HomeMy WebLinkAboutRecreational Camp for Children Inspection Report DEPARTMENT OF PUBLIC HEALTH—DIVISION OF COMMLTNITY SAlVITATION
STATE SAIVITARY CODE: CHAPTER IV,MINIMUM SANITATION 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:
�.5����5 COc.�G� �
Cvc� � l r1��4
C DIRECTOR: ��/� �%��t� -�7.• �� .7
,,G�.ry, ��� DATE/TIlVIE OF INSPECTION:
PHONE#: �b� ��Z� �' � �D )� �} � I Q ) �
TYPE O wa�x SouxcE: INSPECTED BY:
a � Residential �fX� �,t�
Sport � Non-Sport CAMPER CAPACITY: r� i�-l�CN '-t
Tri � Priinitive � Travel
"No"column= ✓marked below indicates a violarion of 430.000.
"Yes"column= ✓mazked 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 .
,�� �.
.451 �'�t Certificate(s)of Occupancy from
local buildin ins tor for sl in assembl areas
.215 Written com liance from local fire d t.
.300(A)(2) Private water supply �
(a) DEP a roval(>25 eople,>60 days/yr)
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— V �u S�,� �',�s }
Out-of-state/International Crimnial Back ound Checks
Volunteer Staff— CORI and SORI �
.090(D) —Previous Work History— 3 References—
Out-of-state/Intemational Criminal Background Checks
.090(� `�Background Info-Received,reviewed,&made J
determination 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 �'o�bitions:(1)Corporal Punishment,including spanking,is �
B� prohibited;(2)No camper shall be subjected to cruel or severe
�C� punishment,humiliation,or verbal abuse;(3)No camper shall be
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
.210(B) Disaster Plan -
.210(C) Lost Cam er Plan / Lost Swimmer Plan
.210(D) Traffic Control Plan
430-Inspection Sheet-8-8-16.docx Page 1
.211(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 arrives
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_..�.: _.. ...: �: �; ...
Copy of Policy(Parents/Sta�: Care of Mildly ill
.159(B)(2) Campers,Administration of Meds&Emergency ,f
Health Care Provision �
.190(B) Camper released only to Parents or Parent- �
Desi ated Individual in writin
Statement: Regulatory Compliance&Licensing �
.190(C) "This camp must comply with regs of the MDPH&be
licensed b the LBOH"
.190(D) �orm parents of right to review background
(at time of check,health care,discipline policies and �
aPpucason� 'evance rocedures u on re uest
.212(A) Dail Itiner -Co to Parents
.212(B) Source of Emer enc Care f�, '
Contingency Plans(natural disasters,missing campers,
.212(C) lost swimmers,illness and injury)shall Travel with
Cam ers&Staff
�,�v,.
Vehicle must comply with MGLc.90 s7B&7D:
<14 passengers&driver is camp coach,director,etc.private /
.250 vehicles may be used �� .
>14 passengers,vehicle must be school bus
All ve°cles 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
Camp vehicle drivers: 18yrs,2yrs driving experience,
.252 current license for type of vehicle
First Aid certified if no other trained staff aboard.
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.102(A) Residential Camp:25 yrs,completed course in /
cam administration or at least 2 seasons ex erience r�
.102(B) Day Camp: 21 yrs,completed camp administration /�y.� " �
course or 2 seasons ex erience
.102(C) P��ve,Travel,Trip: 21 yrs&proof of �
ex erience.
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.102(D) �,hen director off-site>12 hts (sub inust�neet ciitena abo�e) � a�i ��
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.1� Day Camp,Non-Sport: ,,� �� �
Counselor= l6 . �JuniorCounseloi= 15 � � -�F'. �.1��,,�p/a�'
1� Other camps: Counselors= l8 yrs or graduated /
from hi h school. Junior Counselors= 16 V
.100 All counselors 3 older than cam ers
430-Inspection Sheet-8-8-16.docx Page 2
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Residential/Day Camps: _ _ �
.101(A) 1 staffper 10 kids over 6 yrs �+' �
1 staff er 5 cam ers 6 yrs 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
American Red Cross Lifeguazd Trng cert.,CPR / ���''�� �� �
.103
for Professional Rescuer&First Aid Cert.or their V �`'� �����
equivalents. �J��S�S`�'��'
if su ervisin 2+staff,must be 21 &e�c erience w/mana ement '` "
,-; , x�"a � ���C`�,5u�°�,
American Red Cross,°'Lifeguard Trng cert.�'CPR � � W������. �i r
.103 for Professional Rescuer cert. &First Aid Cert. or �
their uivalents. ���`
�. � ��,^�+�
NP PA(w/pediatric training) �;�-,.���it�T'
.159(A) *Check for Health Care Consultant Agreement* ��C� �-�'
Lincense#: �/`7!U�J Gt ��v'l
f3e�-�-y ��o�'�
.159 C � PA NP RN LPN or...
( ) 18 F- �'�r,k't-��st,�•�:.�
.159(B) Health Care Polic
� .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 NIDPH.
160(C) Medication administered by Health Supervisor or �
Licensed Health Care Professional
.160(C) written list of all meds admmistered at camp ✓
(if H.S.not a L.H.C.P.auth'd to admin I�,meds)
�4' .160(B) Refri erator tem erature 38 to 42
:'���di��i l.,c��; t3c�c�k
�P .155 bound,pre-numbered pages,ink entries,no skipped �
lines.
� .161(A) Day/Residential Camps-Infirmary provided / s..��� p��,��5't�
., �,f
Residential Cam s -Exterior li t l/ ',,(,
.453 Lighting provided in in�umary
.161(B) Residential Camp-Area for isolation of ill child
First I�id I�it: non-perfumed soap,sterile gauze
.161(C) ��es,compresses,adhesive tape,bandage ✓
scissors,triangular and rolled bandages,CPR
mask,tweezers,cold pack,gloves.
430-Inspection Sheet-8-8-16.docx Page 3
Health Record for each Camper&Staff:
.150 Staff/Camper>18 yrs-Emergency Contact Info �
Camper<18 yrs must have Written Parental
� Permission for MedsBmer enc Care
Residential,TraveU'I'rip,Sports Camp—Physical
.151(A)(B) required(past 2 years) {�
Da Cam —Parent/Guardian si s off on ood health
Campers and Staft�der 18vrs: Number of records checked:
1VIlVIIt: l�`dose= 12 mos or older, �7
Measles: 2°ddose=grades K-12 or age equiv
"� Polio: 3 doses Il'V or OPV,or
4 doses mix IPV/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 additional 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 ifborn on or after 1/1/92
Campers and Staff over 18yrs: Number of records
Measles: 2 doses(exempt born before 1957) checked: �Q
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 environment meet the needs �,
,� of cam ers;do not ose hazard to health/safe .
.163 Operator encourages sun protection for a11.
Swimming Pool: in compliance with 105 CMR
.430 435.00-Pemiit Posted
� **VBG Com liance Letter**
.432 Bathing Beach: in compliance with 105 CMR �
445.00-weekly water sampling conducted.
Proper supervision at swimming venue: ��Q�S _ 5 E `
.103 1 lifeguard per 25 campers
1 counselor per 10 campers 1 ". � l 9
Plan to check swiminers-"buddy system" ,l.�,� S Sk-
.204(B) Swim test to classify swimmers by ability. ✓
204�A� Swimming 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 1
.204(G) flotation devices and worn by all campers and
staffparticipating in watercraft activities.
Campers must be certified by ARC level3
.204(H) swimmers or equivalent for white water,
hazardous salt or fresh water activities.
Minunum 2 counselors in separate watercraft
.103(C) supervising white water,hazardous salt or fresh
water activities.
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.205 Equipment in good repair,safety precautions
taken.
.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: �,pn��5 1^Jci�GZewS 1Ci � Sr c+,M+
.201 Single shot rifles only
.201 Shooting range away from other activity areas
ZOl Firearms 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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��y��� �� ��u�'� - �y � � �� ames/Certs: � q �
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.202 Equipment in good condition, stored locked
Range away from other activity areas,clearly ✓
.202 marked as danger area.Must have common firing
line and 25 ards clearance behind each tar et.
Z03 P�ona1 weapons,bows,rifles allowed w/camp
o erator's written ermission
ames/Certs:
.103(G) 1 Certified Instructor per 10 campers /
minunal2 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 stairways .�
.454 Floors maintained.
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Provide adequate space:
.458 40sqft/person in single bed; 35sqft/person in /
bunk bed; SOsqftlperson in sleeping area v
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.
E�� �� ~
21� Fire-retardant and non-to�c.No open flame
nearby.
:
� �� '���'�if���@�'��'�'�::: �. ��r
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 se�c,provide 1 additional � ( v .-�
toilet per every 30 people of that sex �ti'"
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 V
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 1�
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
;: --,��<�� � ��-;. ��r�� :' - � _ �,.
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_..._,_._ ,. .... . • _,_.. ..
.162 Residenttal Camp: Laundry facilities provided �
.472 Bedding and towels laundered;no common towels �
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300 Potable water provided
300/.304 Adequate and centralized drinking water facilities
-No common drinking cups
Day/Residential Camps: Telephone readily
.209 a�ailable with#s of HCC,Local Hospitals,Police,
Fire,Ambulance
.213 Fmergeixcy Carnmunieation System/Proceclure
.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 Flanunable 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 traf�ic hazards
and is accessible at all times
,.�
Food service in compliance with 105 CMR �� � ��P��G�
590.000,Minimum Standards for Food
320 Establishments.Permit posted in food service C�� �^`�
facility. �... �� ���G�.
.330 Nutritious meals that include a variety of foods ✓
served. Menus posted.
Residential camps—Provide at least tl�ree
.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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