The URL can be used to link to this page

Home My WebLink About2004 Summer Camp Permit - Permits - 12/5/2019 C-haM r.amn PnliCiac and Procedures 2004 Summer Camp 595 Chickering Rd North Andover, MA 01845 (978) 683-8493 Health Care Policy Health Care Consultant: Dr. Barnett 122 Lancaster Dr (978) 686-2763 Health Care Supervisor Tina V. Veth, R.N. 48 Highland Ave Haverhill, MA 01830 (978) 521-6987 Emergency Phone Numbers: All general emergencies - 911 r; coo ncnn r ii e - Uoo-U�)w Police - 683-3168 Ambulance - 911 Pnic"nn %-Ow"Lrnl (`onfor ___ I-�W%J k-1W4- la7'I 1 V IJVIi VVIItI VI VVII�VI 1 VV VVL JL I I Animal Control - 683-3168 Hospital utilized for emergencies: Lawrence General Hospital Lawrence, MA 01841 683-4000 OR Holy Family 70 East St. 1 Meh+hl lor, 11A� r)I S2A hill IU%-1 1, M V I VF-T (978) 687-0151 Emergency Procedures In the event of an emergency, the following procedures will be followed-. 1 . Camp Director and Staff members will clear the area away from the injured person. �+ �,p p 2. Hoalii i varo Supc,V I kJI vrili QJJ�Js iI is condiiion %J L camper. 3. If a head or neck injury is suspected, care will be taken to not move the camper. 4. Camp nirertnr will gent =mnrgenrx medlral helm, by railing A11 5. If camper is not breathing, Health Care Supervisor will begin CPR. 6. Camp Director will try every available contact number to reach the camper's parent/guardian. Procedures for Utilizing First Aid Equipment 1 . Location of First Aid Kit T he f-I r Sl /811U K11 will be located III the office. 2. Location of First Aid Manual The First Aid Manual will also be kept in the office. 3. First Aid is Udministered by All first aid will be administered by the Health Care Supervisor, Tina Veth, R.N. d Firt Aid Kt is intn4 hi/ im y The First Aid Kit will be maintained by the Camp Director, Brian Veth 5. Contents of First Aid Kit The First Aid Kit will contain the following- Band-Aids Hydrogen Peroxide Bacitracin 2X2's Paper Tape Ace Wraps Emergency Ice Packs Plan for Injury Prevention and Management The gym will be inspected for hazards and dangerous or faulty equipment each morning by the Camp p Director prior to the campers arrival. Faulty equipment will be repaired or replaced before campers are allowed to use the equipment. If the faulty equipment cannot be rGpalIgd or rGplQl^iGd, LII L piccG Cf Vqulpm`�nt �iIV III iiQVG sign prohibiting campers from using that equipment. In addition to the daily inspection for hazards by the Camp Director, staff members Will vici;aliy rherk each rplcre of aquirnmant tr) he I Ics=d by the campers throughout the day. Any hazards that are found will be reported to, and handled by the Camp Director. Procedures for Reporting Serious Injury, Hospitalization, and Death of a Camper or Staff Member to Department of 11- Public Health In the event of a serious injury, hospitalization or death of a camper or staff member, the following procedures will be followed: i . Camp Director will i iiow the crnergericy Procedures described elsewhere in this Health Care Policy until the situation is resolved. 2. Camp Director will fill out an injury report form. .�i. Cump L-111 Cr mGke i I luiiiplC %-- Cf LI 1 injury 1%,V I t fvr�"i i and mail one copy to the Department of Public Health. 4. Camp Director will keep one copy on file at the location of the ramp Procedure for Informing Parents When First Aid is Administered to Their Child Ail first aid administered will be recorded in ink in the medical log book, to be kept in the office during the day. At the time of pick up, the Camp Director will have the medical log book to ensure that all parents are informed of the first aid administered to their child that day. Parents will be asked to sign the medical log book as acknowledgement of the fact they were informed r%f +ho fire+ niA nrlministCrCd to +knir Child Tho modivui ivg book, as NJI LI I- IiI, L ulu uu1111111 well as all staff members will be available for parents who may want more information on the first aid administered to their child that day. Plan for Infection Control TREAT ALL INCIDENTS AS IF THERE IS AN INFECTIOUS DISEASE Handwashing - Handwashing is the single most effective method in stopping the transmission of contagious diseases. Procedure for the Clean Up of Blood Spills A Blood-Spill Kit will be kept in the office The Blood-Spill Kit will contain the following equipment: Biohazard Red Bags Disposable gloves Paper Towels uN�.� ivvv�.io Fresh Solution of Bleach (1 :10) Bleach: Common household bleach will be diluted 1:10 (1 part bleach, Q parts tarn, water) Procedure: 1 . Take equipment to area of spill. 7 Put on disposable gloves �. � ua vi� disposable �vv�.v. 3. Pour or spray disinfectant on area to be decontaminated. 4. Allow one minute. 5. Glean 1 ip with damp paper towels. 6. Repeat as necessary. 1. Place everything in Red Biohazard Bag. 8. Remove gloves in such a way as to prevent touching the exterior of the gloves with your bare hands. 9. Discard the gloves into the Biohazard Bag. 10. Wash hands. 11 . Look at area to make sure it is clean. Emergency Plan for Evacuation of Facility 1 . Evacuation Plans are posted next to each exit. Staff .,..._ will lead a al.. t a 'a a 2. Stall members embers will lead hampers out LI le salesL ex*--' cliff gather lel of 11 the side of the building. 3. The Camp Director will grab the attendance book and check for an y vampor j LI ICAt ma y have been separated fr Oil i i ti gr vup. 4. The Camp Director will do a roll call to ensure all campers are safe and accounted for. 1; Fire rr4rillc %mill he rnnrli iirfarrl nn thin first relay „f earh r-nn-1 Jinn Xnirrek 6. The Camp Director will keep records of each of the fire drills noting the date, time and effectiveness of each fire drill. Plan for Administering Medication All medications will be kept in a locked safe in the office. Medications ications prescribed for campers shall be kept 111 v1 lyll lal containers bearing the pharmacy label, showing the date of filling, pharmacist's initials, serial number of the prescription, name of the Nuiieiii, name %J ti ie pre::r ibing pi IY ICian, name of pr comer I"1";U medication, directions for use, and if tablets or capsules, the number in the container. All over the counter medications for campers shall her kernt in thin nrininni rnntainerc onnfnining thin nriginni lahel, Whirh shall include directions for use. Medication will only be administered by the parent in the presence of the Health Care Supervisor. Medication prescribed for campers brought from home shall only be administered if it is from the original container, and there is a parent/guardian to administer it. Note: As camp is only 3 hours long, we request that parents administer medications before or after camp. We request that par�'nts do not bring medication to ii ie gyi ii. Plan for Returninq or Destroying Unused Medication When no longer needed, or at the end of the campers stay at the camp, I f leulca I shall Ian uC returned Iu Lo a parenJguarulal I whenever ICVCI possible. If the medication cannot be returned, it shall be destroyed as follows: Medication .�huii be decitrvyed by the Heuiti i Core Con�uliunt, witnessed by a second person and recorded in a log maintained by the camp for this purpose. The log entry will include the following infor mation: the name of +i� cumper, the name of the medication, the quantity of medication destroyed, and the date and method of destruction. The Health Care Consultant and the witness shall sign ear,h ant if in the mediration ricrctrUction Ing Note: As stated above, camp is only 3 hours long and medication is not allowed at the camp. Plan for the Care of Mildly III Campers In the event that a camper becomes mildly ill, to the point that the camper cannot participate in tl ie pr ogr ai i i, ti,c camper's parent/guardian shall be notified. All available contact numbers shall be tried in order to contact the parent/guardian. The parent/guardian WI'li be asked to br ing the vhlid home for thn r xnmainder of tl io d'uy. Procedures for Identifying and Protecting Campers with Emergency Medical Information in the case of a camper with emergency medical information, all staff members will be made aware of all symptoms, and procedures to follow in the event of any emergency for that camper. Exclusion Policy for Serious Illnesses and Contagious Diseases Campers may be excluded from camp if any of the following criteria are not met: 1 . A camper with an elevated temperature must return to a normal body temperature for at least 24 hours before returning to camp. 2. A camper with a rash must have a note from a doctor regarding the diagnosis and whether the rash is contagious or not. 3. f vamper `VVILh head lice mint l'io nil fr oo ��'iofor o r%,,turning to vamp. 4. A camper with a known medical condition which could affect their level of consciousness; ie, seizure disorders, CHID must have a note frnm their rinctor with meriiirral rlaaranre. Procedures for the Back round Review of Staff MGL c.105 CMR 430.090 Employment Background Information (A) The ornaratnr chill develorn- and follow iniritten nrocedures far the review of the background of each staff person who may have unsupervised contact with a cal I Iper. The Camp Director will review all staff. This will include checking former employers, contacting references, conducting a CORI and a SORI �i i��k f^vr aCl i pr osp��tive duff memN�r. Ti i� Cutup Dirc�.cior will require that all staff members be CPR and First-Aid certified. If the prospective staff member meets all of the requirements above, they ill be niW.ven an interview for emrn,Inyment. Employees that have been continuously employed at The Champion Factory since their last CORUSORI check, are exempt. Contingency Plans MGL c.105 CMR 430.211 Special Contingency Plans for Day Camps Oav ramp onPratnrs, shall set forth nroredtires to he fnllnwPrl in dealing with the following contingencies. (�) viiiiui cl i vv#iv u,c`' r egister eu unu vri the vump r vii but fuh tv urr ive fvr u gl'✓cn 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. (A) Camper who is registered and fails to arrive for the day's activities: �, �, ..The Cump Dir vvtor will doULJIv vi i%-%, the ie c�ttt%..ndunve and ti i� camper's registration form to ensure the camper should indeed be in attendance. -Pnrantc will be contacted fusing all avallnhla rnntnrt numbers. 1 1 \A N I V V I V M V V I 1 (B) Camper who is missing from the point-of-pickup at the end of the day: Camp Dircutvr vvill dvUb41C', check attendance and roil uaii. Camp Director will check the office to see if the camper was picked up early. —If these aren't successful, Wl- ;mill fnllnNA lost l✓amper plan. (C) Unregistered camper arriving at camp: Staff will try to get child's parents if still on site. If the parent has left or cannot be found, stuff will, try to identify who the child arrived with. Staff will call the child's parent if the phone number can be obtained. Disaster Plan MGL c. 105 CMR 430.210(8) Disaster Plan (R) Each camp shall have a written disaster plan at the campsite. All campers and staff shall be advised of the procedures contained in the plan. Arrange,nents for transporting individuals from, the ca,ip to e , ergency laciiities shall be included in the plan. In the event of a natural disaster, the following steps will be taken: 1 . A whistle located at the Camp Director's desk will be blown to notify all will and staff of an emergency. 7 Staff VYill bring campers to the middle of the gym floor and the Camp Director will do an attendance check to ensure all campers are present. 3. instructions will be given to staff members at this point. Tornado In the event of a tornado, the initial steps will be taken to ensure all a Staff members I,... will I a a campers are present. Stall I I embers will ask the campers to move to the back corner of the gym while the Camp Director checks all doors and windows. Lightning In the event of lightning, the initial steps will be taken to ensure that all ',.I.. the 4. 1 ..1 a The phone �. will a all campers Iper s are inside ll le building and present. 1 I e pl o e wl l not be used except in the event of an emergency. Fire Evacuation Plan MGL c. 105 CMR 430.210(A) Fire Drills (A) 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 /,;,e depar'Ll i lei/t. The plan l shall indicate ii ie frequency lcy of fir a drills to be held during the camping season. Fire drills will be conducted on the first day of each camping week. The maximum number of students will be twelve. There will be three staff. There is an exit at each end of the gym. These exits will remain free of obstructions. A whistle that is kept at the Camp Director's desk will notify campers and staff in the event of a fire. The Fire Department will be called or in the case of an emergency evacuation, the fire alarm (one at each door) will be pulled on the way out. The staff and campers will gather in the grassy area on the side of the building. An attendance check will be conducted to ensure all campers are present. In the event of a fire the Camp Director will sound an alarm and alert staff of the fire, the gym will be evacuated closing all doors. The Fire Department will be contacted and given the following info: Building name and address Nearest cross street - Salem and Abbott Location of the fire in the building Any known info about the fire Lost Camper Plan MGL c. 105 CMR 430.210(C) Lost Camper Plan (C) A written lost camper plan shall be formulated and kept on file. All staff Shall be trained in the procedures contained in these plans. As soon as it is discovered that a camper is missing the staff will report the following to the Camp Director: Camper's name and age Last place the camper was seen What the camper was wearing The staff will then conduct a search of the main gym and bathroom. The Camp Director will gather the campers in the middle of the floor and do an accurate head count. One staff member will go out the front door, and one will go out the back door in search of the missing camper. The Camp Director shall check office records to determine if the camper was picked up by parents or made other such arrangements. If not, the parents will be contacted to determine if the camper was picked up without notifying the office. If not immediately found Police will be notified. The search will continue until all campers are accounted for. Protecting Campers from the Sun The Camp Director and all staff members will encourage the use of t 1^ 1 M r L- , L l. 1 t �1 c r a T h Camp sunscreen 1 w1LI I d solar protection I act VI 1 J VI greater. I I IC k-.1 Director and all staff members will also encourage the use of hats, lo�,n�g sleeve shirts and pants should we decide to be in the sun for an extended period of time. Procedures for reporting suspected child abuse or neglect MGL c.105 CMR 430.093 Prevention of Abuse and Neglect (A) The operator shall have procedures in place which protect campers from abuse and neglect while in the camp's care and custody. (8) 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 MGL c. 119 section 51A In the event that a staff member suspects child abuse or neglect, the Camp Director will be notified immediately. The Camp Director shall l^iont-1-t the IVilass a V h U S Vt is De pui i�'ilGni of \7V VIQI %a%, 1%- 1-3 TiiG Camp Director shall contact the Board of Health if a 51A report is filed. The Camp Director will assist in any way possible with an official investigation. Telephpnes Required MGL c.105 CMR 430.209 Telephones Required All rini rrampc chill hniiP immPrliatg arrgc_c to a telenhnnP, ThP nnPratnr.chall maintain and post by each phone a current roster of telephone numbers of the Uealtl f Care tiVI fSUItal ft, a/fd all police, LfVT S and,ire Departments servingthe camp. Teiephones are located at each end of the gym, providing immediate access. Egresses Required MGL c.105 CMR 430.455 Egresses Required All PgrP.C.CP..0 .Chill hp in compliance with the requirements of the .State. Building Code Mll egresses ill he facility are In compliance with StdlC DUIIUing Code. Identification of Individuals on Premises - Intruders The Champion Factory summer camp, "Champ Camp" has a policy against any unregistered yr unknovvn guests being pr �cnt �t L11V- facility. Unknown guests or intruders may pose a threat to the safety of the campers, staff, or the camp itself. 1 . Staff is to rernn►-t any unkno:,ir i persons to the ra►nn nirertnr immediately. 2. Staff will be trained in this policy at the Staff Orientation meeting. 3. Campers will he instructed on the first day of camp on proved 1rPp, should they encounter an unknown guest or intruder during camp. Animal Exposure Because wild animals, including raccoons, bats and skunks, may carry rabies, it is important that camps take precautions to minimize encounters between campers and wild animals. Camp staff will be informed about the risk of rabies associated with exposure to wild or stray animals. Campers will be instructed on the proper procedures if they encounter a wild or stray animal. Campers will also be instructed not to handle dead cirk nr inured Wild animals_ Animal control (978) 683-3168 will be contacted in the case of any wild animal. Champ Camp will do everything to not attract wild animals. No food is stored on the property, and the dumpster lid is fastened tightly. If contact occurs between a person and a stray animal, the wound or area of skin will be washed immediately with soap and water for at least 1n minutes. Thin health rare prnvider and the Nir)rth Andover Board of Health will be contacted immediately to determine if the person should be treated for rabies. Animal control will be contacted to catch or find the animal that Scratched or hit the person. The animal control and Board of Health will assist with information about submitting the animal to the MDPH Rabies Laboratory for rabies testina. STAFF ORIENTATION Agenda: 1. Discuss camp philosophy rn: t- iLn policy L. DISCUSS I Zeal" 1 l.al e pol1 3. Discuss all policies and procedures �4,,. Discuss parents rights to request copies of background checks, ieuiti i care and discipline poii^iieS and procedures for f,l;ng grievances. 5. Practice fire drill 6. Review CPR anti Firct;A.rl Procedures 7. Review and practice gymnastics spotting skills 8. Discuss Arts & Crafts projects for the summer Camp Philosophy To promote health and well-being through gymnastics in a safe, fun, Gnd engaging environment. Gymnastics - Skills being taught as well as equipment will be age appropriate. Skills should be at a level where children can succeed, hi It Oill he rrhallengerl Arts & Crafts - Projects will be age-appropriate, to be completed with care and safety. Every camper should get to bring something that he or she is proud of at the end of the week_ Learning Activity - Activities shall be relevant to the world going on around them. The general concept is more important than specifics, as this is not school Traffic Control Plan MGL c.105 CMR 430.210(D) Traffic Control A Written plan relating to the Control of the movement of vehicular traffic thRO.U y h the camp shall be on file. Parents will be reminded to drop off and pick up in the rear of the building where there is much less traffic. Parents are required to lrv'uik tl ieir viiild inty ti i� 6hiuiiding LI I .? r�%A --,I g the numb�r of kldJ alone in the parking lot. Parents are also reminded to come into the building to pick up their child from camp. Signed on this 9 day of -� 2004 Dr. Barnett 17 HEALTH CARE CONSULTANT AGREEMENT NAME OF CAMP ADDRESS OF CAMP p� The Massachusetts Department of Public Health regulations for recreational camps for children, 105 CMR 430.000,require that all recreational camps for children have a health care consultant. The regulation and responsibilities of this person are described below. 430.159(A) Health Care Consultant 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 the staff, 5. Be available for consultation at all times; and 6. Develop and sign written orders to be followed by the on-site health supervisor in the administration of his/her related duties. If the health supervisor is not a licensed health care professional authorized to administer • prescription medications,the administration of medications shall be under the professional oversight of the health care consultant. 105 CUR 430.160(C) 430.159(B) Health Care Policy A written 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. 430.160(C) Administration of Medication The health care consultant shall acknowledge in writing a list of all medications administered at the camp. I meet the requirements of the health care consultant as described in 105 CMR 130.159(A). I have reviewed theses referenced regulations and understand the responsibilities of the position and agree to assist this camp regarding the same. __"r _-9. Print N e Title Si an re MA License/Registration Number 122 "ncos-kA 40.44AIV,12.DiPVs Address Telephone Number Date: February 24,2000 Department of Public Health Division of Community Sanitation STATE SANITARY CODE: CHAPTER IV, MINIMUM SANITATION AND SAFETY STANDARDS FOR RETREAT iv1VAL hiAMPS FOR%+n URCN, IUJ LIVIM 4JU.uuU NAME OF CAMP: TMADDRESS:` NER/OPERATOR: OFFSEASON ADDRESS: CAMP DIRECTO . INSPECTED BY: TYPE OF CAMP: (Circle) WATER DATI OF INSPECTION' ' Da Residential SOURCE- r(.Po oSport) CAMPER Tn rimitive Travel CAPACITY: "No"column = `�' marked below indicates a violation of 430.000. "Yes" column = "-l'marked below indicates compliance with provision of 430.000. "N/A" column = `�'marked below indicates that the provision of 430.000 is not ap licable.to this camp. male Permits .451 Current Certificate(s)of Occupancy from local building inspector for sleeping/assembly sleeping/assembly areas. .215 Written compliance from local fire dept. .300(A)(2)(a) Private water supply- DEP approval (>25 people, >60 da s/ r) 300(A)(2)(b) Private water supply.-BOH approval and chemical and bacterial analyses (<25 people, <60da s/ r) Plans and Policies Written .090(A) Procedures for background review of staff and volunteers. .090(C) CORI and SORI , previous work history, 3 references, out of state/intemational criminal back round checks for staff and volunteers ..091 Staff and volunteer orientation plan and review. �- .093 Abuse and neglect prevention/reporting procedures. 191(13)(C) Discipline Policy with: appropriate discipline methods and prohibitions. (� .210(A) Fire evacuation plan and drills . .210 B Disaster Plan .210(C) Lost Camper Plan .210(C) Lost Swimmer Plan .210 D Traffic Control Plan Contingency plans-Da 'Camp: v .211 A Camper doesn't show up for dayL (B) Camper doesn't show u at point of pick u C Child not registered arrives Contingency plans-Primitive, Travel and Trip: .212( Itinerary daily- copy to parents L B Source of emer ency care .190 Camper released only to parents or parent- designated individual in writing. Other plan approved in writing by BOH. -Promotional literature/packet contains: 159(B)(2) Copy of policy re: care of mildly ill campers, administration of meds and emergency health care provision. 190(C) Statement re: regulatory compliance and licensing. 190(D) Inform parents of right to review background check, health care, discipline policies and L- grievance procedures upon request. Transportation .250 Vehicle must comply with MGLc.90 s7B&7D: <14 passengers AND driver is camp coach, director,etc. private vehicles maybe used. >14 passengers, vehicle must be school bus All vehicles must be RMV compliant .253 Proper automobile insurance- <-- 251 Seatbelts must ust be worn and special needs of campers communicated to driver .251 Camper<7yrs not transported longer than 1 hr L to cam Staff Qualifications Camp Director .102(A) Residential Camp: 25 yrs, completed course in camp administration or at least 2 seasons experience. .102(B) Day Camp: 21 yrs, completed camp administration course or 2 seasons experience. .102(C) Primitive, Travel, Trip: 21 yrs and proof of experience. 102(D) Designated substitute when director off-site ✓ Jx. >12 hrs. Sub must meet criteria above Counselors/Junior Counselors .100 Day Camp, non-sport: Counselo - 16 yrs. Junior Counselor-- 15 yrs. .100 Other camps: Counselors= 18 yrs or graduated from high school. Junior Counselors= 16 yrs .100 All counselors 3 yrs older than campers Required Counselor Ratios .101(A) Residential and Day Camps: 1 staff per 10 kids over 6 yrs ) 1 staff per 5 campers 6 yrs and under .101(B) Primitive,Travel, Trip: / 1 counselor per 10 campers. 2 counselor min. .101(C) Special Needs: 1 counselor per 4 mildly disabled campers 1"counselor per 2 severely disabled campers .103 Aquatics Director: Name: None American Red Cross Lifeguard Trng cert., CPR for Professional Rescuer-and First Aid Cert.or .their equivalents, If supervise 2 staff;"21yrs and experience L� w/mana ement .103 Lifeguard: American Red Cross Lifeguard Tmg f cert., CPR for Professional Rescuer cert.and First Aid Cert. or their equivalents. List names. .103 Certifications for other high-risk activities,eg: NRA instructor certification for firearms. List Names and Certifications: .252 Camp vehicle drivers: 18yrs, 2yrs driving .experience;_current license for type of vehicle First Aid certified if no other trained staff aboard. Medical Personnel/Records/Facilities .159(A) Health Care Consultant me:, N MD NP PA(w/pediatric training) eck for Health Care Consultant Agreement .159(C) Health Supervisor(on site at all times) Name 18yrs,First Aida decertified OR, ____IVID-PA N R LPN .1 59 B Health Care Policy .160(A) Medication stored in original containers. ti .160(B) Meds stored in secured cabinet and if necessary refrigerated in affixed box. .160 C Medication administered by Health Supervisor .154 Injury Reports completed for fatality or serious injury. Copy sent to MDPH. .155 Medical log book- bound, pre-numbered pages, ink entries, no skipped lines. .161(A) Infirmary provided-day and resident.camps Exterior light-resident, camps .453 Lighting rovided in infirmary .161 B Area for isolation of ill child .161(C) First Aid Kit: non-perfumed soap, sterile gauze squares, compresses, adhesive tape, bandage scissors, triangular and rolled bandages, CPR mask, tweezers, cold pack, gloves. .150 Health record for each camper and staff: emergency contact info -camper<18 yrs must have written parental permission for meds and emergency care. Residential, Sport,Travel[Trip: - L'- Health History, Physical Exam(< 2yrs) Record of Immunizations (noted below) Day Camp Non=Sport: Health History, Record of Immunizations (noted below) r ye an, Immunizations: .152(A) 7Campers and staff under 18yrs Nu b r of records checked: MR: 1s`dose = 12 mos or older, easles: 2"d dose= grades K-12'or age equiv Polio: 3 doses IPV or OPV, or 4 doses mix IPV/OPV Diphtheria and Tetanus Toxoids and Pertussis*: 4 doses DTaP/DTP/DT or, 3 doses of Td (persons 7 yrs or older needing additional 1 vaccines to comply with above, Td is to be used) l *Booster dose of Td: mil -grades 7-10 need booster if>5yrs since last dose of DTaP/DTP/DT -grades 11-12 need booster if more than 10 yrs since last dose.of DTaP/DTP/DT/Td Hep B: 3 doses if bom on or after 1/1/92 .152(B) Campers and staff 18 yrs.or older: Number of records Measles: 2 doses (exempt if bom before 1957) checked: Mumps: 1 dose (exempt if bom before 1957) Rubella: 1 dose (exempt if bom before 1957) Diphtheria and Tetanus Toxoids*: 3 doses DTaP/DTP/DT/Td *Booster dose of Td required if more than 10 yrs since last dose. Activities .190 Activities and physical environment meet the needs of campers; do not pose hazard to health/safe .163 Operator encourages sun protection for all. Aquatics .430 Swimming Pool: in compliance with 105 CMR 435.00-permit posted. .204(B) Bathing Beach: in compliance with 105 CMR 445.00-weekly water sampling conducted. , .103 Proper supervision at swimming venue: 1 lifeguard per 25 campers 1 counselor per 10 campers s Plan to check swimmers-"buddy system" .204(C) Swim test to classify swimmers by ability. L�= .204(A) Swimming areas clean and safe, no swimming at undesi nated sites or at night without lighting. .204E Piers and floats in good repair. .204(G) Watercraft: equipped with US Coast Guard approved flotation devices and wom by all campers and staff participating in watercraft activities. jp R utatios me Aquatics cont'd .204(H) Campers must be certified by American Red Cross or equivalent for white water, hazardous salt or fresh water activities. .103(C) Minimum 2 counselors in separate watercraft supervising white water, hazardous salt or fresh water activities. Crafts .205 Equipment in good repair, safety precautions taken. Playground/Athletic Equipment .206 Equipment properly maintained, fields/surfaces free of holes/accident hazards .206 Playground equipment secure, no concrete under/around_it,_ liable.swing seats. Firearms .201 Single shot rifles only. v .201 Shooting range away from other activity areas v' .201 Firearms in good condition, stored in locked cabinet. Ammunition locked in separate cabinet. Archery .202 Equipment in good condition, stored in locked area. .202 Range away from other activity areas, clearly marked as danger area. Must have common firing line and 25 yards clearance behind each target. !1 .203 No personal weapons, bows, rifles allowed. c Horseback Riding .208(A) 1 certified instructor per 10 campers (Min.2 counselors). .208(A) Riders must wear hard hat .208 B Licensed stable Cabins/Structures: .457 Day Camp provide shelter for on-going camp activities. .216 Smoke detectors provided. .455/.456 Egresses comply with Bldg.Code and are free from obstruction .453 Lighting provided for stairwa s .454 Floors maintained. Residential Camps/Sleeping Areas: .458 Provide adequate space: 40sgft/person in single bed 35sgfVperson in bunk bed 50sgft/person in sleeping area requiring special equipment .470 Provide bed/cot per person with 6 feet between sleeper's heads and: 3 feet between single beds/4'�z feet between bunks Rez W agarMINIM Residential Camps/Sleeping Areas: .459 Campers and staff with limited mobility housed on ground level;egresses leading to grade or ramp provided. �1 .452 Screens provided. Screen door self-closing. .454. Floors maintained. Tents: .217 Fire-retardant and non-toxic. No open flame nearby. E I .458 35 sgft/person in bunk bed t� Toilets/Showers .360 Proper sewage disposal .301 Plumbing in good working order .370 Adequate#of toilets: All camps: 2 toilets/privy seats for each sex Day Camp:>60 of one sex, provide 1 additional toilet per every 30 people of that sex. Non-Day Camp: >20 of one sex, provide 1 additional toilet per every 10 people of that sex. .372 Toilet less than 200 feet from sleeping rooms.Toilet paper provided. Windows/ openings screened. Screen doors self-closing. .373 Adequate#of sinks: Day Camp: 1 per every 30 people Residential Camp: 1 per every 30 .374 Adequate#of showers (residential camp): 1 shower/tub per 20 people L--- " .378/.380 Special needs campers provided facilities that meet their needs .453 Lighting rovided. .375 Toilets and shower rooms ventilated to outdoors .376 Hot water at sinks, showers/tubs not more than 112°F. y .377 Sanitary facilities maintained in clean condition. Shower room floors washed daily. L Laundry .162 Residential Camp: laundry facilities provided .472 Bedding and towels laundered; no common towels t. Grounds: .300 Potable water provided. .300/.304 Adequate and centralized drinking water facilities. No common drinking cups. .209 Telephone readily available with#s of HCC, EMS, police, fire. (Day and Residential Camps only) .213 Emergency communications stem. .165 Tobacco use restricted to designated areas not accessible to campers. .350/.355 Proper storage and disposal of solid waste -Regulation Yes No N/A Comments .207 Proper storage and operation of power equipment. .214 Flammable and hazardous materials labeled and stored in locked unoccupied building. .400 Rodent and insect control. .401 Weed and noxious plant control. .450 Site location does not cause undue traffic hazards and is accessible at all times. Food Service �- .320 Food service in compliance with 105 CMR 590.000, Minimum Standards for Food Establishments. Permit posted in food service facility. .330 Nutritious meals that include a variety of foods served. Menus posted. .331 Residential camps—Provide at least three nutritious meals. Foods must meet Recommended Dietary Allowances RDA .332 Day camps—Each meal provided must meet 1/3 of the RDA requirements. .334 Adequately trained staff and equipment provided to ensure handicapped campers are eating nutritious meals. .335 Proper methods for storing meals brought from home. Meals provided to campers who arrive without a bag lunch. .452 Screening provided for food preparation and food service areas. Screen doors must be self- closing. .453 Lighting rovided in kitchen and dining area. -- .471 Sleeping rohibited in food areas. REGULATION NO. THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE