HomeMy WebLinkAboutRecreational Camp for Children Inspection Report DEPARTMENT OF PUBLIC HEALTH-DIVISION OF COMMLTNITY SAlvITATION
STATE SAIVITARY CODE: CHAPTER IV,NIINIMUM SAIVITATION AND SAFETY STANDARDS FOR
RECREATIONAL CAMPS FOR CHILDREN, 105 CMR 430.000
NAME OF CAMP: ADDRESS:
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OWNER/OPERATOR: OFF SEASON ADDRESS:
-�—t�� ��- /�,�,�.►wE �c.�.� ��'� �r2�f �c'aU�r a�
CAMP DIltECTOR:
M��� ��4� DATE/TIME OF INSPECTION:
PHONE#: �j `�to C�._G��� �=✓i` � �3�/ �
TYPE OF CAMP: wATER SOU1tCE: INSPECTED BY:
a�� Residential �TC�t�+�. �r/�� ,,�E �
Sport � Non-Sport CAMPER CAPACTTY: �"'���°�
Tri � Primitive � Travel c�Q��
"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 licable to this cam .
.451 Current Certificate(s)of Occupancy from �
local buildin ins ector for sl in assembl areas
.215 Written com liance from local fire d t.
.300(A)(2) Private water supply ✓
(a) DEP a oval(>25 eople,>60 da s/ )
300(A)(2) Private water supply
ro� BOH approval,chemical&bacterial analyses
<25 eo le,<60da s/
.090(A) Procedures for Background Review of
Staff/Volunteers
Staff- CORI and SORI /
.090(C) -Previous Work History-3 References- �
Out-of-state/International Criminal Back ound Checks
Volunteer Staff— CORI and SORI /
.090(D) —Previous Work History— 3 References— ��
Out-of-state/International Crimival Background Checks
.090(F� �Background Info-Received,reviewed,&made
determinarion r uired ursuant to.090 C&D
.091 Staff/Volunteer Orientation Plan&Review
.093 Abuse&Neglect Prevention/Report procedures
Discipline Policy:Appropriate Discipline Methods&
.191 Prohibitions:(1)Corporal Punishment,including spanking,is
�o� �� prohibited;(2)No camper shall be subjected to cruel or severe � /
�C� punishment,humiliation,or verbal abuse;(3)No camper sha11 be V
f denied food or shelter as a form of punishment;(4)No child
✓ shall be unished for soilin ,wettin or not usin the toilet
.210(A) Fire Evacuation Plan and Drills
Z10(B) Disaster Plan
� .210(C) Lost Cam er Plan / Lost Swixnxner Plan
.210(D) Traf�'ic Control Plan
430-Inspection Sheet-8-8-16.docx Page 1
Zli(A) Camper doesn't show up for day
.211(B) Cam er doesn't show u at oint of ick u ✓
.211(C) Child not re istered amves ✓
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, Copy of Policy(Parents/Sta�: Care of Mildly ill
" .159(B)(2) Campers,Administration of Meds&Emergency ./�
Health Care Provision
'� .190(B) Camper released only to Parents or Parent- �
Desi ated Individual in writin
J Statement: Regulatory Compliance&Licensing �
.190(C) "This camp must comply with regs of the MDPH&be
licensed b the LBOH"
J .190(D) �orm parents of right to review background
�ac hme ot check,health care,discipline policies and
appL'catton) 'evance rocedures u on re uest
J . . �
.212(A) Dail Itiner -Co to Parents
.212(B) Source of Emer enc Care
Contingency Plans(natural disasters,missing campers,
.212(C) lost swimmers,illness and injury)Sh111 Travel with �
Cam ers&Staff
Vehicle must comply with MGLc.90 s7B&7D: ,�� �� S,�,o�.�
<14 passengers&driver is camp coach,director,etc.private ✓
.250 vehicles may be used
>14 passengers,vehicle must be school bus
All velucles must be RMV com liant
.253 Pro er automobile insurance
.251(C) Seatbelts must be worn
.251(I� Camper<7yrs not transported longer than 1 hr to /
cam V
Camp vehicle drivers' 18yrs,2yrs driving experience, �5 (�.�,�
.252 current license for type of vehicle �
First Aid certified if o other trained staff aboard.
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.102(A) Residential Cam :25 yrs,completed course in
cam administration or at least 2 seasons ex erience
102(B) Day Camp: 21 yrs,completed camp administration �/f,�,�„ (�S i�
course or 2 seasons ex 'ence Q ��
.102(C) P�itive,Travel,Trip: 21 yrs&proof of �
ex erience.
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.102(D) � . ... _.. .,. ,... . „ ! �
when director off site>12 hrs �s�m�r m�c�rir�;a��e� ��e�i C('GtdC
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.1� Day Camp,Non-Sport: ,✓' �_ ���-
Counseloi= 16 . Junior Counselor= 15 �22. C��"1� 1 1 �
.100 Other camps: Counselors= 18 yrs or graduated �
from hi h school. Junior Counselors= 16 s
.100 All counselors 3 older than cam ers
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Residential/Day Camps:
-� .101(A) 1 staffper 10 kids over 6 yrs
1 staff er 5 cam ers 6 and under
.101(B) P�itive,Travel,Trip: ✓
1 counselor er 10 cam ers.2 counselor min.
� Special Needs:
.101(C) 1 counselor per 4 mildly disabled campers
1 counselor er 2 severel disabled cam ers
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American Red Cross Lifeguard Trng cert.,CPR �
.103 for Professional Rescuer&First Aid Cert.or their
equivalents.
if supervising 2+staff,must be 21yis&ex 'ence w/mana ement
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Amencan Red Cross Lifeguard Trng cert.!'CPR � � p!�
.103 for Professional Rescuer cert. &First Aid Cert.or
their uivalents.
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NP PA(w/pediatric training) �2 �J.g��y1G�
.159(A) *Check for Health Care Consultant A�eement*
Lincense#:
✓ Ch�:�M��.- Ft�M
.159(C) M� PA NP RN LPN or... N vrs�S S�'e`r
8 , irst Aid& c
.159(B) Health Care o ic
.160(A) ALL Medications stored in Ori ' 1 Containers
Meds stored in Secured Cabinet
.160(B) &if necessary refrigerated in box affixed in ✓
refri erator(if no secondary lock)
1� Injury Reports completed for fatality or serious
iri .Co sent to MDPH.
160(C) Medication administered by Health Supervisor ar �
Licensed Health Care Professional
.160(C) W�tten list of all meds administered at camp ✓
(if H.S.not a L.H.C.P.auth'd to admin Rx,meds
.160(B) Refri erator tem erature 38 to 42
� ;��e�ical.l..a�.E3c�ok /
.155 bound,pr�numbered pages,ink entries,no skipped .�
lines.
� .161(A) Day/Residential Camps-Infirinary provided
Residential Cam s -Exterior li t
� .453 Lighting provided in infirmary ✓
.161(B) Residential Camp-Area for isolation of ill child
Fir�t��id Kit: non-perfumed soap,sterile gauze �
� .161(C) squares,compresses,adhesive tape,bandage
scissors,triangular and rolled bandages,CPR
mask,tweezers,cold pack,gloves.
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Health Record for each Camper&Staff: S�„�, i ,,�,..3
� .150 Staff/Camper>18 yrs-Emergency Contact Info � °
Camper<18 yrs must have Written Parental
Peimission for Meds/Emer enc Caze
Residential,Travel/Trip,Sports Camp—Physical
�.. .151(A)(B) required(past 2 years) �
Da Cam —ParendGuardian si s off on ood health
Camqers and 5taff under 18yrs: Number of records checked:
M1VIIZ: 1�dose = 12 mos or older,
Measles: 2nddose=grades K-12 or age equiv ,�dq
Polio: 3 doses IPV or OPV,or (,��
4 doses mix Il'V/OPV
� Diphtheria and Tetanus Toxoids and
Pertussis*:
4 doses DTaP/DTP/DT or,
.152(A) 3 doses of Td
(persons 7 years or older needing addirional vaccines to
comply with above,Td is to be used)
*Booster dose of Td:
-grades 7-10 need booster if>Syrs 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
He B: 3 doses if born on or after 1/1/92
Campers and Staff over 18yrs: Number of records
Measles: 2 doses(exempt born before 1957) checked:
� Mumps: 1 dose (exempt born before 1957) �
Rubella: 1 dose
.152(B) Diphtheria and Tetanus Toxoids*:
3 doses DT/Td
*Booster dose of Td required if more than 10 yrs
since last dose.
.190 Activities and physical environxnent meet the needs �
of cam ers;do not ose hazard to health/safe .
.163 Operator encourages sun protection for a11. �
Swimxning Pool: in compliance with 105 CMR
.430 435.00-Pernut Posted �
**VBG Com liance Letter**
.432 Bathing Beach: in compliance with 105 CMR �
445.00-weekly water sampling conducted.
Proper supervision at swimming venue: f
.103 1 lifeguard per 25 campers
1 counselor per 10 campers
Plan to che�k swiminers-"buddy system"
.204(B) Swim test to classify swimmers by ability. `�
.204(A) s�"mming areas clean and safe,no swimming at ,,/
undesignated sites or at night without lighting.
.204(E) Piers and floats in good repair.
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Watercraft: equipped with USCG approved
� .204(G) flotation devices and worn by all campers and ✓
staff participating in watercraft activities.
Campers must be certified by ARC level3
`�r .204(H) swimmers or equivalent for white water,
hazardous salt or fresh water activities.
Minimum 2 counselors in separate watercraft
'� 103(C) supervising white water,hazardous salt or fresh
water activities.
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.205 ��pment in good repair,safety precautions /
taken. v
.206 Equipment properly maintained,fields/surfaces
free of holes/accident hazards
.206 playground equipment secure,no concrete
under/around it,pliable swing seats.
ames/Certs:
.201 Single shot rifles only +/
.201 Shooting range away from other activity areas ✓
ZOl Firearn�s in good condition,stored in locked �
cabinet.Ammunition locked in s arate cabinet
.103 Certifications for other high-risk activities,eg: /
NRA Instructor Certification for Firearms ✓
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.202 Equipment in good condition,stored locked �
Range away from other activity areas,clearly
ZOZ marked as danger area.Must have common firing �/
line and 25 ards clearance behind each tar et.
.203 P�'sonal weapons,bows,rifles allowed w/camp
o erator's written ernlission
ames/Certs:
.103(G) 1 Certified Instructor per 10 campers �'
minimal2 Counselors
.103(G) Riders must wear hard hat
.103(G) Licensed stable
.457 Day Camp provides shelter for on-going camp /
activities ✓
.216 Residential-Smoke detectors provided
.456 Adequate egresses free from obstruction �
.453 Lighting provided for stauways ✓
.454 Floors maintained.
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Provide adequate space:
.458 40sqft/person in single bed; 35sqft/person in ✓,
bunk bed; 50sqft/person in sleeping area
requiring special equipment
Provide bed/cot per person with 6 feet between ✓
.470 sleeper's heads and: 3 feet between single beds/
41� feet between bunks
Campers and staffwith limited mobility housed on
.459 ground level; egresses leading to grade or ramp
provided.
.452 Screens provided. Screen door self-closing. ✓
.454 Floors maintained. ✓
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21� Fire-retardant and non-toxic.No open flame /
nearby. V
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.360 Proper sewage disposal �
.301 Plumbing in good working order ✓ '
Adequate#of toilets:
All camps:2 toilets/privy seats for each sex �
.370 Day Camp: >60 of one sex,provide 1 addirional
toilet per every 30 people of that sex
Residential:>20 of one sex,provide
additional toilet per every 10 people of that sex.
Toilet less than 200 feet from sleeping rooms. �
.372 Toilet paper provided.Windows/openings .
screened. Screen doors self-closing.
�73 Adequate#of sinks: �
Day/Residential Camp: 1 per every 30 people
�74 Adequate#of showers:
Residential Camp: 1 shower/tub per 20 people
.378/.380 Special needs campers provided facilities that
meet their needs
.453 Lighting provided �.
375 Toilets and Shower rooms ventilated to outdoors
�76 Hot water at sinks,showers/tubs not more than
112°F
377 Sanitary facilities maintained in clean condition
Shower room floors washed daily
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.162 Residential Camp: Laundry facilities provided
.472 Bedding and towels laundered;no common towels
430-Inspection Sheet-8-8-16.docx Page 6
.300 Potable water provided �
.300/.304 Adequate and centralized drinking water facilities ✓
-No common drinking cups
Day/Residential Camps: Telephone readily �
.209 available with#s of HCC,Loca1 Hospitals,Police,
Fire,Ambulance
.213 Fmergecacy Commun�cation Sys�emlProcedure
.165 Tobacco use restricted to designated areas not �
accessible to campers.
350/355 Proper storage and disposal of solid waste �
Z07 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
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Food service in compliance with 105 CMR �, �)y .,�, ��
�20 590.000,Minunum Standards for Food
Establishments.Pernut posted in food service
facility.
.330 Nutritious meals that include a variety of foods
served. Menus posted.
Residential camps—Provide at least three
.331 nutritious meals. Foods must meet Recommended
Dietary Allowances(RDA)
.332 Day camps—Each meal provided must meet 1/3 ✓
of the RDA requirements.
Adequately trained staff and equipment provided �
334 to ensure handicapped campers are eating
nutritious meals.
Proper methods for storing meals brought from /
335 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 provided in kitchen and dining area.
.471 Sleeping prohibited in food areas.
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