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Home My WebLink AboutRecreational Camp for Children Inspection Report \ S 1 's STATE SAIVITARY CODE: CHAPTER IV,MINIMUM SA1�iITATION AND SAFETY STANDARDS FOR RECREATIONAL CAMPS FOR CHILDREN,105 CMR 430.000 NAME OF CAMP:�� r ADDRESS: een ov6�l, �r �c'. r � o�' OWNER/OPERATOR: OFF SEASON ADDRESS: c"P '7 !/rj !�t/5� CAMP DIRECTOR: n INSPECTED BY: OF CAMP:(Circle) ATER SOURCE: DATE AND TIME OF INS C ON: Day esidential port/Non-Sport) �Ou^�' '7 9ll'3 j �/1 d113 Trip Primitive Travel CAMPER CAPACITY: ACCOMPANIED BY: Swimming Pool:Yes Qo VGB Compliance Letter: � n (� Yes N M �Gi� "No"column= "�"marked below indicates a violation of 430.000. "Yes"column= "�"marked below indicates compliance with provision of 430.000. "N/A"column= "�"marked below indicates that the rovision of 430.000 is not a licable to this cam . Permits .451 Current Certificate(s)of Occupancy from local buildin ins tor for slee in assembl areas '�� .215 Written com liance from local fire de t O`{.. .633 Cam license sted in rominent location .300(A)(2)(a) Private water supply-DEP approval(>25 p� �-�,,,,� �,�,�,, o le,>60 da s/ r .300(A)(2)(b) Private water supply-BOH approval and chemical and bacterial analyses (5K- <ZS o le,<60da s/ Plans and Policies-Written .090(A) Procedures for background review of staff and w�►� P��" volunteers Available/Followed � � �� .090(C) CORI and SORI,previous work history, 3 references,out of state/international criminal p� C�� back ound checks for staff .090(D) CORI and SORI,previous wark history, 3 references,out of state/international criminal � G./� ��- background checks for volunteers -CITs a in cam ers or un aid volunteers .090 Back round information maintained for 3 ears � .090(F) Received,reviewed,and made determination in re ards to all back ound information .091 Staff and volunteer orientation lan and review .093 Abuse and neglect prevention/reporting � �U,�� w� �lG,�, rocedures .191(B)(C) Discipline Policy with:appropriate discipline � �� methods and rohibitions • .210(A) Fire evacuation plan and drills -Drills conducted within the first 24 hours of each session .210(B) Disaster Plan ✓ -Includin information on trans rtation 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 1 of 12 ; .210 C Lost Cam r Plan .210 C Lost Swimmer Plan .210 Traffic Control Plan Contin en lans-Da Cam : .211 A Cam r doesn't show u for cam Cam r doesn't show u at int of ick u C Child not re istered arrives OlL � Contingency plans-Primitive,Travel and Tri .212 A Itine dail -co rovided to arents p�-. Source of emer enc care Cam er release• .190(B) Camper released only to parents or parent- designated individual in writing �µ"° -Other plan- approved in writing by BOH Promotional Literature and Informational Packets .159(B)(2) Copy of policy re:care of mildly ill campers, �E�.c ed . administration of ineds and emergency health (�� c�� a/� care rovision .190(C) Statement re:regulatory compliance and � N�td licensin � '��MI .190(D) Inform parents of right to review background check,health care,discipline policies and �. 'evance rocedures u n re uest Trans rtation .250 Vehicle must comply with MGLc.90 s7B&7D: <14 passengers and driver is camp coach, director,etc.private vehicles may be used 0�. >14 passengers,vehicle must be school bus All vehicles must be RMV com liant ' .253 Pro r automobile insurance ; .251(C)(F) Seatbelts must be worn and special needs of � cam rs communicated to driver ' .251(I� Camper<7yrs not transported longer than 1 hr to or from cam Staff ualifications Cam Director• .102(A) Residential Camp:25 yrs,completed course in ��,�,ncz (,,�5 camp adminis�ation or at least 2 seasons of ex rience .102(B) Day Camp:21 yrs,completed camp b�_ administration course or 2 seasons of ex rience .102(C) Primitive,Travel,Trip:21 yrs and proof of ex rience .102(D) Designated substitute when director off-site>12 u �,,�y� -Z�� hrs v " / -Sub must meet criteria above 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 2 of 12 � Counselors/Junior Counselors: � .100 Day camps,non-sport: O'L Counselor-16 rs. Junior Counselor=l5 rs. .100 Other camps:Counselors= 18 yrs or graduated � from hi h school.Junior Counselors= 16 s � .100 All counselors 3 rs older than cam rs OI�C•. R uired Counselor Ratios: .101(A) Residential and Day Camps: � r }�P�,Q,'� 1 staffper 10 kids over 6 yrs �(� � S � ' '� 1 s t a ff r 5 c a m r s 6 r s an d u n d e r ��y�� ' �"�� .101(B) Primitive,Travel,Trip: 2 ,��, 1 counselor r 10 cam rs.2 counselor min d� � ` `� .101(C) Special Needs: � 1 counselor per 4 mildly disabled campers �� 1 counselor r 2 severel disabled cam rs .103 Aquatics Director: Name �^ �iQ.-�k None American Red Cross Life d Trng cert.,CPR �� for Professional Rescuer and First Aid Cert.or their equivalents -If su ervise 2 staff,21 and ex rience w/man ement .103 Lifeguard:American Red Cross Lifeguard C ol�� Ke t Trng cert.,CPR for Professional Rescuer cert. vX- �,►�^ H'.'��9fe' and First Aid Cert.or their equivalents (��.{ (�gE� -List names .103 Certifications for other high-risk activities,eg: {�gs NRA instructor certification for firearms. O I� S+na ./^ Q� -List Names and Certifications: (1 at�+ � P� .252 Camp vehicle drivers: 18yrs,2yrs driving o� �'S �cv. �no��- experience,current license for type of vehicle -First Aid certified if no other trained staff aboard Medical Personnel,Records,and Facilities 159(A) Health Care Consultant �N e: Y)(�< '�S ner �GS NP PA(w/pediatric training) License#: �� Check for Health Care Consultant Agreement • Review and approve fust aid training of staff • HCC available for consolations at a11 times • Si ed written orders for HS .159(C) Health Supervisor(on site at all times) Name: �.. � � ,First Aid an CPR ifie OR, �X� MD PA NP RN L1�N-'E1C�f� -special needs or residential with>150 staff and campers , must have health rofessional ' .159(B) Health Care Policy • Approved by LBOH and HCC �� • Policy provided to a11 full time staffduring orientation 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 3 of 12 7 .160 A Medication stored in ori inal containers p .160(B) Meds stored in secured cabinet and if necessary refrigerated in box affixed to refrigerator(if no secondary lock) U�- • Cabinet used for no other purpose • Refri erator tem erature 38 to 42°F .160(C) Medication administered by Health Supervisar • HCC written acknowledgement of all medications administered at eh camp(if HS is C7�• not MD PA NP RN LPl� • Written remisin from arent/ dian .154 Injury Reports completed for fatality or serious � in' .Co sent to NIDPH within 7 da s n `� .155 Medical log book-bound,pre-numbered pages, ink entries,no ski d lines � .161(A) Infirmary provided-day and resident camps • Clearly Labeled as Infirmary/Medical Area b� • Exterior li t residential Cam s .453 Li tin rovided in infirm .161(B) Area for isolation of ill child-Residential Camps �� • Not used for an other se .161(C) F1rst Aid Kit: non-perfumed soap,sterile gauze ��d� p�{-, squares,compresses,adhesive tape,bandage scissors, lriangular and rolled bandages,CPR mask,tweezers,cold �� '�-�� ack, loves. .150 Health record for each camper and staff: Nu�bTof records checked: -emergency contact info � -camper<18 yrs must have written parental Number of ined/care - -Permission for meds and emergency care � permissions missing: Residential,Sport,TraveUTrip: -Health History,Physical Exam(<2yrs) �— -Record of Immunizations(noted below) Day Camp Non-Sport: Number health history/exam -Health History signed by parent/guardian or physician missing: -Record of Immunizations(noted below) ' Immunizations• .152(A) Campers and staff under 18yrs: Number of records checked: -MMR: 1�dose= 12 mos or older, -Measles:2`�dose=grades K-12 or age equiv Vaccination records missing: -Polio:3 doses IPV or OPV, / or 4 doses mix IPV/OPV �� -Diphtheria,Tetanus Togoids,and Pertussis*: � Number of missing 4 doses DTaP/DTP/DT or, 3 doses of Td Campers and Staff>7 years *Booster dose of Td• Number of missing -grades 7-10 need booster if>Syrs since last dose of DTaP/DTP/DT -grades 11-12 need booster if more than 10 yrs Number of missing since last dose of DTaP/DTP/DT/Td -He B: 3 doses if born on or after 1/1/92 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 4 of 12 e .152(B) Campers and staff 18 yrs or older: Number of records checked: -Measles:2 doses(exempt if born before 1957) -Mumps: 1 dose (exempt if born before 1957) Vaccination records missing: / -Rubetla: 1 dose (exempt if born before 1957) � i� -Diphtheria and Tetanus Toxoids*: 3 doses DTaP/DTP/DT/Td Number of missing *Booster dose of Td: -If more than 10 yrs since last dose Number of missing Activities .190(A) Activities and physical environment meet the needs of campers;do not pose hazard to health �I�., and safe .163 O rator encoura es sun rotection for all „ A uatics• .430 Swimming Pool: in compliance with 105 CMR / 435.00 �� - rmit sted .204(B) Bathing Beach: in compliance with 105 CMR 445.00 �1�C -weekl water sam lin conducted/available .103 Proper supervision at swimming venue: � . �,� 1 lifeguard per 25 campers � ,� �� g 1 counselor per 10 campers (�- -Plan to check swimmets-"budd s stem" "�b .204(A) Swimming areas clean and safe,no swimming �,� at undesi ated sites or at ni t without li tin .204 C Swim test to classi swimmers b abili c�Vl. .204 Piers and floats in ood re air p .204(G) Watercraft:equipped with US Coast Guard approved flotation devices and worn by all �� campers and staffparticipating in watercraft activities .204(I-� 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 �d�1 e. Vj�a'� supervising white water,hazardous salt or fresh (��, ��S �aV� water activities Arts and Crafts: .205 Equipment in good repair,safety precautions taken 0`(.. Pla round and Athletic E ui ment: .206 Equipment properly maintained,fields/surfaces free of holes/accident hazards C7� .206 Playground equipment secure,no concrete under/around it, liable swin seats c7� 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 5 of 12 _ Horseback Ridin : .208(A) 1 certified instructor per 10 campers(Min.2 ,✓ counselors .208 A Riders must wear hard hat .208 Licensed stable Firearms• .201 Sin le shot rifles onl .201 Shootin ran e awa from other activi areas .201 Firearms in good condition,stored in locked e,��c�e.� - cabinet.Ammunition locked in se arate cabinet ��. �Q Arche : .202 Equipment in good condition,stored in locked area �� .202 Range away from other activity areas,clearly marked as danger area.Must have common firin line and 25 ards clearance behind tar ets .203 No rsonal wea ns,bows,rifles allowed Cabins,Structures,and Facilities All Structures• .216 Smoke detectors rovided in all structures .453 Lighting provided in: -kitchen and dining room U� -toilet rooms -stairwa s .454 Floors maintained in all structures .455/.456 Egresses comply with Bldg.Code and are free from obstruction �� Da Cam Shelters: .457 Day Camp provides shelter far on-going camp ✓ activities Residential Cam s-Slee in Areas: .452 Screens and self-closin screen door rovided .458 Provide adequate space: -40sqft/person in single bed p� -35sqft/person in bunk bed -SOs ft/ erson in slee in area r uirin s cial ui ment .459 Campers and staffwith limited mobility housed on ground level with egresses leading to grade � or ram rovided .470 Bed or cot provided to each person with: -6 feet between sleeper's heads G� -3 feet between single beds or 4'�feet between bunks -Tri le bunk beds are rohibited Tents: .217 Fire-retardant and non-toxic `' -No o n flame nearb ��/ .458 35 s ft/ rson in tent yL- Toilets and Showers: .301 Plumbin in ood workin order S,t., .302 Cross-connections �(�y 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 6 of 12 .360 Pro r sewa e dis sal .370 Adequate#of toilets: � ,ou��e�S -AIl camps:2 toilets/privy seats for each gender � -Day Camp:>60 of one sex,provide 1 additional toilet per �� a �t�1-s every 30 people of that gender -Non-Day Camp:>20 of one seac,provide 1 additional toilet er ev 10 le of that ender .373 Adequate#of sinks: -Day Camp: 1 per every 30 people 6� -Residential Cam : 1 er ev 30 .374 Adequate#of showers: ✓ -Residential Cam : 1 shower or tub er 20 le .375 Toilets and shower rooms ventilated to exterior .376 Hot water at sinks,showers,or tubs not more than 112°F (� .377 Sanitary facilities maintained in clean condition- Shower room floors washed dail � .378/.380 Special needs campers provided facilities that meet their needs ��1. Laund .162 Residential Cam :Laun facilities rovided .472 Bedding and towels laundered;no common ! towels,sheets washed every 7 days,sleeping V ba s aired out eve 5 da s Grounds .165 Tobacco use restricted to designated areas not accessible to cam rs .207 Proper storage and operation of power e ui ment .209 Telephone readily available: � -with emergency contact number posted:HCC,EMS, police,fire -Da and Residential Cam s onl .213 Emer enc communication s stem .214(A) Flammable and hazardous materials labeled and / stored in locked unoccu ied buildin �� 214 Stora e of cleanin and other chemicals 300 Potable water rovided .300/.304 Adequate and centralized drinking water � facilities -No common drinkin cu s .350/.355 Pro r stora e and dis sal of solid waste .400 A Rodent and insect infestation .400(B) Rodent and insect control plan: -Pro r extermination method .401 A Weed and noxious lant control .450(A)(D) Site location does not cause undue traffic hazards and is accessible at all times .450(B) Site location not located where surface drainage conditions create no health or safe hazard 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 7 of 12 Food Service .320 Food service in compliance with 105 CMR (.1pT rrb�- 590.000,Minimum Standards for Food C�n��i� Establishments.Permit posted in food service a� facili .330 Nutritious meals that include a variety of foods O� served. Menus sted .331 Residential camps-Provide at least three nutritious meals. Foods must meet �f C- Recommended Die Allowances A .332 Day camps-Each meal provided must meet 1/3 �� of the RDA re uirements .334 Adequately trained staff and equipment provided to ensure handicapped campers are �1L eatin nutritious meals .335 Proper methods for storing meals brought from home. Meals provided to campers who arrive b�- without a ba lunch .452 Screening provided for food preparation and food service areas. Screen doors must be self- b� closin .453 Li tin rovided in kitchen and dinin area � .471 Slee in rohibited in food areas REGULATION NO. THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE /� i � G /� � � �/ G-� 430-Rec Camp-InspectionNotes-Revised 8-20-10 Page 8 of 12 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 9 of 12 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 10 of 12 � 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 11 of 12 , i , t 6 �.----. � ` � ._.. / G� � 1 � � ti � weP C�L- �.e �� o,,.ot U 1 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 12 of 12 � C�c,� c`9"�° ��, �� \ °� � � � . � � � � '� �� , �� , �� S��- �1��- : C �2. C v� SCr� .� 6T?�i� � C�S ,�,�s � �� — � 3 n�S` �1- ,� vl�• I � ;