: Hearing to be Held 430.732: Decision of Board of Health 430.733: Public Record 430.734: Appeal of the Board of Health Decision 430.735: Compliance 430.750: Operation Without License 430.751: Failure to Comply with Order of the Board of Health J 430.752: Failure to Comply with Provisions of 105 CMR 430.000 430.800: Board of Health May Grant Variance 430.801: Variance to be in Writing 430.830: Severability 3/20/98 105 CMR- 1716 105 CMR: DEPARTMENT OF PUBLIC HEALTH i t 430.001: Pumose The purpose of 105 CMR 430.000 is to insure minimum housing,health,safety and sanitary protection for children in the care of recreational camps operating in the Commonwealth. 430.002: Authority 105 CMR 430.000 is adopted under authority of M.G.L.c. 111,§§3 and 127A. 430.003: Citation 105 CMR 430.000 shall be known, and may be cited as 105 CMR 430.000: Minimum Sanitation and Safety Standards for Recreational Camps for Children (State Sanitary Code, Chapter 430.010: Scope (A) No person,corporation,trust,authority,government agency,political subdivision or any other entity shall operate a recreational camp for children which does not comply with the requirements of 105 CMR 430.000. (B) During the period of its use as a part of a recreational camp for children,the minimum standards of fitness for human habitation required in 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation(State Sanitary Code, Chapter II),shall not be applicable to any structure which is required to conform to the minimum sanitation and safety standards contained in 105 CMR 430.000. 430.020: Definitions Bathine Beach means a natural or artificial flowing or impounded pond,lake,stream,river or other body of fresh or salt water at the location where it is used for bathing and swimming purposes together with equipment and appurtenances, if any, and the land areas used in connection therewith. Board of Health means the appropriate and legally designated health authority of a city,town, or other legally constituted governmental unit,having the usual powers and duties of the board of health of a city or town,and includes any authorized agent or representative of said board of health. In any case in which a camp extends into the geographic jurisdiction of two or more boards,those boards may coordinate activities in effecting compliance with 105 CMR 430.000. Camp Director means an individual who has primary and direct responsibility for the day to day operation and supervision of a recreational camp for children including oversight of program operations, supportive services, business affairs, health matters, food, staff supervision and transportation. Camper means a child who attends a recreational camp for children. child and Children mean an individual or individuals who is or are less than 18 years of age. Counselor means an individual who has a supervisory role with and who may have exclusive responsibility for campers. Day Cam2 means a recreational camp for children operated on a site for any part of the day but less than 24 hours a day and for at least five days during a two week period. Day Campdoes not include a day care center as defined by M.G.L.c.28A,§ 10,licensed by and operating in accordance with 102 CMR (Office of Child Care Services). Day Cam12 also includes any program which transports children on a regular schedule to any place primarily for the purpose of organized group activity. 3/20/98 105 CMR- 1717 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.020: continued Garbage means the animal, vegetable or other organic waste resulting from the handling, preparing,cooking, consumption or cultivation of food,and containers and cans which have contained food unless such containers and cans have been cleaned or prepared for recycling. Habitation means that portion inside a building,tent,or other structure which is used for living, sleeping,cooking,or consumption of food. Health Supervisor means that person on the staff of a recreational camp for children who is responsible for the day to day operation of the health program or component. Junior Counselor means an individual who assists counselors in the performance of their duties, but who is not exclusively responsible for them without the presence of a counselor or instructor. A Mildly Disabled Camper means a camper who can function on his or her own in providing total self care but needs assistance in other camp activities. Operator means an owner of a recreational camp for children and shall include any individual (1) who alone or jointly or severally with others owns a recreational camp,for children or (2) has care,charge or control of a recreational camp for children as agent or lessee of the owner or as an independent contractor. The camp director shall also be responsible as if he were the operator. Primitive or Outpost Camp means a portion of the permanent camp premises or other site at which the basic needs for camp operation such as places of abode,water supply systems and permanent toilet and cooking facilities are not usually provided. Qualified Dietitian means a person who is eligible for registration by the American Dietetic Association or has at least a baccalaureate degree in food and nutrition,dietetics,or food service management. Recreational Camp for Children means any day,primitive or outpost,residential,travel,or trip camp on private or public land which is conducted wholly or in part for recreational or instructional purposes and accommodating for profit or for philanthropic or charitable purposes five or more children who are not members of the family or personal guests or the operator and is operated for any period of time between June 15 and September 30 of any year or not more than 14 consecutive days during any other time of the year. Recreational Camp for Children shall also mean any program or activity which is promoted or advertised as a recreational camp for children regardless of whether such program or activity is carried out at a school,playground,resort,hospital,wilderness area,government land or other place not primarily designed for or used as a recreational camp for children. Provided that it is not promoted or advertised as a recreational camp for children,none of the following shall be deemed to be a recreational camp for children: a child care program holding a current license from the Office of Child Care Services, an instructional program operated for two hours or less daily;a summer school program when the curriculum is offered for academic credit and is taught by a Massachusetts State Department of Education certified teacher; single-purpose classes, workshops, clinics or programs sponsored by municipal recreation departments,or neighborhood playgrounds designed to serve primary play interests and needs of children,as well as affording limited recreation opportunities for all people of a residential neighborhood, whether supervised or unsupervised, located on municipal or non-municipal property,whether registration is required or participation is on a drop-in basis. Residential Camp means a recreational camp for children operating on a permanent campsite for four or more consecutive 24-hour periods. Rubbish means combustible and noncombustible waste materials,except garbage,and includes but is not limited to such material as paper,rags,cartons,boxes,wood,excelsior,rubber,leather, tree branches,yard trimmings,grass clippings,tin cans,metals,mineral matter,glass,crockery, dust and the residue from the burning of wood,coal,coke,and other combustible materials. 3/20/98 105 CMR- 1718 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.020: continued A Severelv Disabled Camper means a camper who needs assistance in self-care and camp activities. Sports Camp means any residential or day camp whose primaryfocus is on one or multiple sport activities. Staff means any individual employed by or performing services as a volunteer for a recreational camp for children and who may come into contact with campers,including but not limited to a camp director,camp counselor,junior counselor,health supervisor,camp physician,camp nurse, bus driver,cook,dishwasher,maintenance person,and caretaker. Stairway means any group of stairs having three or more risers. Swimmine and Diving Areas means and includes those aquatic facilities and operations generally known as swimming pools,wading pools,diving tanks,beaches,rivers,lakes,other natural bodies or water and similar areas and facilities. Swimming Pool means and includes every artificial pool of water having a depth of two feet or more at any point and used for swimming or bathing,located indoors or outdoors,together with equipment,land,decks and appurtenances used in connection wi4k the pool. Tent means any structure of which 25%or more of the roof or walls or both are constructed of canvas,or covered or protected by any fabric material. Travel Camp means a recreational camp for children which provides care for not less than a 48-hour period and which uses motorized transportation to move campers as a group from one ` site to another. Trip Camp means a recreational camp for children which provides care for not less than a 24-hour period and which moves campers under their own power or by a transportation mode permitting individual guidance of a vessle, vehicle or animal from one site to another. Trip camp includes, for example,-recreational camps for children which lead campers by bicycle, canoe or horseback from one site to another. 430.090: Employment Background Information (A) The operator shall develop and follow written procedures for the review of the background of each staff person who may have unsupervised contact with a camper. (B) Each staff person who may have unsupervised contact with the campers, shall have a background free of conduct which bears adversely upon his or her ability to provide for the safety and well-being of the campers.The operator shall determine,whether each staff person's conduct,criminal or otherwise,shall disqualify that person from e,nployment or presence at the camp.In making this determination,the operator shall consider the following: (1) Engaging in, or having engaged in conduct which results in his/her child being adjudicated to be in need of care and protection. (2) Use of alcohol or drugs to an extent or in a manner that is determined by the operator to impair his/her ability to care for children properly. (3) Having engaged in conduct,in Massachusetts or elsewhere,which resulted in a criminal conviction,including a guilty plea,or engaging in,or having engaged in,any other conduct, determined by the operator,to impair the employee's ability to care for the campers. i (C) At a minimum the operator shall require for each camping season,the following from each prospective staff person who may have unsupervised contact with a camper: (1) Prior work history,including address and phone number of a contact person; (2) Three positive reference checks from individuals not related to the staff person including,but not limited to,previous employers or school administrators; 3/20/98 105 CMR- 1719 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.090: continued (3) Inquiry by the operator into each individual's prior criminal history as part of the application process.Such inquiry shall include,at a minimum,self reporting of any felony conviction and a criminal history inquiry,where practicable as indicated below. (a) Operators shall obtain a Massachusetts criminal offender record information(CORI) check for prospective staff who have: 1. lived or worked in Massachusetts at any time after attaining the age of 17 (including temporary stays,for example,college);or 2. lived or worked in any state contiguous with Massachusetts at any time after attaining the age of 17;and (b) Operators shall require all staff 17 or older, whose permanent residence is not Massachusetts,to provide documentation from their local Chief of Police indicating that they have a background free of criminal convictions that would make them unsuitable for working with children. (4) for positions requiring particular qualifications,such as certifications or education,the operator shall obtain written documentation of said qualifications. (D) The operator shall maintain written documentation verifying the background and character for each staff member for three years,or as required by M.G.L.c. 149,§52C,if applicable. (E) Until the operator determines that the requirements of 105 CMR 430.090 are met, the operator shall ensure that staff members shall not have unsupervised contact with campers, unless a staff member whose background check is approved is also present. 430.091: Staff Orientation The operator shall provide orientation for all paid staff and volunteers.The operator shall describe,in writing,the camp's plan for orientation which shall include at a minimum,but not 4 be limited to,the camp's philosophy,organization,policies and procedures.The operator shall not assign any person to be responsible for a group of children nor utilize staff to supervise others until said person has received the minimum orientation described above. 430.093: Prevention of Abuse and Neglect (A) The operator shall have procedures in place which protect campers from abuse and neglect 1 while in the camp's care and custody. (B) The operator shall develop and follow written procedures for reporting of any suspected incidents of child abuse and neglect in accordance with procedures described in M.G.L.c. 119, §51A.The procedures shall include: (1) All staff shall immediately report any suspected child abuse or neglect.The report shall be made either to the Massachusetts Department of Social Services or to the camp director. (2) The camp director shall immediately report suspected abuse or neglect to the Massachusetts Department of Social Services. (3) The camp director shall notify the board of health if a 5 1 A report alleging abuse or neglect of a child while in the care of the recreational camp for children or during a program related activity is filed. The 51A report itself shall not be forwarded to the Board of Health. (C) The operator shall cooperate in all official investigations of abuse and neglect alleged to have occurred at the camp, including identifying parents of campers currently or previously enrolled in the camp who may have been in contact with the subject of the investigation. (D) The operator shall ensure that an allegedly abusive or neglectful staff person does not work directly with campers until the Massachusetts Department of Social Services investigation is completed. 430.100: Camp Counselor Requirements and Required Ratio of Counselors to Campers (A) Each counselor in a recreational camp for children shall: (1) have at least four weeks experience as a participant in structured group camping and/or at least four weeks experience in a supervisory role with children;or 3/20/98 105 CMR- 1720 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.100: continued (2) have satisfactorily completed a camp counselor orientation program prior to the arrival of campers. (B) The age of counselors shall be as follows: (1) in residential,primitive,travel,trip and special needs camps: (a) counselors shall have attained 18 years of age; (b) junior counselors shall have attained 16 years of age; (2) In a day camp (a) counselors shall have attained 16 years of age; (b) junior counselors shall have attained 15 years of age. (3) All counselors and junior counselors shall beat least three years older than the campers whom they supervise. (C) Each recreational camp for children shall have the following minimum ratio of counselors to campers: (1) Residential and Day Camps. Residential and day camps shall have at least one counselor for every ten campers over the age of six.There shall be one counselor for every five campers age six or under. (2) Primitive,Travel and Trip Camps.Each primitive,travel and trip camp shall have at least one counselor for every ten campers,with a minimum of two counselors. (3) Special Needs Camps.Each camp serving special needs campers shall have at least: (a) one counselor for every four mildly disabled campers needing occasional assistance in activities; (b) one counselor for every two severely disabled campers needing frequent or constant assistance in activities. (D) For the purpose of 105 CMR 430.000,age shall be determined at the start of the camp ' season. 430.101: Camp Director Requirements Each recreational camp for children shall have at the camp at all times a Director who meets the following: (A) Residential Camp. Each residential camp shall have a director who is at least 25 years of age and who meets at least one of the following: (1) Have successfully completed a course in camping administration such as those offered by national professional camping associations,national agencies or their equivalent,or (2) Have at least two seasons previous experience as part of an administrative staff of a recreational camp for children. (B) Day Camp. Each day camp shall have a director who is at least 21 years of age and who meets at least one of the following: (1) Have successfully completed a course in camping administration such as those offered by national professional camping associations,national agencies,or their equivalent,or (2) Have at least two seasons previous experience as part of the administrative staff of a recreational camp for children. (C) Primitive, Travel and Trig Camis. Each primitive, travel and trip camp shall have a director accompany the campers who shall: (1) Be at least 21 years old;and (2) Possess demonstrated proof of experience supervising a recreational camp.for children in similar camping activities. (D) The operator shall inform all staff on duty as to who is responsible for administration of the camp at any given time. In the event of the absence of the director for more than 12 consecutive hours,the director or operator shall appoint a designee who shall be at the camp at all times.The designee shall meet the qualifications as required by 105 CMR 430.101(A),(B) or(C). 3/20/98 105 CMR- 1721 105 CMR: DEPARTMENT OF PUBLIC HEALTH 4.30.102: Supervision of Specialized Activities Each recreational camp for childrer which conducts specialized or high risk activities,either on or off-site, including, but not limited to, horseback riding, hiking, scuba diving, rock climbing, firearms,canoeing and aquatic events shall conduct such activities only under the supervision of a counselor who has evidence of appropriate training,certification and experience in each activity under his or her supervision.Said counselor shall be present during periods of such activity. The operator shall make adequate provisions to assure any special training necessary for camp personnel to protect the safety and health of disabled campers. (A) Aquatics.Aquatics activities,including those events associated with swimming,boating, canoeing,watercraft and water skiing,shall if conducted at the camp,be directly supervised by an aquatics director who holds the following current certifications: (1) A current American Red Cross Lifeguard Training Certificate,Royal Bronze Medallion, Boy Scouts of America Lifeguard Certificate,or National YMCA Lifeguard Certificate or an equivalent certification; (2) A current American Red Cross CPR Certificate for the Professional Rescuer or American Heart Association Health Care Provider CPR Certificate;and (3) A current American Red Cross Standard First Aid Certificate,or Community First Aid and Safety Certificate(which certification may be evidenced by a notation on the back of any American Red Cross Lifeguard Training Certificate),oven equivalent certification. (4) When an aquatics director supervises two or more aquatiQ&staff members,the aquatics director shall be at least 21 years old and have experience in a management or supervisory position at a similar aquatics area of at least six weeks duration. (B) Swimming.In addition to the aquatics director,swimming supervision shall include one counselor for every ten campers in the water or on the beach to supervise swimming.For every 25 campers, or portion thereof, there shall be at least one counselor who shall hold the certifications required in 105 CMR 430.102(A)(1),(2)and(3). If swimming activities occur away from the camp, the camp shall provide supervision as required in 105 CMR 430.102 ` without the need to provide an aquatics director. (C) Watercraft. _ (1) All watercraft activities carred out on flat water shall be supervised by a minimum of one counselor for every ten campers in watercraft.Each counselor shall hold certification as required in 105 CMR 430.102(A)(1)through(3),or American Red Cross certification in Small Craft Safety and Basic Water Rescue. (2) All watercraft activities carried out on white water,hazardous salt water,or hazardous fresh water shall be supervised by a minimum of one counselor to every ten campers in watercraft.However,regardless of the number of campers,there shall be a minimum of two counselors, each in separate watercraft, supervising the activity. In addition to the certification and training required by 105 CMR 430.102(C)(1),each counselor shall have evidence of previous training and experience with this type of water activity totaling at least six hours on the water. (3) Campers shall possess at least an American Red Cross Level 4 or higher Program Certificate or its equivalent before being allowed to participate in white water,hazardous salt water or hazardous fresh water boating activities.All white water activities must be carried out on water determined to be no more difficult than Class III as defined by the International Scale of River Difficulty.No trips shall be taken on unclassified white water. (4) All staff and participants in water craft activities shall wear U.S.Coast Guard approved personal floatation devices appropriate to the activity. 430.150: Health Records (A) Each recreational camp for children shall maintain a health record for each camper and for each staff member who is younger than 18 years old,which shall include at least the following: (1) The camper's or staff member's name and home address; (2) The name,address and telephone number of the camper's or staff member's parent(s) .� or guardian(s); (3) A written authorization for emergency medical care signed by a parent or guardian; 3/20/98 105 CMR- 1722 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.150: continued (4) The travel location(s) and telephone number(s) of the camper's or staff member's parent(s)or guardian(s)if the parent(s)or guardian(s)will be traveling during the camping season; (5) The name,address and telephone numbers of the camper's or staff member's family health care provider or health maintenance organization,if any: (6) If the camper or staff member brings a prescribed medication,from home, a written authorization to administer the medication signed by a parent or guardian; (7) Copies of injury reports,if any,required by 105 CMR 430,153;and (8) In addition, in each residential, trip and travel camp: the health history, report of physical examination and certificate of immunization required by 105 CMR 430.154. (B) Each recreational camp for children shall maintain for each staff member who is 18 years of age or older a health record which shall include at least the following: (1) The staff member's name and home address; (2) The name,address and phone number of an individual,if any,to be contacted in the case of emergency; (3) The name,address and phone numbers of the staff member's health care provider or health maintenance organization,if any; (4) Copies of injury reports,if any,required by 105 CMR 430.153;and (5) In addition, in each residential, travel and trip camp: the health history, report•of physical examination and certificate of immunization required by 105 CMR 430.154. 430.151: Medical Los Each recreational camp for children shall maintain a medical log which shall contain a record of all camper and staff health complaints and treatment.The medical log shall list the date,name of patient,complaint and treatment.The medical log shall be a bound book with pre-numbered pages,in sequential order and lined pages.No lines shall be skipped and all entries shall be in ink. 430.152: Availabilitv of Health Records and Loss All medical records and logs shall be readily available to the health supervisor,camp nurse or camp doctor or other health personnel. All medical records and logs shall be made available upon request to authorized representatives of the Massachusetts Department of Public Health and of the local board of health which licenses the camp. The Department of Public Health and the local board of health shall maintain the confidentiality of information relating to individual campers and staff. 430.153: Injury Reports A report shall be completed on a form prescribed by the Massachusetts Department of Public Health for each fatality or serious injury as a result of which a camper or staff person is sent home, is brought to the hospital or physician's office and where a positive diagnosis is made. Such injuries shall include but shall not necessarily be limited to those where suturing or resuscitation is required,bones are broken,or the child is admitted to the hospital. A copy of each injury report shall be sent to the Massachusetts Department of Public Health within seven days of the occurrence of the,injury. 430.154: Physical Examinations by Physician and Immunization Record (A) Every camper and full time staff member shall prior to attending or being employed by a residential,travel,sports,or trip camp,furnish to the camp the following,prepared and signed by a licensed health care provider: (1) A health history; (2) A report of a physical examination conducted during the preceding 24 months;and (3) An immunization record. 3/20/98 105 CMR- 1723 a 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.154: continued (B) Every camper and full time staff member shall prior to attending a day camp furnish to the camp, a current medical history which lists allergies, required medications and any health conditions or impairments which may affect the individual's activities while attending the camp. The medical history shall be signed by a parent or guardian, or by a licensed health care provider,however,in the case of a staff member 18 years of age or older,the staff member's signature shall be sufficient. (C) No person known to be suffering from tuberculosis in a communicable form,or having evidence of symptoms thereof, shall be allowed to work or attend a recreational camp for children in any capacity which might bring him into contact with any camper at such camp. 430.155: Required Immunizations Written documentation of immunization or alternative proof of immunity shall be required for all campers and staff at recreational camps for children as follows: (A) For Campers and Staff under 18 years old: (1) Measles,Mumps and Rubella(MMR)Vaccine:At least one dose of MMR vaccine(s) must be administered at/or after 12 months of age or there must be proof of laboratory evidence on immunity. In addition,a second dose of measles vaccine is required.Both doses of measles vaccine must be given at least one month apart, and be given at or after 12 months of age,or laboratory evidence of immunity; (2) Polio Vaccine: At least three doses of either trivalent oral polio vaccine(OPV)or enhanced potency inactivated polio vaccine (e-IPV) are required. If a mixed schedule of polio vaccine is given(IVP and OPV),a total of four doses is required; (3) Diptheria and Tetanus Toxoids and Pertussis Vaccine: At least four doses of DTaP/DTP/DT/Td are required. (The pertussis component is not given to anyone seven years of age or older). A booster dose of tetanus/diphtheria, adult type toxoid (Td) is required if more than ten years have elapsed since the last dose. (4) Hepatitis B:Effective January 1, 1999,for all children bom on or after January 1, 1992, three doses of Hepatitis B vaccine are required. (B) For camper and staff 18 years of age or older: (1) Measles Vaccine: Unless bom before 1957, two doses of live measles containing vaccine administered at/or after 12 months of age(at least one month apart)are required,or proof of laboratory evidence of immunity to measles. (2) Mumps Vaccine: Unless bom before 1957, at least one dose of mumps vaccine administered at/or after 12 months of age or proof of laboratory evidence of immunity to mumps. (3) Rubella Vaccine: At least one dose of rubella vaccine administered at/or after 12 months of age or proof of laboratory evidence of immunity to rubella. (4) Diphtheria and Tetanus Toxoids: At least three doses of DT/I'd are required. A booster dose of tetanus/diphtheria,adult type toxoid(Td) is required if more than ten years have elapsed since the last dose. 430.156: Physical Examinations or Immunizations Excer)ted (A) Religious Exceptions. If a camper or staff member has religious objections to physical examinations or immunizations,the camper or staff member shall submit a written statement, signed by a parent or legal guardian of the camper,to the effect that the individual is in good health and stating the reason for such objections. (B) Immunization Contraindicated. Any immunization specified in 105 CMR 430.154(A)shall not be required if the health history required by 105 CMR 430.154(A)includes a certification by a physician that he or she has examined the individual and that in the physicians opinion the physical condition of the individual is such that his or het health would be endangered by such 4 immunization. 3/20/98 105 CMR- 1724 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.157: Communicable Disease Reporting The operator of a recreational camp for children shall be responsible for insuring that each case of any such communicable disease occurring in a camp is immediately reported to the local board of health. The report shall be made by the operator. Such report shall include the name and home address of any individual in the camp known to have or suspected of having such disease. Until action on such case has been taken by the camp health care consultant, strict isolation shall be maintained. 430.158: Reporting of Outbreak of Disease The operator of a recreational camp for children shall be responsible for insuring that each suspected case of food poisoning or any unusual prevalence of any illness in which fever,rash, diarrhea,sore throat,vomiting,or jaundice is a prominent symptom is reported immediately to the local board of health and to the Massachusetts Department of Public Health,verbally or by telegram or telephone. This report shall be made by the camp physician, or if there'is no physician in attendance,by the camp nurse,or if there is no nurse in attendance,by the camp director or by the camp operator. 430.159: Health Care Staff to be Provided ` The operator of each recreational camp for children shall provide: (A) A designated Massachusetts licensed physician,nurse practitioner or physician assistant with pediatric training as the camp's health care consultant.The consultant shall: (1) Assist in the development of the camp's health care policy as described in 105 CMR 430.159(B); (2) Review and approve the policy initially and at least annually thereafter; (3) Approve any changes in the policy; (4) Review and approve the first aid training of staff, (5) Be available for consultation as needed;and (6) Develop and sign written orders to be followed by the on-site camp health supervisor in the administration of his/her health related duties. (B) A written camp medical policy,approved by the local board of health and by the camp health care consultant.Such policy shall include,but not be limited to,daily health supervision, infection control,handling of health emergencies and accidents,available ambulance services, provision for medical,nursing and first aid services,the name of the designated on-site camp health supervisor, the name address and phone number of the camp health care consultant required by 105 CMR 430.159(A)and the name of the health supervisor required by 105 CMR 430.159(E),if applicable. (1) Each full time staff member shall receive a copy of the policy and shall be trained in the program's infection control procedures and implementation of the policy during staff orientation. (2) Prior to admitting a child to the camp,the parents shall be provided a copy of the policy pertaining to the care of mildly ill campers,administration of medication and the procedures for providing emergency health care.A complete copy of the policy shall be furnished to parents upon their request. (C) A health supervisor,who is at least 18 years of age and is present at the camp at all times. The health supervisor shall be a Massachusetts licensed physician,certified physician assistant, certified nurse practitioner,registered nurse,or other person specially trained in first aid. First aid training shall mean at least current certification in American Red Cross Standard First Aid, or its equivalent and CPR. Primitive,Travel,and Trip Camps shall have at least one individual in addition to the health supervisor accompanying the campers, who is adequately trained to render first aid. Said individual shall possess at least current certification in Red Cross Standard First Aid, or its .� equivalent. (D) In residential camps in which the total number of campers and staff is less than 150 and in all day camps,the health supervisor may have additional non-health related duties,but shall at all times be available at the camp to render emergency first aid. 3/20/98 105 CMR- 1725 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.159: continued (E) In camps operated for children who are physically and/or mentally handicapped, all residential camps for children where the total number of campers and staff is 150 or greater and at any other camp when so advised by the health consultant described in 105 CMR 430.159(A), the health supervisor shall be; (1) A nurse registered to practice in the Commonwealth; (2) A physician licensed to practice in the Commonwealth;or (3) A nurse practitioner or physician assistant licensed to practice in the Commonwealth. 430.160: Storage and Administration of Medication (A) Medication prescribed for campers shall be kept in original containers bearing the pharmacy label which shows the prescription number,date filled, prescriber's name,name of medication,direction for use and the patient's name. All other over the counter medications for campers shall be kept in the original containers containing the original label. (B) All medication prescribed for campers shall be kept in a locked storage compartment and shall only be administered by the health supervisor,camp physician or camp nurse. Medication prescribed for campers brought from home shall only be administered if it is from the original container, there is written permission from the parent/guardian, and the camp health care consultant has approved in writing the administration of the medication. (C) When no longer needed,medications shall be returned to the parents or destroyed. 430.161: Emergencv/Medical Facilities and Equipment (A) The operator of each residential camp and each day camp shall provide a single facility ~R identified as an infirmary or first aid facility. Such facility in a residential camp shall have an exterior light remaining lit all night which is visible from a distance. I (B) In every residential camp, space shall be designated for isolation of a child ill with a communicable disease or suspected of such illness or otherwise in need of quiet and rest,at a location suitably separated from the regular living and sleeping quarters so as to insure both quiet to the patient and safety to other persons. The space shall be suitably equipped and not utilized for any other purpose. An isolated child shall be provided with adequate adult supervision. (C) First aid supplies shall be readily available to the staff wherever the camp physician deems necessary. Said determination shall be part of the written orders required by 105 CMR 430.159(A). First aid kits shall contain emergency first aid supplies to meet the needs of the campers and staff, including but not limited to non-perfumed soap, sterile gauze squares, compresses,adhesive tape,bandage scissors,trianguler and rolled bandages and a tweezers. In addition a stretcher shall be readily available at each permanent campsite. 430.162: Personal Hygiene and Laundry The operator shall provide adequate facilities and time in order that the campers and staff are encouraged to carry out good personal hygiene practices. Furthermore, he shall cause the personal laundry of each person in a residential camp who is in attendance for more than 14 consecutive days to be washed at least once every 14 days. 430.163: Protection From The Sun The operator shall at all times encourage campers and staff to reduce exposure to ultraviolet exposure from the sun.Such measures shall include,but need not be limited to,encouraging the use of wide brim hats,long sleeve shirts,long pants,screens with a solar protection factor of 15 or greater and lip balm. .� 3/20/98 105 CMR- 1726 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.165: Tobacco Use Tobacco use, if any,shall be restricted to designated areas not accessible to campers. An operator may designate a tobacco use area,but only if non-tobacco use areas are of sufficient size and capacity to accommodate non-users and is in compliance with local ordinance(s) regarding tobacco use. 430.190: General Program Requirements (A) The operator of each recreational camp for children shall provide a program of activities and physical environment which shall meet the generally recognized needs of the campers and shall in no respect be in conflict with their best interests nor a hazard to their health and safety. (B) The operator shall release campers only to the camper's parent or an individual designated in writing by the camper's parent unless alternative arrangements are approved in writing by the board of health. (C) The operator shall print,at least in six point type,on any promtional literature,brochures, and advertisements the following, "This camp must comply with regulations of the Massachusetts Department of Public Health(105 CMR 430.000),and be licensed by the(name of city/town)board of health. Information on 105 CMR 430.000 can be obtained at(617)983- 6761. (D) The operator shall inform parents at the time application forms are provided that they may request copies of background check,health care and discipline policies as well as procedures for filing grievances. 430.191: Requirements for Discipline (A) Discipline and guidance shall be consistent and based upon an understanding of the individual needs and development of a child.The operator shall direct discipline to the goal of maximizing the growth and development of the children and for protecting the group and individuals within it. (B) Prohibitions. (1) Corporal punishment,including spanking,is prohibited; (2) No camper shall be subjected to cruel or severe punishment, humiliation, or verbal abuse; (3) No camper shall be denied food or shelter as a form of punishment; (4) No child shall be punished for soiling,wetting or not using the toilet. (C) The operator shall describe in writing,the camp's procedures for disciplining campers.The written plan shall also include the prohibitions of 105 CMR 430.191(B)(1)through(4). 430.201: Riflery Program Requirements If riflery is a camp activity it shall be conducted with the following precautions: (A) Firearms shall be kept in good condition and stored in a locked cabinet when not in use. Ammunition shall also be stored in a locked facility in a location separate from the firearms. (B) Shooting ranges shall be located well away from other activity areas and shall be constructed in accordance with standards of the National Rifle Association. (C) Single shot rifles shall be used and persons shall stay behind the firing line at all times except when ordered by the range instructor to retrieve targets. 430.202: Archery Program Requirements If archery is a camp activity it shall be conducted with the following precautions: 3/20/98 105 CMR- 1727 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.202: continued (A) Archery equipment shall be kept in good condition and stored under lock and key when not in use. (B) The archery range shall be located in an area well away from other program activities, clearly marked to warn passersby away from the danger area. The shooting area shall be large enough to provide at least 25 yards(75m)of clearance behind each target. All bowmen shall fire from a common firing line. A ready line shall be marked at a sufficiently safe distance behind the firing line. 430.203: Personal Weapons Restricted No personal weapons,bows,rifles or similar equipment shall be brought to camp without the camp operator's written permission. If articles of such nature are brought to camp,they shall be kept under lock and key by the camp operator or director and used by the owner only under the supervision of an individual who meets the requirements of 105 CMR 430.102(E)or(F),and in accordance with camp safety regulations. 430.204: Waterfront and Boating Program Requirements The following waterfront safety requirements shall be observed: (A) All swimming areas shall be maintained in a clean and safe condition,free from rocks, holes and other hidden dangers. Any other known hazard nearby shall be posted. Swimming shall be prohibited at sites other than the permanent camp waterfront without the prior approval of the camp operator and the aquatics director required by 105 CMR 430.102(A). (B) At the first swimming session a determination shall be made of each camper's swimming ability. Campers shall be confined to swimming areas consistent with the limits of their swimming skills or to swimming areas requiring lesser skills than those for which they have been classified. (C) A method of supervising and checking bathers such as the "buddy system" shall be established and enforced. A written"lost swimmer plan"shall be established and all staff shall know exactly what their duties are in case of an emergency at the waterfront. (D) Swimming shall be prohibited during the hours of darkness unless adequate lighting is provided and swimming is restricted to shallow water. (E) All piers,floats,and platforms shall be in good repair. (F) Small craft shall be used only by a qualified person having permission of the aquatics director or camp director. No small craft shall be allowed in the swimming area unless operated by lifeguards on waterfront duty. (G) All watercraft shall be equipped with U.S.Coast Guard approved personal flotation devices of types I, II, III or IV as prescribed for the specific type of craft and number and age of occupants. Water skiers shall wear a vest as approved by the U.S. Coast Guard for that particular activity. Watercraft towing a water skier shall have an observer aboard. (I) Campers shall possess at least an American National Red Cross Level 4 or higher Program Certificate or its equivalent before being allowed to participate in either white water or hazardous salt water boating activities. All white water activities must be carred out on water determined to be no more difficult than Class III as defined by the International Scale of River Difficulty. No trips shall be taken on unclassified white water. 430.205: Crafts Equipment 4� Equipment used for arts and crafts shall be in good repair,of safe design,properly installed and used with proper safety precautions. 3/20/98 105 CMR- 1728 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.206: Plavground and Athletic Equipment and Facilities Requirements (A) Athletic equipment including but not limited to gymnastics apparatus,volleyball and/or basketball standards, football, hockey and soccer goals shall be set up and maintained in accordance with the manufacturer's standards. (B) All playing fields and surfaces shall be kept free of holes and other obstructions which may create an accident hazard. (C) Playground equipment such as but not limited to climbing apparatus,slides,and swing sets shall: (1) be in good repair and of safe design. Safe design includes being free of rough edges, protruding bolts and possibility of entrapment of extremities; (2) be securely anchored to a concrete or other suitable footing; (3) not have an asphalt or concrete surface under and around it;and (4) have canvas or other pliable seats on swings. 430.207: Storage and Operation of Power Equipment Power equipment shall not be stored,operated,or left unattended in areas accessible to the campers without proper safeguards. All power tools shall be stored in a locked place. Power tools and out board motors shall be used by campers only under the direction and supervision of counselors. 430.208: Horseback Riding Program Requirements If horseback riding is a camp activity, a competent riding instructor (see 105 CMR 430.102(G))shall determine each camper's riding experience and level of skill and take these into account in assigning horses and deciding whether the camper shall ride in the ring or on the ✓. trail. Each rider shall wear a hard hat at all times. At least one experienced instructor shall be assigned for every ten riders for each trail excursion,and a minimum of two staff members shall accompany any such excursion. 430.209: Telephones Required All residential and day camps shall have immediate access to a telephone. The operator shall maintain and post by each phone a current roster of telephone numbers of the physician described in 105 CMR 430.158(A)and of all hospitals,police,ambulances and fire departments in the immediate area. 430.210: Plans Reouired to Deal with Natural Disasters or other Emergencies(Residential and Day Camps) The operator of each residential camp and each day camp shall develop written.contingency plans and related procedures dealing with circumstances such as natural disasters and other emergencies and shall develop a written fire evacuation plan. (A) Fire Drills. Fire drills shall be held within the first 24-hours of the beginning of each camping session. The fire evacuation plan shall be in writing and approved by the local fire department. The plan shall indicate the frequency of fire drills to be held during the camping season. (B) Disaster Plan. Each camp shall have at the campsite a written disaster plan. All campers and staff shall be advised of the procedures contained in the plan. Arrangements for transporting individuals from the camp to emergency facilities shall be included in the plan. (C) Lost Camper and Swimmers Plan. Lost camper and lost swimmer plans shall be formulated and kept on file. All staff shall be trained in the procedures contained in these plans. These plans shall be in writing. (D) Traffic Control. A written plan relating to the control of the movement of vehicular traffic through the camp shall be on file. 3/20/98 105 CMR- 1729 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.211: Special Contingencv Plans for Day Camps Day camp operators sha1set forth procedures to be followed in dealing with the following contingencies: (A) Cf1ildren who are registered and on the camp roil but fail to arrive for a given day's activities. (B) Children who fail to arrive at the point of pickup following a given day's activities. (C) Children who appear at camp without having registered and without prior notification. 430,212: Emergencv Procedures-Primitive,Travel and Trip Camps (A) The operator of each primitive,travel and trip camp shall establish a written day-to-day itinerary before departure, and shall provide a copy of this itinerary to the parent(s) or guardian(s)of each camper before departure. (B) Sources of Emerg_encv Care. The sources of emergency care such as hospitals,police and park patrol,and the method of communicating with them shall be identified for each point on the itinerary prior to departure,and shall be included in the written itinerary. (C) Contingency Plan. Written contingency plans for natural disasters, lost campers, lost swimmers,illnesses and injuries shall be established and accompany the camp. Staff shall have the ability to carry out these plans. 430.213: Emergency Communication System Required Each camp shall have a means of emergency communication so that all campers and staff recognize it as such and will elicit a pre-determined response. Such system may include but not necessarily be limited to a public address system,triangle,bell or voice. 430.214: Storage of Hazardous Materials (A) Storage of Gasoline and Flammable Substances. The operator of each recreational camp for children shall cause containers for gasoline,kerosene,explosives and flammable materials to be plainly marked and stored in a locked building not occupied by campers or staff, and located at a safe distance from other buildings. Campers shall not have access to such locked buildings and the materials described above shall be used only under qualified supervision. (B) Storage of Disinfectant and Other Hazardous Chemicals. The operator of each recreational camp for children shall cause containers for insecticides, disinfectants, and other hazardous chemicals to be plainly marked and stored in a locked closet or compartment separate from food storage areas and not accessible to campers. 430.215: Fire Prevention The operator of each recreational camp for children shall provide such facilities,equipment, and fire breaks,for fire prevention and fire fighting,as may be recommended by the local fire department. A written statement of compliance from the local fire department shall be available to the local board of health which licenses the camp. 430.216: Smoke Detectors Required Smoke detectors shall be required for existing and new residential units in accordance with 780 CMR 1216.0(State Building Code)and may be either A.C.wired or battery operated. Tents and other temporary shelters which are designed to sleep less than eight persons and which have an open side consisting of greater than 1/6 of the perimeter of the shelter or which have built-in provisions for emergency escape are exempted from 105 CMR 430.216. 3/20/98 105 CMR- 1730 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.217: Requirements for Tents Any tent purchased for use at a recreational camp after the effective date of 105 CMR 430.000 shall be constructed of fire-retardant and non-toxic material. No open flames shall be used near any tent. Each tent which is not constructed of fire-retardant material shall have stenciled on both the interior and exterior in contrasting color and in such size as to be easily read,the words"USE NO OPEN FLAME." 430.250: Vehicle Requirements (A) Any motor vehicle used for the transportation of children enrolled in a camp program shall comply with the pertinent sections of M.G.L c. 90, in particular, §§ 7B and 7D and with all applicable regulations of the Massachusetts Registry of Motor Vehicles. (B) Any vehicle used for transportation of children shall be annually inspected in accordance with the laws of the Commonwealth. 430.251: Transportation Safety (A) Only that number of children or adults for whom there is seating space shall be transported in a vehicle,however,when loaded with passengers and gear,Ahe gross weight of the vehicle including trailer tongue weight, shall not exceed the gross vehicle weight specified by the manufacturer regardless of whether or not the number of passengers is within the specified number of seats. (B) Standing while in transit,sitting on the floors or in the aisles,riding in the open beds of trucks and projection of head or limbs outside of the vehicle are prohibited. (C) All campers,attendants and driver shall utilize seat belts in accordance with Massachusetts laws; (D) When more than eight campers under the age of five are being transported, and when transporting more than two campers with physical handicaps,an attendant other than the driver is required; (E) When transporting campers, sharp, heavy or potentially dangerous objects shall not be transported unless they are securely restrained; (F) The operator shall ascertain the nature or any need or problem of a child which may cause difficulty during transporting such as seizures, a tendency towards motion sickness and disabilities and shall communicate such information to the driver of any vehicle transporting campers; (G) The driver of the vehicle shall release campers only to the camper's parent or an individual designated in writing by the camper's parent unless alternative arrangements are approved in writing by the parent; (H) Campers under the age of seven shall not be regularly transported for periods longer than one hour,one way,between their home and the location of the camp. 430.252: Qualifications of Driver (A) The driver of a vehicle transporting campers and staff shall be at least 18 years of age,have at least two year's driving experience as a licensed driver,possess the required license for the type of vehicle and possess a current American Red Cross Standard First Aid Certificate,or its equivalent. If there is a second staff person in the vehicle possessing the required first aid certification;the driver need not be so certified. (B) The driver of any vehicle transporting children shall have a valid drivers license recognized by the Commonwealth. 3/20/98 105 CMR- 1731 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.253: Automobile Insurance :p The operator shall not allow any camp-owned or staff member's vehicle to transport campers unless it has the following minimum amounts of liability insurance: (1) injury per person, $100,000 (2) injury per accident $300,000 (3) property damage $5,000 430.300: Potable Water Required (A) The operator of each recreational camp for children shall provide water of safe and sanitary quality in an amount and pressure necessary to meet the needs of the campers and staff and the requirements of 105 CMR 430.000.The water supply shall be obtained only from: (1) A public water supply;or (2) A private water supply meeting the following requirements: (a) If the camp serves 25 or more persons,60 or more days a year,the water supply shall be obtained from a source approved by the Department of Environmental Protection and subject to 310 CMR 22.00: Drinking Water. (b) If the camp serves less than 25 persons,less than 60 days a year,the water shall be obtained from a private source meeting the following requirements and approved by the Board of Health: 1. Camps with a private source applying for an initial license shall take and analyze a water sample for Volatile Organic Compounds, Inorganic Compounds, Radionuclides and any other contaminants identified by the Department of Environmental Protection in its document entitled, "Parameters and Testing Frequency for Private Wells. The results of these analyses must not exceed the Maximum Contaminant Level(MCL or Action Level listed in the Massachusetts Drinking Water Regulations 310 CMR 22.00; "" 1 2. All licensed camps with a private source, no more than 45 days prior to the annual opening of camp,shall take and analyze a water sample for coliform bacteria, nitrate,nitrite,sodium and lead.The results of these analyses must not exceed the MCL or Action Level as listed in 310 CMR 22.00: Drinking Water;and 3. any other test and standard required by the Board of Health or the Department. (B) In each residential, day or short term group camp adequate drinking facilities shall be provided and centrally located. 430.301: Installation and Maintenance of Plumbing The operator shall install all pipes,pumps and other plumbing fixtures in accordance with 248 CMR(the Massachusetts State Plumbing Code)and shall maintain them in good working order. 430.302: Cross Connections Prohibited The operator shall not permit any physical connection to exist between any pipe carrying drinking water and any waste pipe,soil pipe,service drain or any pipe carrying water from any source or system not approved by the Massachusetts Department of Environmental Protection (DEP), unless said connection is maintained in compliance with 310 CMR 22.22: Cross Connections promulgated by DEP,and said connection has been approved in writing by DEP. 430.303: Testing of Private Water Supplies All chemical and bacterial analyses shall be conducted in a laboratory certified by the Department of Environmental Protection.The results of the bacterial analyses shall be kept on file at the camp for five years. The result of any chemical analysis shall be kept on file for ten years. Y 3/20/98 105 CMR- 1732 JA 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.304: Common Drinking Cup Prohibited The operator shall not make available nor permit the use of any common drinking utensil. Every drinking fountain shall be of a sanitary design and construction. 430.320: Compliance with 105 CMR 590.000 State Sanitary Code Article X-Minimum Sanitation Standards for Food Establishments, Required The operator of each recreational camp for children which prepares and/or serves meals shall provide and maintain all food service areas and facilities in a sanitary manner and in compliance with applicable provisions of 105 CMR 590.000 State Sanitary Code Article X- Minimum Sanitation Standards for Food Establishments,and shall have a food service permit issued by the local board of health. The required permit to operate a food establishment shall be prominently posted in the food service facility. 430.321: Special Provisions for Primitive Travel and Trip Camps (A) All food taken with the camp,or purchased,or prepared en route by campers and/or staff, shall be appropriate to the length and type of trip, taking into consideration the lack of refrigeration and problems of sanitation that may be encountered. (B) Commercially packaged dry milk products and dry egg products may be utilized but shall be consumed within one hour after being reconstituted,and shall be discarded if not consumed within one hour of being reconstituted. 430.330: Nutritious Meals to be Served The operator of camps where food is prepared and/or served shall provide sufficient numbers of adequately trained personnel to plan,prepare and serve nutritionally adequate meals. (A) Menus shall be planned and written at least two weeks in advance. The operator shall note on the menu any changes in the meal actually served. (B) Current menus shall be posted and copies of all menus used during the season shall be kept on file. (C) The menus shall be planned so as to provide for a sufficient variety of foods. 430.331: Minimum Daily Food Requirements for Camps Providing Three Meals The operator of each recreational camp for children,all with the exception of day camps, shall provide at least three meals per day that are nutritious and suited to the special needs of the campers. (A) Foods shall be served that meet the most recently revised "Recommended Dietary Allowances" of the Food and Nutrition Board, National Academy of Sciences, National Research Council,adjusted for age, sex and activity. The only exception shall be by written medical direction. (B) The minimum daily food.allowance offered to each camper shall be based on the following: (1) Milk-24 fluid ounces or equivalent as a beverage or in food preparation. (2) Protein-two or more two ounce edible portions or its equivalent. (3) Vegetables and Fruit-four or more servings per day including at least one serving of a fruit or vegetable high in ascorbic acid and a vegetable or fruit high in vitamin A at least every other day. Every effort should be made to incorporate the use of fresh fruits and vegetables whenever possible. Fruit flavored beverages with or without vitamins added shall not be considered a fulfillment of these requirements and the use thereof is discouraged. (4) Bread,cereal or other grain product-four or more servings of enriched, restored or whole grain. 3/20/98 105 CMR- 1733 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.332: Minimum Daily Food Requirements for Day Camps All day camps providing one or two' meals pet day shall serve meals that meet '/s or 3/ a respectively of the"Recommended Dietary Allowances"adjusted for age,sex and activity. 430.333: Therapeutic Diets All camps which serve meals and accept campers who are on medically prescribed diets, including but not limited to weight reduction camps,shall provide food which adequately meets the requirements of such diets. All therapeutic diets shall: (A) Be prescribed,dated(no earlier than two months before arrival at camp)and signed by a licensed physician; (B) Be precise as to specific dietary requirements or limitations; (C) Be planned,prepared and served with the consultation from a qualified dietitian;and (D) Meet, if possible, the "Recommended Dietary Allowances" of the Food and Nutrition Board,National Academy of Sciences,National Research Council. 430.334: Feeding (A) Adequate Staff and Equipment. All camps that accept physically,mentally,visually or emotionally handicapped campers shall provide sufficient numbers of adequately trained personnel and proper equipment to insure the campers are eating nutritionally adequate meals. (B) Meals Shall Not Be Denied. No camper shall be denied a meal for any reason other than by written medical direction. (C) Meals Shall Not Be Forced. Campers should be encouraged to eat a well balanced diet,but no camper shall be forced or otherwise coerced to eat against his will. 430.335: Meals Provided From Home (A) The operator shall have a method of properly storing meals provided from home to maintain safe temperatures and to protect from contamination. (B) The operator shall have a method for providing a nutritious meal to a camper who arrives at camp without a bag lunch. 430.350: Facilities for Solid Waste Storage The operator of each recreational camp for children shall provide and maintain in a clean and sanitary condition as many receptacles for the storage of garbage and rubbish as are necessary to contain the accumulation between collections,and shall so locate them that no objectionable odors enter any facility used for habitation. (A) Garbage and mixed garbage and rubbish shall be stored in water tight receptacles with tight fitting covers. Said receptacles and covers shall be of metal or other durable, rodent-proof material. Rubbish shall be stored in receptacles of metal or other durable rodent-proof material. (B) Plastic bags shall be used to store garbage or mixed rubbish and garbage only if used as a liner in watertight receptacles with tight-fitting covers as required in 105 CMR 430.350(A),or placed in enclosures that are rodent, insect and pest proof. Plastic bags may be put out for collection on the day of collection except in those places where such practice is prohibited by local rule or ordinance or except in those cases where the board of health determines that such practice constitutes a health problem. For purposes of the preceding sentence, in making its determination the board of health shall consider, among other things, evidence of strewn garbage,tom garbage bags or evidence of rodents. 3/20/98 105 CMR- 1734 105 CMR: DEPARTMENT OF PUBLIC HEALTH j 430.355: Final Disposal of Solid Wastes The operator of each recreational camp for children shall be responsible for the final collection or ultimate disposal of garbage and rubbish by means of: (A) the regular municipal collection system;or (B) any other collection system approved by the board of health;or (C) when otherwise lawful,a garbage grinder which grinds garbage into the kitchen sink drain finely enough to ensure its free passage,and is otherwise maintained in a sanitary condition;or (D) when otherwise lawful, a garbage or rubbish incinerator located at the camp which is properly installed and is maintained so as to not create a safety or health hazard;or (E) any other method of disposal which does not endanger any person and which is approved in writing by the board of health and the Department of Environmental Protection. 430.360: Sewage Disposal The operator of each recreational camp for children shall provide for all waste waters a sanitary drainage system connected to the public sewerage system;provided,that if because of non-availability,distance or ground conditions,connection to a public sewerage system is not practicable,any other means of such disposal of sewage approved in writing by the board of .health and in compliance with 310 CMR 15.00 or approved by the Massachusetts Department of Environmental Protection in compliance with 310 CMR 5.00 or 314 CMR 3.00 may be installed,as applicable. 4.30.370: Toilet Facilities Required The operator of each recreational camp for children shall provide at least two toilets or privy seats for each sex,and, (A) For each camp other than a day camp where the number of persons of one sex is in excess of 20,the operator shall provide one additional toilet or privy seat for each additional ten persons or fraction thereof of that sex. (B) At a day camp-where the number of persons of one sex is in excess of 60,the operator shall provide one additional toilet or privy seat for each additional 30 persons or fraction thereof of that sex. 430.371: Urinals Mav Be Substituted For males,one urinal or two lineal feet(0.6m)of urinal trough may be substituted for up to '/s of the number of toilets or privy seats required. 430.372: Location and Maintenance of Toilet Facilities The operator of each recreational camp for children shall so locate the toilets so that they are not more than 200 feet(60m) from the door of the sleeping rooms of those people who are expected to use them. The operator shall provide an adequate supply of toilet paper and shall screen each window or other exterior opening with screening containing not less than 16 meshes per inch(2.54 cm). Every screen door shall be equipped with a self-closing device. 430.373: Handwashing Facilities The operator of each recreational camp for children shall provide handwashing facilities and �J shall meet the following minimum requirements: (A) Residential camps shall provide at least one lavatory or wash basin,or space for one person at an industrial-type lavatory,for every ten people. 3/20/98 105 CMR- 1735 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.373: continued (B) Day camps shall provide at least one lavatory or wash basin or space for one person at an industrial-type lavatory,for every 30 people. (C) Wash basins shall be located so as to facilitate their use,particularly after use of toilets. 430.374: Bathing Facilities (A) Minimum Reouirements-Residential Camps. The operator of each residential camp shall provide at least one shower head or bathtub for each 20 people. A bathtub/shower combination shall count as a single unit. (B) Required Cleaning of Shower-Room Floor. The operator shall cause every shower-room floor to be washed daily with a suitable detergent and hot water. It is recommended that a rinse with a chlorine solution having a strength of not less than.05%available chlorine be used as an additional safeguard. (C) Duckboards Prohibited. The.operator shall not permit the use of wooden duckboards in a shower. 430.375: Ventilation Required The operator shall provide for the ventilation of each toilet room,shower room and bathroom to the outdoors. 430.376: Hot Water Temperatures Where hot water is provided to hand wash basins,lavatories,showers and bathtubs it shall not exceed 1127(44°C)at the point of delivery. "r 430.377: Maintenance of Sanitga Facilities The operator shall maintain all lavatories,wash basins,showers,bathtubs,and toilets in good working order and in a clean and sanitary condition. 430.378 Toilet Facilities for Special Needs Campers Toilets used by campers with special toilet needs or practices shall be assured privacy and be provided with facilities that meet their needs. 430.379: Handwash Basins for Special Needs Campers All wash basins or lavatories used by campers with special needs shall be so adapted as to allow for easy access and use. 430.380: Shower Facilities for Special Needs Campers All showers or bathtubs used by campers with special needs,will have aids such as chairs on casters,stools and footrests,non-slip surfaces,and flexible shower heads attached to hoses in order to provide for the increased independence of the campers and to make it easier and safer for the staff to assist the campers. 430.400: Rodent and Insect Control-Residential and Day Camps (A) Buildings and Structures to be Maintained Free. The operator shall maintain every building used or intended for human habitation free from insect infestation,rodents,and other pests. y,J (B) Extermination Methods. Extermination methods and other measures to control insects and rodents shall conform with the requirements of 333 CMR(Pesticide Board of the Massachusetts Department of Agriculture). 3/20/98 105 CMR- 1736 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.401: Weed Control-Residential and Day Camps (A) Harborage Places to be Controlled. The growth of brush,weeds grass and plants shall be controlled in central camp areas to minimize harborage of ticks, chiggers, and other insects which may adversely affect public health. (B) Noxious Plants to be Controlled. The central camp area shall be maintained to prevent growth of ragweed,poison ivy,poison oak,poison sumac,and other noxious plants considered detrimental to health. 430.430: Swimmine Pools The operator of each recreational camp for children shall insure that all swimming and wading pools used by campers and staff shall be in compliance with 105 CMR 435.00: Minimum Standards for Swimming Pools (State Sanitary Code: Chapter i). A copy of the written approval to operate the pool,issued by the local board of health,shall be kept on file at the camp whether or not the swimming pool is located on the camp property or is part of the camp facility. 430.431: Swimming Pools to be Fenced All swimming pools constructed after the effective date of 105 CMR 430.000 shall be enclosed by a fence five feet(1.5m)in height and firmly secured at ground level. If over five feet(1.5m)in height the fence shall be chain link. Such enclosures,including the gate therein shall not be less than five feet(1.5m)above the ground,and any gate shall be selflatching with latches placed four feet (1.2m) above the ground or otherwise made inaccessible from the outside to children up to eight years of age. Any swimming pool constructed prior to the effective date of 105 CMR 430.000 shall have fencing so as to provide adequate protection against accidental injury or death to children and animals. 430.432: Bathing Beaches (A) Physical and Bacteriological Water Quality. Bathing and swimming shall not be permitted at any bathing beach where such water is determined by the board of health,the Department of Public Health or the Department of Environmental Protection to be polluted or subject to pollution so as to constitute a menace to health if used for bathing or swimming purposes,or where: (1) Sludge deposits,solid refuse,floating waste solids,oils,grease or scum are present;or (2) A black disk,six inches(15.3cm)in diameter,on a white field placed at a depth of at least four feet(1.2m)of water is not readily visible from the surface of the water;or when, under normal usage, such disk is not readily visible from the surface of the water when placed on the bottom where the depth is less than four feet(1.2m);or (3) A hazardous substance is discharged onto any bathing beach waters to a degree considered by the board of health,the Department of Public Health or the Department of Environmental Protection to be of public health significance;or (4) The bacteriological quality of bathing beach waters indicates that sewage or other hazardous substance is being discharged onto the bathing and swimming areas;or that (5) High bathing density has created a condition which is or may be dangerous to the public health. A coliform count over 1000 per ml.shall be considered a guide requiring additional investigation. (B) Sampling. Bacterial sampling of bathing beaches shall be done in accordance with the requirements of 105 CMR 445.000.The results of the required testing shall be provided by the operator to the board of health within one business day of receipt from the testing laboratory. (C) Diving Areas. (1) There shall be a minimum water depth of ten feet(3m)for a one meter and 12 feet (3.6m)for a three meter diving board. (2) For natural diving areas,the bottom shall be cleared of stumps,rocks,weeds and other obstacles. 3/20/98 105 CMR- 1737 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.432: continued (3) Diving boards shall be mounted on a firm foundation and never on an insecure base that can be affected by shifting weight loads and wave action. The entire length of the toe surface of diving boards shall be covered with nonskid material. The front end of the board shall project at least six feet beyond the edge of the pool or dock. Clearance from the sides of the board shall be at least ten feet(3.0m),the distance between diving boards shall be at least eight feet(2.4m),and at least 13 feet(3.9m)of free and unobstructed head room shall be provided above all diving boards and platforms. (4) There shall be an adequate number of stairs or ladders for all diving towers,platforms, and flats. All stairs and ladders shall be provided with a handrail. Treads of stairs and ladders shall be of non-slip material. (D) Required Safety Equipment. For each 2000 square feet or major fraction thereof of water surface area used for bathing,the owner shall provide,in a readily accessible location,one ring with a minimum inside diameter of 15 inches(0.9m),weighing 2'/z pounds(I.15kg)and with an attached'h inch(§.35mm)rope no less than 60 feet(18.3m)in length. All swimming pools and man-made swimming areas shall have at least one shepard's crook pole with a minimum handle length of 12 feet(3.6m). 430.450: Site Location No person shall operate a recreational camp for children unless it is located: (A) so as to be accessible at all times during the designated camping season; (B) where surface drainage conditions create no health or safety hazard; (C) where approved water supply and sewage disposal facilities can be and are provided;and (D) where traffic conditions create no undue safety hazards. 430.451: Certificate of Occupancy Required All camp structures used for sleeping or assembly purposes shall have a current certificate issued by the local building inspector(See 780 CMR: State Building Code). Furthermore,the buildings shall be easy to keep clean and have a roof which is weathertight and waterproof. 430.452: Screening Required The operator of each recreational camp for children shall provide the exterior openings in every building used for food preparation,food service,and every permanent building used for sleeping,with screens containing not less than 16 meshes per inch(2.54cm). Screen doors will open in the direction of the flow of traffic out of the building. If no screen door is possible the building door shall be equipped with a self-closing device. Every screen door shall be equipped with a self-closing device. 105 CMR 430.000 shall not apply to areas used for outdoor cooking. 430.453: Lighting Required The operator of each recreational camp for children shall provide adequate lighting for the safe and sanitary use of each kitchen, dining room, mess hall, infirmary, toilet room and stairway. 430.454: Maintenance of Floors The operator of each recreational camp for children shall maintain the floors in all buildings used for sleeping, food preparation or food service, smooth, clean and free from chronic dampness. Except if a cellar exists,wooden floors in buildings used for human habitation shall be elevated no less than six inches (15.2cm) above average ground level, provided, the requirements of 780 CMR shall be followed in new construction or reconstruction at new or existing camps. The operator shall keep the space beneath the floors clean and free from obstruction. 3/20/98 105 CMR- 1738 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.455: Egresses Required (A) One-story.One Room Buildines. The operator of each recreational camp for children shall provide for one-story,one room buildings having one thousand square feet or less and having 25 occupants or less at least one means of egress provided that the length of travel does not exceec=0 feet(15.2m)from any point in the building to the open air at grade and the minimum width for aisles and corridors shall be three feet(0.9m). (B) Emergency Escape. Every sleeping room shall have at least one openable window or exterior door to permit emergency exit or rescue and shall conform to the following construction: (1) must be openable from the inside without the use of separate tools; (2) the sill height shall not be more than 36 inches(0.9m)above the finish floor and with a maximum six foot(1.8m)drop from the window sill to grade below the window; (3) provided a minimum net clear opening area of 3.3 square feet with a rectangle having minimum net clear opening dimensions of 20 inches(0.5m)by 24 inches(0.6m); (4) shall not be obstructed; (5) windows designated as a secondary means of egress shall be so posted with an"EXIT" sign. 430.456: Egress to be Free of Obstructions The operator of each recreational camp for children shall be responsible for maintaining all means of egress free of obstructions. 430.457: Shelters for Day Camps The operator of each day camp shall provide shelter,on or off the site,sufficiently large to house and provide for on-going camp activities. Such structure shall comply with 105 CMR 430.451. 430.458: Shelters for Residential Camps In all permanent buildings or structures space shall be so arranged as to provide a minimum of 40 square feet(3.7 square meters)of floor area for each person occupying a single bed. 35 square(3.2 square meters)of space shall be provided for each person occupying a two tiered (bunk)bed or for each person sleeping in a tent. 50 square feet(4.7 square meters)per person of sleeping space shall be required for persons needing special appliances or equipment such as wheelchairs or walkers for ambulation. Space shall include the area occupied by the bed,but shall not include space such as closets or bathrooms. 430.459: Non-Ambulatory Campers All campers and staff members with problems of mobility shall be housed on ground floor level with the egresses leading directly to grade or to a ramp inclined no greater than one foot (0.3m)in 12 feet(3.6m). 430.470: Separate Beds to be Furnished The operator of each residential camp shall furnish in each sleeping cabin or tent a separate bed,bunk or cot for each camper or staff member. Sleeping shall be so arranged as to provide a minimum of three feet(0.9m)between sleepers if single decked and 4'/:feet(1.3m)if double decked. A distance of at least six feet(1.8m)should be provided between the heads of sleepers. Triple decked beds shall not be used. 105 CMR 430.470 shall not apply to primitive,short-term group,travel and trip camps. 430.471: Sleeping Prohibited in Food Areas The operator of each recreational camp for children shall not permit sleeping in kitchens or rooms used for food preparation,storage or service. 3/20/98 105 CMR- 1739 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.472: All Bedding and Towels to be Cleaned •..,,.... The operator of each recreational camp for children shall maintain all operator-supplied mattresses and pillows in a clean and sanitary manner. Bedding and towels provided by the operator shall have been washed or dry cleaned prior to each issue. (A) The operator shall cause sheets,towels,and pillow cases to be laundered,at least once a week whether they are operator or camper supplied. Sleeping bags shall be aired at least every five days. (B) The operator shall not allow a common towel to be used. 430.631: Orieinal License An applicant for an original license under this section for a recreational camp for children shall file with the board of health at least 90 days prior to desired opening date,a plan showing the buildings,structures,fixtures and facilities,including the proposed source of water supply and works for the disposal of sewage and waste water which he plans to have upon said premises if and when the license may issue. 430.632: Board of Health Shall Grant,Suspend or Revoke License The board of health shall grant, suspend or revoke licenses for recreational camps for children in accordance with the provisions of M.G.L.c. 140,§§32B and 32C. All licenses for recreational camps granted under 105 CMR 430.000 shall state the maximum number of occupants authorized for such camp and the capacity shall not be exceeded by the operator at any time.Upon the issuance of a license,the local board of health shall notify the Massachusetts Department of Environmental Protection and the Massachusetts Department of Public Health. Said notification shall include the name and address of the camp,the name of the owner,the number of campers and staff,and the number of days per year that the camp will be in operation. 430.633: Posting of License The operator of each recreational camp for children shall post the Iicense in a prominent place at the camp site. 430.650- Inspections Required No recreational camp for children shall receive a license to operate in each year until it has been inspected by the local board of health and found by the board to meet all the requirements of 105 CMR 430.000. The local board of health shall also inspect a recreational camp for children at any time that the board has reason to believe that a violation or violations of 105 CMR 430.000 exist,or upon the request or complaint of any person. 430.651: Inspection Report Forms The local board of health shall prepare for each inspection a written report which must include but need not be limited to the following: (A) the name of the inspector, (B) the date and time the of inspection or investigation; (C) the location of the facility inspected; (D) the date and time of any scheduled follow-up inspection; (E) a description of each condition constituting a violation of 105 CMR 430.000;and (F) a listing of each specific provision of 105 CMR 430.000 that appear to be violated. A copy of the inspection report shall be completed and mailed or delivered to the operator within seven days of the day of inspection. 3/20/98 105 CMR- 1740 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.700: Orden to Correct Violations If an examination pursuant to 105 CMR 430.650 or pursuant to 105 CMR 400.100: State Sanitary Code Chapter I.•General Administrative Procedures reveals that a recreational camp for children does not comply with the provisions of 105 CMR 430.000,the local board of health shall order the operator to comply with the violated provision of 105 CMR 430.000. 430.701: Violation Which Mav Endanger or Materially Impair the Health Safety or Well Bein of f the Public If an examination pursuant to 105 CMR 430.650 or pursuant to 105 CMR 400.100:State Sanitary Code Chapter I: General Administrative Procedures reveals that any condition at a recreational camp for children fails to comply with the provisions of 105 CMR 430.000 so as to endanger or materially impair the health,safety,or well being of the occupants or the public, the local board of health shall order the operator to comply with 105 CMR 430.000 or may order any building condemned and vacated if appropriate or may order the camp program to be terminated. 430.702: Contents of Order Subject to the emergency provisions of 105 CMR 400.200(B),any order issued under the provision of 105 CMR 430.000 shall: (A) Include a statement of the violation or defect,a citation of the provision which is violated, and may suggest action which if taken will effect compliance with.105 CMR 430.000;and (B) allot a reasonable time for any action it requires;and (C) inform the person to whom it is directed of the right to a hearing;of the deadline and proper -' procedure for requesting a hearing; the right to inspect and obtain copies of all relevant inspection or investigation reports,orders, notices and other documentary'information in the possession of the board of health; the right to be represented at the hearing and that any interested person has a right to appear at said hearing and present evidence, testimony or argument. 430.703: Service of Orders Every order authorized by 105 CMR 430.000 shall be in writing. Orders issued under the provisions of 105 CMR 430.700 and 430.701 shall be served on the operator or his authorized agent: (A) personally,by any person authorized to serve civil process,or (B) by leaving a copy of the order at his last and usual place of abode,by any person authorized to serve civil process,or (C) by sending him a copy of the order by registered or certified mail,return receipt requested, if he is within the Commonwealth,or (D) if his last and usual place of abode is unknown or outside the Commonwealth,by posting a copy of the order in a conspicuous place on or about the building or portion thereof affected. 430.730: Request for Hearing The person or persons to whom any order served pursuant to 105 CMR 430.700 and 430.701 has been directed may request a hearing before the local board of health by filing within seven days after the day the order was served in the office of the board of health a written petition requesting a hearing on the matter. 3/20/98 105 CMR- 1741 105 CMR: DEPARTMENT OF PUBLIC HEALTH 430.731: Hearing to be Held 11, Upon receipt of a petition pursuant to 105 CMR 430.730 the board of health shall set a time and a place for such hearing and shall inform the petitioner thereof in writing. The hearing shall be commenced not later than ten days after the day on which the petition was filed;provided, that upon application of the petitioner the board of health may postpone the date of the hearing for a reasonable time beyond such ten-day period if in the judgment of the board of health the petitioner has submitted a good and sufficient reason for such postponement. At the hearing the petitioner shall be given an opportunity to be heard and to show why the order should be modified or withdrawn. 430.732: Decision of Board of Health The board of health shall sustain modify, or withdraw the order and shall inform the petitioner in writing of its decision within seven days after the conclusion of the hearing. If the board of health sustains or modifies the order, it shall be carried out within the time period allotted in the original order or in the modification. 430.733: Public Record Every notice,order or other record prepared by the board of health in connection with the hearing shall be entered as a matter of public record in the office of the clerk of the city or town, or in the office of the board of health. 430.734: Appeal of the Board of Health Decision Any person aggrieved by the decision of the board of health with respect to the provisions of 105 CMR 430.000 may seek relief therefrom in any court of competent jurisdiction, as provided by the laws of the Commonwealth. 430.735: Compliance If a written petition for a hearing is not filed in the office of the local board of health within seven days after an order as-provided in 105 CMR 430.700 and 430.701 through 430.703 inclusive has been issued,or if after a hearing the order has been sustained in any part,each day's failure to comply with the order as issued or modified shall constitute an additional offense. 430.750: Operation Without License Whoever operates a recreational camp for children without a license shall upon conviction be fined not less than$10 nor more than$100 in accordance with M.G.L.c. 140, §32E. 430.751: Failure to ComRIv with Order of the Board of Health Any person who fails to comply with any order issued pursuant to 105 CMR 430.000 shall upon conviction be fined not less than$10 nor more than$100. Each day's failure to comply with an order shall constitute a separate violation. 430.752: Failure to ComR1v with Provisions of 105 CMR 430.000 Any person who shall violate any provision of 105 CMR 430.000 shall upon conviction be fined not less than$10 nor more than$100. 3/20/98 105 CMR- 1742 J _ 105 CMR: DEPARTMENT OF PUBLIC HEALTH a' 430.800: Board of Health Mav Grant Variance The local board of health may vary the application of any provision of 105 CMR 430.000 with respect to any particular case when, in its opinion, the enforcement thereof would do manifest injustice;provided,that the decision of the board of health shall not conflict with the intent and spirit of these minimum standards. Any variance or other modification authorized to be made by 105 CMR 430.000 may be subject to such qualification,revocation,suspension,or expiration as the board_of health expresses in its grant. A variance or other modification authorized to be made by 105 CMR 430.000 may otherwise be revoked,modified,or suspended in whole or in part,only after the holder thereof has been notified in writing and has given the opportunity to be heard,in conformity with the requirements for an order and hearing as required by 105 CMR 430.000. 430.801: Variance to be in Writing Any variance granted by the board of health shall be in writing. A copy of any such variance shall,while it is in effect,be available to the public at all reasonable hours in the office of the clerk of the city or town, or in the office of the board of health, and notice of the grant of variance shall be filed with the Commissioner of Public Health of the Commonwealth. A copy of any variance shall also be posted in the office of the recreational camp for children. 430.830: Severabilitv In the event that any section of 105 CMR 430.000 is found to be invalid or unconstitutional, the remaining sections shall not be affected. REGULATORY AUTHORITY 105 CMR 430.000: M.G.L.c. 111,§§3 and 127A. 3/20/98 105 CMR- 1742.1 Page 1 of 2 Grant, Michele From: DeBenedetto, Janel [JDeBenedetto@klcorp.com] Sent: Monday, September 22, 2008 10:54 AM To: Grant, Michele Subject: RE: North Andover By-laws -i Michele, 3oth Pat and I will be certified. I was looking for general Board of Health codes, nothing specific in regards to the Serve-Safe requirements. Since each town has different variances, I was hoping to get more town-specific •equirements and information, like I had said earlier, to avoid any future violations that could be avoided. 4Iso,I spoke with my licensor with the Department of Early Education and Care. We have decided that the safest vay to handle the crock pots would be to build a drop box for them to sit in. Since the bottle warmers are mini- :rockpots, I am afraid we will be in the same predicament. Willa build in drop box for the crockpots be sufficient? Thank you, Panel DeBenedetto enter Director {inderCare Learnin;Center i94 Chickering Road forth Andover,MA 01845 )78.685.8111. -rom: Grant, Michele [ma iIto:mgrant@townofnorthandover.com] lent: Mon 9/22/2008 10:33 AM ro: DeBenedetto, Janel iubject: RE: North Andover By-laws li Janel, Fhe state food code states - If a licensed food handler does not know the food code well and can not answer questions that he Health Inspector may be asking... the inspector can request further training. North Andover's policy is to have 2 people :ertified. Fhanks Michele -----Original Message----- From: DeBenedetto, Janel [mailto:]DeBenedetto@klcorp.com] Sent: Thursday, September 18, 2008 11:50 AM To: Grant, Michele Subject: North Andover By-laws Hello Michele, I have left a message for our Food Service Contact to get into a Serve-Safe course. I will provide you with the date once I receive it. I was on the North Andover town site last night trying to find the town's bylaws so I could use it as a 10/6/2008 Page 2 of 2 reference to know exactly what we need to do here to avoid any future violations. Could you tell me where I could find that? Thank you, and I will be speaking with you soon. Sincerely, Janel DeBenedetto Center Director KinderCare Learninb Center 594 Chickering Road North Andover,MA 01845 978.685.8111 10/6/2008