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Home My WebLink AboutRecreational Camp for Children Inspection Report f i STATE SAIVITARY CODE: CHAPTER IV,MIINIMUM SA1vITATION AND SAFETY STANDARDS j FOR RECREATIONAL CAMPS FOR CHILDREN 105 CMR 430.000 x , s _� ... ;._�;:.,, �. _ - r NAME OF CAMP: ADDRESS: ' C.4� 6�.�0 ��r aa7 �� sT OWNER/OPERATOR: OFF SEASON ADDRESS: oZ`y 7 /-t/.//r�w Sj i CAMP DIRECTOR: � K I��6n1 M7 INSPECTED BY: ' TYPE OF CAMP: (Circle) WATER SOURCE: DATE AND TIME OF S CTION: � ay . . 1 �� / po on-Sport ��'� 7/9 /Z /a �n'1 . Trip P ive Trave CAMPER CAPACITY: ' ACCOMPANIED BY: Swimming Pool:Ye No j VGB Compliance Le . � �4 d �r�� .,�� , Yes No I "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 ector for sle in assembl areas .215 Written com liance from local fire d t .633 Cam license osted in rominent location ' .300(A)(2)(a) Private water supply-DEP approval(>25 '. eo le,>60 da s/ '' .300(A)(2)(b) Private water supply-BOH approval and ,� chemical and bacterial analyses : <25 eo le,<60da s/ Plans and Policies-Written .090(A) Procedures for background review of stafF and ✓ � volunteers Available/Followed � .090(C) CORI and SORI,previous work history, � �- 3 references,out of state/international criminal � back ound checks for staff .090(D) CORI and SORI,previous work history, � 3 references,out of state/international criminal ✓ background checks for volunteers -CITs a ' cam ers or un id volunteers ' � .090 E Back ound 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 a�i neglect prevention/reporting rocedures .191(B)(C) Discipline Policy with: appropriate discipline methods and rolvbitions .210(A) Fire evacuation plan and drills -Drills conducted within the first 24 hours of each session .210(B) Disaster Plan , / -Includin information on rtation �� 430-Rec Camp-InspectionNotes-Revised 8-20-10 Page 1 of 12 � ti.:�� ' .21��C� LOSt Cc�ITI eI'P11T1_ .210 C Lost Swiminer Plan .210 D Traffic Control Plan ,/ Contin enc lans-Da Cam : .211 A Cam er doesn't show u far cam Cam er doesn't show u at oint of ick u ' C Child not re 'stered arrives ' Contingency plans-Primitive,Travel and � � '• ' ; Tri .212 A Itiner dail -co rovided to arents Source of emer enc care ' Cam er release: ' .190(B) Camper released only to parents or parent- designated individual in writing ,� -Other plan- approved in writing by BOH ; Promotional Literature and Informational Packets � .159(B)(2) Copy of policy re: care of mildly ill campers, � administration of ineds and emergency health ,/ ' care rovision .190(C) Statement re:regulatory compliance and licensin ! .190(D) Inform parents of right to review background check,health care,discipline policies and 'evance rocedures u on r uest Trans ortation ; .250 Vehicle must comply with MGLc.90 s7B&7D: � <14 passengers and driver is camp coach, � d�rector,etc.pnvate vehicles may be used � >14 passengers,vehicle must be school bus ; All vehicles must be RMV com liant � .253 Pro er automobile insurance .251(C)(F) Seatbelts must be worn and special needs of cam ers communicated to driver ' .251(H) Camper<7yrs not transported longer than 1 hr to or from cam ' Staff Qualifications Cam Director• .102(A) Residential Camp:25 yrs,completed course in ; camp administration or at least 2 seasons of ✓ ; ex erience .102(B) Day Camp: 21 yrs,completed camp ✓ �A�C �v► administration course or 2 seasons of ex erience ) i ��r Lo .102(C) Primitive,Travel,Trip:21 yrs and proof of ; ex erience ! .102(D) Designated substitute when director off-site>12 Sr�y,� �LLrS hrs ✓ Cq,�,uL `/✓'IC.nA/etzN -Sub must meet criteria above ' i 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 2 of 12 � r __. ... _,. Counselors/Junior Counselors: : .100 Day camps,non-sport: / Counselor=l6 . Junior CounseloY=15 V .100 Other camps: Counselors= 18 yrs or graduated � from hi school. Junior Counselors= l6 .100 All counselors 3 s older than cam rs ' Re uired Counselor Ratios: .101(A) Residential and Day Camps: / ��,q.,,,� � : S � ' �L. 1 staff per 10 kids over 6 yrs y T�2£tL /: � ,� 6 3�2fi 1 staff er 5 cam ers 6 yrs and under ' .101(B) Primitive,Travel,Trip: ✓ �y„�, 2 e p�lvi5 1 counselor er 10 cam ers.2 counselor min ' .101(C) Special Needs: / �{•�, c ot,✓�s�l,� 1 counselor per 4 mildly disabled campers �/ Gvroz' , 1 counselor er 2 severel disabled cam ers , .103 Aquatics Director: Name � u n �af2.6 None � , American Red Cross ifeguard Trng cert.,CPR : for Professional Rescuer and First Aid Cert. or their equivalents -If su ervise 2 staff,21 and e1c rience w/mana ement .103 Lifeguard: American Red Cross Lifeguard 3 S� ��p.�,p Tmg cert.,CPR for Professional Rescuer cert. ✓ � L��,,�,.,dl and First Aid Cert.or their equivalents J o� ��c� -List names .103 Cerkifications for other high-risk activities,eg: C�3 Seo�t� NRA instructor certification for fireanns. � �c�^� l��^e'"� -List Names and Certifications: .252 Camp vehicle drivers: 18yrs;2yrs driving experience,current license for type of vehicle ✓ -First Aid certifie�i if no other h�ained staff aboazd Medical Personnel,Records,and Facilities , .159(A) Health Care Consultant ��y,�G� N e: �2 �a�►s� W n o o ��`� �T � NP PA(w/pediatric training) � �� `t�� S(�t4�S� License#: Check for Health Care Consultant Agreement • Review and approve first aid training of staff • HCC available for consolarions at all times • Si ed written orders for HS .159(C) Health Supervisor(on site at all times) Name: - x�,i�► / ��'� �� 18yrs,First Ai d CPR certified OR, ✓ MD PA NP LPN EMT -special needs or 'dential with>150 staff and campers must have health rofessional .159(B) Health Care Policy / • Approved by LBOH and HCC ✓ • Policy provided to all full time staff during orientation 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 3 of 12 I i � , � � ,- , o ��,_._ _ .:��;;�� , � _.: . _,. _. _. .160(A) Medication stored in ori ' a1 containers .160(B) Meds stored in secured cabinet and if necessary ; refrigerated in box affi�ced to refrigerator(if no � ; secondarylock) • Cabinet used for no other purpose � • Refri erator tem erature 38 to 42°F .160(C) Medication administered by Health Supervisor • HCC written acknowledgement of all / medications adtninistered at eh camp(if HS is �/ not 1VID PA NP RN LPl� �`, • Written emisin from arent/ dian .154 In' R orts com leted for fatali or serious J�Y � P �' injury. Copy sent to MDPH within 7 days .155 Medical log book-bound,pre-numbered pages, ink entries,no ski ed lines .161(A) Infirmary provided-day and resident camps � • Clearly I.abeled as Infinnary/Medical Area • Exterior li t residential Cam s .453 Li tin rovided in infinna .161(B) Area for isolation of ill child-Residential Camps � • Not used for an other ose .161(C) First Aid Kit: non-perfumed soap,sterile gauze � squares,compresses,adhesive tape,bandage scissors, triangular and rolled bandages,CPR mask,tweezers,cold ack, loves. .150 Health record for each camper and staff: Numb of records chec/k�ed: -emergency contact info ---� � �� _t -camper<18 yrs must have written parental Number of ined/care -Permission for meds and.emergency care � Residential,Sport,TraveUTrip: � p�ssions missing: -Health History,Physical F�am(<2yrs) � —�— ' -Record of Immunizations(noted below) Day Camp Non-Sport: Number health history/exam -Health History signed by parent/guardian or physician 1rilSSlllg: -Record of Immunizations(noted below) Immunizations• .152(A) Campers and staff under 18yrs: Number of records checked: /7 -M1VII2: 15`dose= 12 mos or older, -Measles:2'�dose=grades K-12 or age equiv Vaccination records missing: i -Polio:3 doses IPV or OPV, r� or 4 doses mix IPV/OPV -Diphtheria,Tetanus Toxoids,and Pertussis*: (�� Number of missing • � 4 doses DTaP/DTP/DT or, 3 doses of Td ' Campers and Staff>7 years f *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 k �� — ��2�� 7 3 ; }—�� 3� Z —�3Ya�- .E.�n . . .� � _ _o_ ; .152(B) Campers and staff 18 yrs or older: Number of records checked: � /Q -Measles:2 doses(exempt if born before 1957) -Mumps: 1 dose (exempt if born before 1957) �/ Vaccination records missing: -Rubella: 1 dose (exempt if born before 1957) b r ', � -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 ✓ and safe .163 erator encoura es sun rotection far a11 A uatics: .430 Swimming Pool:in compliance with 105 CMR ' 435.00 ' - ernut sted : .204(B) Bathing Beach: in compliance with 105 CMR � 445.00 -weekl water sam lin conducted/a�ailable .103 Proper supervision at swimming venue: � � 1 lifeguard per 25 campers � �• �� 1 counselor per 10 campers 1 � �� -Plan to check swimmers-"budd s tem" .204(A) Swimming areas clean and safe,no swiminiiig at undesi ated sites or at ni t without li tin .204 C Swim test to classi swimmers b abili ' .204 E Piers and floats in ood r air .204(G) Watercraft; equipped with US Coast Guard approved flotation devices and worn by all campers and staffparticipating in watercraft '; activities .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 Arts and Crafts: .205 Equipment in good repair,safety precautions taken Pla ound and Atliletic E ui ment: .206 Equipment properly maintained, fields/surfaces free of holes/accident hazards .206 Playground equipment secure,no concrete under/around it, liable swin seats 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 5 of 12 I � i I � � �� _ �� =a� Horseback Ridin .208(A) 1 certified instructor per 10 campers(Min.2 ; counselors j .208 A Riders must wear hard hat .208 B Licensed stable Firearms• .201 Sin e shot rifles onl � S .201 Shootin range awa from other activity areas .201 Firearms in good condition, stored in locked ,/ cabinet.Ammunition locked in separate cabinet Arche : .202 Equipment in good condition, stored in locked area .202 Range away from other activity azeas,clearly marked as danger area.Must have common ✓ firin line and 25 ards clearance behind tar ets .203 No ersonal wea ons,bows,rifles allowed Cabins,Structures,and Facilities All Structures• .216 Smoke detectors rovided in a11 structures .453 Lighting provided in: � -kitchen and dining room -toilet rooms -stairwa s .454 Floors maintained in a11 structures .455/.456 Egresses comply with Bldg. Code and are free from obstruction Da Cam Shelters: .457 Day Camp provides shelter for 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 -35sqft/person in bunk bed -50s ft/ erson in sl in azea r uirin s ecial e i 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 -3 feet between single beds or 412 feet between bunks ' -Tri le bunk beds aze rohibited Tents: .217 Fire-retardant and non-to�c ! -No o en flame nearb � � .458 35 ft/ erson in tent � Toilets and Showers: f .301 Plumbin in ood workin order ' .302 Cross-connections 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 6 of 12 ,�;,.. �,,��.,..._, : .360 Pro er sewa e dis osal .370 Adequate#of toilets: -All camps:2 toilets/privy seats for each gender -Day Camp:>60 of one sex,provide 1 additional toilet per every 30 people of that gender -Non-Day Camp:>20 of one sex,provide 1 additional toilet er eve 10 eo le of that ender .373 Adequate#of sinks: / -Day Camp: 1 per every 30 people 1� -Residential Cam : 1 er ev 30 .374 Adequate#of showers: -Residential Cam : 1 shower or tub er 20 e 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 Laund .162 Residential Cam : Laun facilities rovided .472 Bedding and towels laundered;no common / towels, sheets washed every 7 days, sleeping � ba s aired out every 5 da s Grounds .165 Tobacco use restricted to designated areas not accessible to cam ers .207 Proper storage and operation of power ui ment .209 Telephone readily available: � -with emergency contact number posted:HCC,EMS, police,fire -Day 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 B Stora e of cleanin and other chemicals .300 " Potable water rovided .300/.304 Adequate and centralized drinking water / facilities J -No common drinkin cu s .350/.355 Pro er stora e and dis osal of solid waste �/ .400(A) Rodent and insect infestation .400(B) Rodent and insect control plan: J -Pro er extermination method .401 A Weed and nolcious lant control .450(A)(D) Site location does nof 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 590.000,Minimum Standards for Food Establishments.Permit posted in food service ' facili � .330 Nutritious meals that include a variety of foods ' served. Menus osted ' .331 Residential camps—Provide at least three ' nutritious meals. Foods must meet ✓ � Recommended Diet Allowances A � .332 Day camps—Each meal provided must meet 1/3 � ,S�z,� .Cv^��3 I of the RDA r uirements .334 Adequately trained staffand equipment � i provided to ensure handicapped campers are � eatin nutritious meals ; .335 Proper methods for storing meals brought from home. Mea1s provided to campers who arrive ✓ without a ba lunch .452 Screening provided for food preparation and food service areas. Screen doors must be self- , I closin ' .453 Li tin rovided in kitchen and dinin area .471 Sle in rohibited in food areas I , REGULATION NO. TgE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE " 3 1 t `(� - c a � i � � � w i C � T � �� ` .. �/ � // / / � . �PP� �Z U� � '�j�''�' � � /' •' v� � i ( R a� � ��CC/ � e � � � � i r F 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 8 of 12 `f f I f � ! � � I i f i i � i �J i 6� — /D "f�e� � / — � 9 - � 3 � - 7 �to � '�— � 7 a 3 -- '7 a- 8' -- 8 _ , � C s / ��' T _ - 430-Rec Camp-Inspection Notes-Revised 8-20-10 Page 9 of 12 � . i � ; i � � � � � � i 430-Rec Camp-Insp�tion Notes-Revised 8-20-10 Page 10 of 12 i r \ �� 1 ,� ��/� �, . �� ►. , . . ' � � _C � Ii �� . � . _ � � ' �.� . - �� '< < _,,i\ � ' -�� . � � / � -� - raG .,. ,..-.� - . ,�. , . , t �,� � - ��n�-� , - .: . . - �� . - �� , i s� . 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