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Home My WebLink AboutPolicies and Procedures Booklet v � v �. � GETRF " G��-�y''o v ,� � � � \`��/ � v U � ( , v ",i'v �, v BOARD OF HEALTH v POLICIES AND PROCEDURES �.J Sedion 1 � Emergency Phone Numbers � Promotional Materials V � Section 2 CPR Certificates � Health Care Consukant agreement u PTUSA guidelines for hiring � PTUSA Medical form/Release u Section 3 � MA dept. of health info sheet on recreatiooal camps � Extreme heat prevention V Rabies fact sheet v Mumps fact sheet � HiNl prevention sheet � Section 4 � Minimum standards for recreational camps �,, Definitions u Section 5 � Injury reports �' Permission to administer medications u Daily log for medication administration � Health care acknowledgement � v W W W.UKELITE.COIVI � 781-585-1950 `, Gi�CGObGD `-' MAY �0 7 2015 �. � HEALTH DEPT. u ls v � � � GET RF v 'QQ 62 Main St.Suite 201 - �C_`i�� Kingston,MA 02364 � -p Phone:781-585-1950 � ��1� � Fax:781-585-1989 •�� • -G v � � � � �� v EMERGENCY PHONE NUMBERS v v v A. Health Care Consultant �./ Ken Lawson: Chief Emergency Medical Signature Healthcare v 680 Centre Street � Brockton, MA02302 �./ License#76886 v Phone:508-941-7193 Cel1:781-234-4587 V v B. Emergenty Telephone Numbers v 1. Fire: 911 u 2. Police: 911 � 3. Rescue/Ambulance: 911 4. Massachusetts Poison Control Center 1-800-222-1222 � 5.Academy Office 781-585-1950 � v Paul Turner,Owner/Dir.of Coaching 508-360-4902 � Eriw Turner,Owner/Program Director 508-360-4995 � Tom Greenaway,Assistant Director 774-208-2051 � Academy Cell Phone#1 508-815-9163 Academy Cell Phone#2 508-776-6817 v Academy Cell Phone#3 781-635-9550 � � C. Local Emergenry Phone Numbers TOWN OF YARMOUTH u � 1. Police(non-emergency) 508-775-0445 � 2. Fire(non-emergency) 508-398-2212 3. Animal Control 508-394-4422 � 4. Board of Health 508-398-2231 � �1 \./ � � � � v � � � � HEALTH CARL CONSULTANT AGREEMENT Cam P wj��k�� V � ��6��-2 't a tnrl„�-C�oc,� ��- �/u�m� po�rd�MA v NAME OF CAMP ADDRESS OF CAMP (��, (,�"7 S � 2'he Massachusetfs Deparhm�t of Public Heatth reguiations for recreational camps far childnen, 105 CMIt � 430.000,require that a11 recreational cam�for cknldr�have a health care consukant.l'he regutation and responsibilities of this person are described below. � v 430159(A) Aealth Care Consuitaot A dasignated Massachusetts licensed physiciaq muse practitioner or physician assisffint with pediatric training as the c�mp's health care consuttant The consuliant shall: �./ � 1. Assist in the development of the camp's health care policy as descn'bed'm 105 CMB 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 appmve Hu first aid training of the staff 5. Be available for cansultation at all times;and \/ 6. Develop and sign writben ordess to be followed by the on-site health supetvisor in the administration v of his/her relabed duties. V 7f the hea(th supervisor is not a licenSed health care profiessio�t authorized to administer prescription v medicatioas,the admmistratioa ofinedications sl�ll be under the professional oversight of tlte health care consultant 105 CMR 430.160(� \./ � 430.159(B) Health Csre Policv A written medical policy,approved by the local board of health and by the camp health care consultant Such policy shalI include,but not be limited to,daily heaith supervisioq mfection �.r control,handling of heakh�ergencies and�cidents,available ambulance seivices,pmvision for medicai, � musing a�Srst aid�vices,the name of the�signated oa-site camp heaith supervisor,the neme,address and phone mmaber of the camp heaNh cace consultent required by 105 CMR 430.159(A)and the�me of the � health supervisor required by 105 CMR 430.159(E),if apQlicable. �_' 430160(C� Adminish�ation of Medicarion The health care consukant shall aclmowledge in writing a list of all u medications administered at the camp- �"' I meet the requirements of the health care consultant as described'm 105 CMR 430.159(A).I heve reviewed � theses referenced reg�ilations mid�mde�stand t6e responsibi]ities of the posifion and agee to assist this camp � regazding the same. � /y'n' ,, I � SP P� �t� ��,� �0/`LQriG�. Y•L'�t..�G�4A � � Print N e Title `' �--- ?G S'g� � Signatise MA License/Regishstion Number � � f t01A. �� 3 � �� - ��SU (�,.� �-�-. �.l�vw t�- � Address �Z�o2 Telq�hone Number �,. Ou- s�UUs' K� l � t°!3 �. � � . Feluuery1A,2000 �.n � � �./ v � GETRF � 6z Main Street ��— ��`� ��.. o �./ Suite zm � V Kingston,MA oZ364 � Office: 78r585-�950 �� Fax: 7Hi-585-�989 � � � W W W.UKELITE.COM � �_J � `./ v 2015 UK Elite Soccer, Inc. � Guidelines for Hiring New Employees v � All new employees must have the following prior to their first interview: v ➢ Prior 5 Year Work History(including addresses and phone numbers) � ➢ At least 3 years'experience working with children ➢ 3 Letters of Reference `/ � After the UK Elite Soaer, Inc.iMerview process the following must be obtai�ed before any staff v member may have unsupervised contact wkh ehildren. If your residence is outside the US you must �/ obtain these materials prior to treveling to the US. You will also have to attend a US Embassy interview � before a final visa approval. v ➢ CORI Check(Criminai History/eackground Check by national body) � ➢ SORI Check (Sexual Offender Check) ➢ Immunization Records(an example of our medical history form is included in this packet) � � All staff member are required to attend UK Elite staff orientation. All staff,both volunteer and paid, �! will have attended and been made aware of all of UK Elite's philosophies, policies and procedures(in u writing). Staff orientation will inciude: � ➢ Our Teaching Philosophy � ➢ Our Board of Health regulations/minimum standards � ➢ Policies and Procedures for all on-field prectices ➢ On-Field Training � ➢ First Aid/CPR Certification � � Please sign and date this form to acknowledge that you have been made aware of the requirements � expected from you by UK Elite Soccer,Inc. as � V Signature: Date: � � � Printed Name: � �.. � � � �. � �.. � v � Camoer Perao�l Heatth and AAedcal Reowd \/ To 6e compAeted by Paren�GueNlan � Camp Code Camp Locallon Camp�ate ! /_ � v Name: Date of Birth: Age: Sex:_ v Name of Personal Physician: v Personal Heakh Insurance Carrier: Policy Number: �. Name of Parent IGuardian: Home Phone: v Work Phone: Cell Phana: � If person is not availeble in tlie everrt W an emergency,not'rfy: v Neme: .Relationship: Phorre; � Name: Relallonship: Phona: �../ Check all items that apply,past or present,to camper s healM history.Explain any'Ves'answers v Allergies:Faod,medicines,insec[s,plarns[�Yes[)No Explain: v General InPormation_ Ves No Yes No Yes No � asmma [] [j D+abetes [j [] High Bwod Pre�,re [j [� na�,�o+��oar��e�cr [1 (1 oi9estion [� [� Kidney Disease �� (� � Cancer/Leukemia [� [] Heart 7rouble [] [J Mental Illnass [] (] Comu�sionsiSeizures [� ❑ Hemophi�ia [] [� Lungs (] (J v EyeslEarsMase/fhroat () (� Takes Prescriptions Daily (] [] 'v Expiein: � List any madications to be taken at camp: v List any physical or behavioral corWioions that may effect or limk ful participation in any day camp aellvitles: � � ALL MEDtCATION3 MUST BE GIVEN TO THE PROGRAM COORDINATOR WHEN YOU CHECK IN AND BE IN THE ORIGINAL PHAHMACY CONTAINER WITH THE PATIENTS NAYE AND DOSAGE � CLEARLY MARKED.TNIS INCLUDES ALL OVER THE COUNTER MEDICATIONS. AT CHECK IN, PARENT/GUARDIAN MUST COMPLETE IN FULL AND SIGN AN"AUTHORIZATION TO �/ ADMINISTER MEDICATION TO A CAMPER"FORM FOR EACH MEDICATiON. v v xnmuMmtlons:(Give date of I�t inoculaBon) v Tetanus Toxofd: Measles: Po1o: Diphtherie: v Mumps: HepatlNs B: Pertussis: Rubella: v In case of emergency,I understartd every efFort will be made M corrtact me.In�he eveM 1 tannot be reachetl,I hereby give permissbn to ihe physician selected by the�uR progmm caordinator in ci�aige ro � secure proper treatmerrt,inclu6ng hospitalizadon,anesthesla,surgery,or iniections of inedicalion for my child. �./ � Date: Signature of ParenVGuardian orAduR �./ �./ � � � � � .. � v � � v � a �� E , _ :-,e.. � a a� q '`�f .,�. \�i � ��:. � �_ $ �.J t " '!g n � O � � �� l .. m �'� E ' 3 � v •� O 3 �-' a ��P� C •� ,C � 'o �o��- �" � R Vi � � `�d E � mww Q ya�' ��"' o L cy E L � � � . . Y YU� v � �i . 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V mSS��g��g��a� ��`�` 8 g � �� w� ��.6fr � qgES= � � E y}�� q� mn5 3 °n�L° ��ad�,gc�rvow ��25 v &_-rr. �y�v p,n�T�"o `o $g`og� �� E � �om � E- �vm w �rn"o a� '8.c 3 E E`v=o � v� E� 'g b pc - $ E�+� (9m.. '^� �i#� Etioc�2E- � '�a�`' �� a� E �E�,1�o,'�Pg��E p��33 � � woqfici�� C ��A� �M1 ��E��{��y�� cmy $mo'��9 �' W `� ,,cppf+ ,c� '_.�4 . . ="� E�q ggcc � 1O� Jg�c�S� ��„�„ eB- Ek L@ & �i$ o � wc ��$ �Pia$E � m °�' �2��a��y`�� E � : e � n 8ht nC� E��-Md�-a � � O °�' � � �a ih f� Sf1Oy 3�� 9� a�a � E� m� Qy y� y�� a�a� � y � S< � a5 E iTi.�.. m£ [A.�..n2i � '_^ O_a u_ � E�� aLzm CCnmbu nE G � � �.. � .. `' PUBLIC HEALTH '� Rabies `� FACT SHEET „ �'' Massachusetts Department of Public Health, 305 South Street, Jamaica Plain, MA 02130 � v What is rabies? Rabies is a very serious disease that affects the brain and spinal cord of mammals(if an animal has hair or fur, � it is a mammal). Cats,dogs,raccoons,coyotes and foxes aze mammals,as are people. Rabies is caused by a � virus and almost always causes death. Rabies is usually a disease of animals,but it can spread from an � infected animal to a person. � How is rabies spread? � Rabies spreads when an animal with rabies bites another animal or person. Tt�e rabies vicws is in the saliva (spit)of infected animals.Infected animals can also spread iabies if their saliva gets into a scratch or other v wound,or the eyes,nose or mouth of another person or animal. v �. Does rabies cause death in people in the U.S.? Yes,but it is very raze for people to get cabies in the United States, Of the 55,00(1 people who die of rabies �_'� every yeaz around the world,only one or hvo of those deaths occur in the United States. The last death from � rabies in a Massachusetts resident was in 1983,associabed with ex�sure in Nigeria. � How common is rabies in animals in Massachusetts? � Fairly common. Since 1992,more t6an 5,000 animals have tested positive for cabies in Massachusetts. Most � of these cases occurred in wild animals like raccoons,skunks,bau,woodchucks and foxes,but every year some petc(especially cats)and farm wimals also get rabies. For[unately,there is a vaccine to protect dogs � and cats&om rabies. v Is there something special about bats and rabies? �.. Yes. Most of the recent human cases of rabies in the US have been caused by bats. Any possible contact � with bats should be taken seriously. This includes a bite or scratch,waldng up with a bat in the room or � finding a bat in a room with a young child or mentally impaired person. Bat teeth are so small that a person may not realize they have been bitteq so bat exposures need to be cazefully evaluated. � �, What kinds of animals don't get rabies? v Birds,fish,reptiles(such as snakes,turtles and lizazds),amplubiaos(such as frogs and salamanders)and � insects(bugs)cannot get or spread rabies. � �,,, Can you tell if an animal is rabid? v You csnnot tell if an animsl hss rabies just by laoldng at it Rabid animals may act shangely after the virus affects their brains,or they may seem just fine. Sometimes,rabid aaimals may aggressively attack �' people or other animals. Sometimes,a test is done on an animal's brain to find out if it had rebies. '� How is rabies prevented in people? � After a person is e�cposed to rabies,they can be given shots(called"immune globulin")around the bite or v scratch to help fight the virus where it entered the body. They will also get 4 or 5 vaccinations(shots)in their � azm over several weeks. These shots will also help the person fight the vitus. As long as the shots are given ' before the person starts to get sick,this will prevent them from getting rabies. If a pe�son does not get the �'' shots and then gets sick with rabies,there is no effective treatment. Rabies is almost always fatal. � � � � � � � � � What should you do if you think you've been exposed to rabies? � If you aze bitten or scratched by an animal: �/ • Wash the wound with soap and water right away for ten minutes. � • Call your health care provider or local boazd of health. They can help you determine if you need to be treated for a rabies exposure. � • Your local animal control officer may be able to catch the animal that scratched or bit you. Wild animals �/ should be tested immediately for rabies. Cats,dogs,ferreu and cows can be watched for 10 days. If they y stay healihy,they did not expose you to rabies. � What should you do if you find a bat in your home? � • If the bat is found in a room with a sleeping person,an unattended young child,a mentally incapacitated L person or a pet,the bat should be safely captured and cested for rabies. Information about how to safely capture a bat can be found in the document called Capturing a Bat: What You Need and How To Do It at v www.mass.gov/dvh/rabies. � • Call your local boazd of healtli for help in getting the bat tested for rabies. V • Call your healthcare provider,your local board of health or the Massachusetts Department of Public v Health to help you determine if you need to be treated for a rabies exposure. ti What should you do if you think your pet has been exposed to rabies? � If your pet is bitten or scratched by another animal: � • Call your veterinarian to help you determine if the animal needs medical attention. �/ • Your Local animal control officer may be able to catch the animal that scratched or bit your pet. Wild � animals should be tested immediately for rabies. • In some cases,it may be necessary to confine your animal and watch it to see if it develops signs of �"' rabies. Your local animal inspector can help you determine if this is necessary. v �, How can you help prevent rabies in Massachusetts? v • Teach children to never approach animals they don't l�ow—even if they appear&iendly. u • Report azry animal that be6aves oddly to your local animal control officiaL • Enjoy wild animals from a distance. Do not keep wild animals as pets. This is against the law in v Massachusetts. �/ • Make sure your pets are vaccinated against rabies. By law,all dogs,cats and ferrets must be regulazly vvaccinated against rabies. • Don't feed or water your petc outside. Even empty bowls will attract wild and stray animals. 4 • Keep your pets in a fenced yard or on a leash and do not let them roam freely. v • Keep your gazbage securely covered. Open garbage will athact wild or stray animals. � • Keep yout chimney capped and repair holes in attics,cellars,and porches to help keep wild animals like `, bats and raccoons out of your home. ''' Where can you get more information? � • Your doctor,nurse or clinic,or local boazd of heakh(fisted in the phone book under local govemment) � • Massachusetts Department of Public Health,Division of Epidemiology and Immunization at(617)983- � 6800 or toll-free at 1-888-658-2850 or on the MDPH website at www.mass.eovidph/rabies ," • Massachusetts Department of Agricultival Resources,Division of Animal Health at(617)626-1786 or on the I�IDAR websitc at www.mass.eovia�r � Revised:June 2010 �.�/ �./ � � � � � HEAT PREVENTION FAQs �,, What happens to the body as a result of exposure to extreme heat? � People suffer heat-related illness when the body's temperature control system is overloaded. The body � normally cools itself by sweating. But under some conditions, swea6ng just isn't enough. In such cases, a person's body temperature rises rapidly. Very high body temperatures may damage the brain or other �,,, vital organs. Several factors affect the body's ability to cool itself during extremely hot weather. When the humidity is high, sweat will not evaporate as quickly, preventing the body from releasing heat quickly. � Other conditions that can limit the ability to regulate temperature include old age, youth (age 0�), obesity, � fever, dehydration, heart disease, mental illness, poor circulation, sunbum, and prescription drug use and alcohol use. � � Who is at greatest risk for heat-related illness? � Those at greatest risk for heat-related illness include infants and children up to four years of age, people --- 65 years of age and older, people who are overweight, and people who are ill or on certain medications. L - What is heat stroke? � v Heat stroke is the most serious heat-related illness. It occurs when the body becomes unable to conVol its temperature: the body's temperature rises rapidly, the sweating mechanism fails, and the body is v unable to cool down. Body temperature may rise to 106°F or higher within 10 to 15 minutes. Heat stroke can cause death or permanent disability if emergency treatment is not provided. � � What are the warning signs of a heat stroke? v Waming signs of heat stroke vary but may include the following: � • An extremely high body temperature(above 103°F) � • Red, hot, and dry skin (no sweating) • Rapid, stro�g pulse \"� • Throbbing headache 1,i • Dizziness � • Nausea • Confusion � • Unconsciousness � u What should I do if i see someone with any of the warning signs of heat stroke? v If you see any of these signs, you may be dealing with a life-threatening emergency. Have someone call _ for immediate medical assistance while you begin cooling the victim. Do the following: � v • Get the victim to a shady area. • Cool the victim rapidly, using whatever methods you can. For example, immerse the victim in a tub of b cool water; place the person in a cool shower, spray the victim with cool water from a garden hose; � sponge the person with cool water; or if the humidity is low, wrap the victim in a cool, wet sheet and - fan him or her vigorously. � • Monitor body temperature and continue cooling efforts until the body temperature drops to 101- � 102°F. • If emergency medical personnel are delayed, call the hospital emergency room for further 'v instructions. v • Do not give the victim alcohol to drink. • Get medical assistance as soon as possible. � v '�-� W W W.UKELITE.COM � 62 Main Street, Suite 201, Kingston, MA 02364 Office: 781-585-1950 Fax: 781-585-1989 v � � .. �. �..,r What is heat exhaustion? � Heat exhaustion is a milder form of heat-related iliness that can develop after several days of exposure to � high temperatures and inadequate or unbalanced replacement of fluids. Those most prone to heat - exhaustion are elderly people, those with high blood pressure, and those working or exercising in a hot � environment. �' What are the warning signs of heat exhaustion? � The waming signs of heat exhaustion include the following: �.. v • Heavy sweating • Paleness � • Muscle cramps `, • Tiredness - • Weakness � • Dizziness y,� • Headache • Nausea or vomiting � • Fainting � v The skin may be cool and moist. The pulse rate will be fast and weak, and breathing will be fast and , shallow. If heat exhaustion is untreated, it may progress to heat stroke. See medical attention if u symptoms worsen or last longer than one hour. � What steps can be taken to cool the body during heat exhaustion? � • Drink cool, nonalcoholic beverages. �`'� • Rest. � • Take a cool shower, bath, or sponge bath. � • Seek an air-conditioned environment. , • Wear lightweight clothing. v `, What are heat cramps and who is affected? �,, Heat cramps are muscle pains or spasms-usually in the abdomen, arms, or legs-that may occur in association with strenuous activity. People who sweat a lot during strenuous activity are prone to heat � cramps. This sweating depletes the body's salt and moisture. The low salt level in the muscles causes ' y painful cramps. Heat cramps may also be a symptom of heat exhaustion. If you have heart problems or are on a low-sodium diet, seek medical attention for heat cramps. u � What should I do if 1 have heat cramps? � If inedical attention is not necessary, take the following steps: � • Stop all activity and sit quietly in a cool place. �,,, • Drink clear juice or a sports beverage. - • Do not retum to strenuous activity for a tew hours after the cramps subside because further exertion v may lead to heat exhaustion or heat stroke. �„ • Seek medical attention for heat cramps if they do not subside in 1 hour. `� What is heat rash? v Heat rash is a skin irritation caused by excessive sweating during hot, humid weather. It can occur at any � age but is most common in young children. Heat rash looks like a red cluster of pimples or small blisters. � 'r W W W.UKELITE.COM ,v 62 Main Street, Suite 207, Kingston, MA 02364 Office: T87585-1950 Fax: 781-585-1989 v v v � �.. v It is more likely to occur on the neck and upper chest, in the groin, under the breasts, and in elbow creases. � � What is the best treatment for heat rash? � The best treatment for heat rash is to provide a cooler, less humid environment. Keep the affected area - dry. Dusting powder may be used to increase comfort. � � Can medications increase the risk of heat-related illness? � The risk for heat-related illness and death may increase among people using the following drugs: (1) psychotropics, which affect psychic function, behavior, or experience(e.g. haloperidol or chlorpromazine); � (2) medications for Parkinson's disease, because they can inhibit perspiration; (3)tranquilizers such as v phenothiazines, butyrophenones, and thiozanthenes; and (4) diuretic medications or"water pilis"that affect fluid balance in the body. � How effective are electric fans in preventing heat-related illness? v Electric fans may provide comfort, but when the temperature is in the high 90s, fans will not prevent heat- � related illness. Taking a cool shower or bath or moving to an air-conditioned place is a much better way to v cool off.Air conditioning is the strongest protective factor against heat-related illness. Exposure to air conditioning for even a few hours a day will reduce the risk for heat-related iliness. Consider visiting a � shopping mall or public library for a few hours. v How can people protect their health when temperatures are extremely high? v Remember to keep cool and use common sense. Drink plenty of fluid, replace salts and minerals, wear � appropriate clothing and sunscreen, pace yourself, stay cool indoors, schedule outdoor activities � carefuliy, use a buddy system, monitor those at risk, and adjust to the environment. ,�, How much should I drink during hot wea�er? � During hot weather you will need to drink more liquid than your thirst indicates. Increase your fluid intake, regardless of your activity level. During heavy exercise in a hot environment, drink hvo to four glasses v (16-32 ounces) of cool fluids each hour.Avoid drinks containing alcohol because they will actually cause � you to lose more fluid. � Should 1 take salt tabiets during hot weather? � Do not take salt tablets unless directed by your doctoc Heavy sweating removes salt and minerals from � the body. These are necessary for your body and must be replaced. The easiest and safest way to do this -� is through your diet. Drink fruitjuice or a sports beverage when you exercise or work in the heat. � u What is the best clo�ing for hot weather or a heat wave? � Wear as little clothing as possible when you are at home. Choose lighriveight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will provide shade and keep the head cool. If you must go L outdoors, be sure to apply sunscreen 30 minutes prior to going out and continue to reapply according to � the package directions. Sunbum affects your body's ability to cool itself and causes a loss of body fluids. _ It also causes pain and damages the skin. `-' What should I do if I work in a hot environment? ,.� Pace yourself. If you are not accustomed to working or exercising in a hot environment, start slowly and � pick up the pace gradually. If exertion in the heat makes your heart pound and leaves you gasping for � breath, STOP all activity. Get into a cool area or at least in the shade, and rest, especially if you become lightheaded, confused, weak, orfaint � v �. � W WIN.UKELITE.COM � 62 Main Street,Suite 201, Kingston, MA 02364 Office: 781�85-1950 Fax: 781585-1989 � � v �.. V �a �, Fast Facts about � � �, � �� . �.. _ _ .;:. � Symptoms L . Fever • Headache v . Muscle aches " . Tiredness Complications • Loss of appetite Most peopie with mumps recover fuliy. However, mumps �''' • Swolien and tender salivary glands �n occasionally cause compiications, and some of them u under the ears or jaw on one or both �n be serious. Complications may occur even if a sides of the face (parotitis) person does not have swollen salivary glands (parotitis) � and are more common in people who have reached v VsiCCIRBr%O/1 puberty. v The MMR(measies, mumps, and rubella) Complications of mumps can inGude vaccine is the best way to prevent mumps. , Inflammation of the testides(orchitis) in males who � The MMR vaccine should be routinely given have reached puberty, which rarely leads to sterility �,, when children are 12-15 months old, and a . Inflammation of the brein (encephalitis)andlor tissue second dose should be given when they covering the brain and spinal cord (meningitis) � are 46 years old. Two doses of the vaccine . Inflammation of the ovaries (oophoritis)and/or � are more effective against mumps than one breasts {mastitis)in females who have reached dose and prevent most, but not all, cases of puberty � mumps and mumps complications. . Temporary or permanent deafiess v � Transmission Mumps is spread by dropiets of saliva or mucus from the mouth, nose, or throat of an infected person, 4s usually when the person coughs, sneezes or talks. items used by an infected person, such as cups or soft � drink cans, can also be contaminated with the vinis,which may spread to others 'rf those items are shared. , In addition,the virus may spread when someone with mumps touches items or surfaces without washing � their hands and someone eise then touches the same surface and rubs their mouth or nose. � Most mumps transmission likely occurs before the salivary giands begin to sweli and within the 5 days after � the swelling begins. Therefore, CDC recommends isolating mumps patients for 5 days after their glands v begin to swe1L � if you have mumps,there are several things you can do to he�p prevent spreading the virus to others: � • Minimize dose contact with other people, especially babies and people with weakened immune v systems who cannot be vaccinated. � • Stay home from work or school for 5 days after your glands begin to swell, and try not to have dose y contact with other people who live in your house. • Cover your mouth and nose with a tissue when you cough or sneeze, and put your used tissue in � the trash can. If you don't have a tissue, cough or sneeze into your upper sleeve or elbow, not your � hands. • Wash hands weli and often with soap, and teach c�hildren to wash iheir hands too. � Don't share drinks or eating utensils. � • Regularly clean surfaces that are frequently touched (such as toys, doorknobs, tables, counters) � with soap and water or wRh cieaning wipes. �, Q,,...,.� � e �;� Formore info�mation ca11800-CDGINFO � „ 'y,� (800-232-4636) orvisitwww.cdc.gov/mumps .,.. � u � .. �. �. `' � The Commonweaith of Massachusetts " Executive Office of Health and Human Services � Department of Public Health � Wiiliam A. Hinton State Laboratory Institute `, 305 South Street, Jamaica Plain, MA 02130 � � DEVAL L PATRICK V GOVERNOR v TIMOTHY P.MURRAV u�wwr covenHOR �-/ JUDYANN BIGBY,MD - SECRETARY � JOHN AUERBACN v COMMISSIONER `, Camp Professionals: What You Need to Know about Influenza � Updated May 25, 2010 v This document provides general guidance for summer camps to prepare for and potentialty respond to pandemic H 1 N1 influenza(2009 H1 N1)during the 2010 summer and updates earlier guidance from the Massachusetts � Department of Public Health (MDPH)that was issued on June 25,2009. v Like other areas of the country, Massachusetts has experienced a subsTantial deGine in influenza activity for several � months. However, sporadic flu activity,caused by either 2009 H1N1 or seasonal flu viruses, is expected to continue � throughout the summer.At this time,far fewer outbreaks are expected than occurred during the summer of 2009. This document provides guidance for both day and residen6al camp professionals on ways to protect your campers u and staff from influenza. v The best way to protect against flu, including 2009 H7 N1 and seasonal flu,is to get vaccinated. Everyday � preventive actions may also help slow the spread of respiratory illnesses like flu. Camps should promote consistent � respiratory and hand hygiene; encourage sidc campers and staff to stay home and/or away from others for at least 24 hours after they no longer have a fever without the use of fever-reducing medidne; and routinely dean areas and L objects, especially those that are used often. � u 1. Kev steps to ensure vour staif and campers remain healthv. � • Develop a working relaUonship with local heatth otficials and plan joinUy for possible contingencies � during this summer camp season. � • Provide parents/guardians, campers and volur�teew with materials on: � o the importance of getting vaccinated for flu each year, � o everyday preventive actions to help sbw the spread of gertns, like flu (covering coughs and sneezes and washing hands often); � o the symptoms of flu (fever, cough, sore throat, runny or stufty nose, body aches, headache, chills U and tiredness); `, o the need to keep sick campers home unti124 hours after they no longer have a fever(have achieved a persistent tempereture below 100 degrees Fahrenheit or 37.5 degrees Celsius measured by � mouth)or signs of fever(chills,feeling very wartn,flushed ap�arance or sweating)without the use v of fever reducing medicine; o plans for what will happen if someone gets sick while at camp; and � o who is at higher risk for flu complications, particularly'rf your camp accommodates people in one or � more of the highervrisk groups.Those at higher risk for flu complications include: children younger � than 5 years old, but especially childre�younger than 2 years old; people aged 65 years or older, pregnant women; adults and children who have certain conditions(asthma;neurological and ti neurodevelopmental condfions; chronic lung disease, including asthma; heart disease; blood disorders; endocrine disorders,such as diabetes; kidney, liver,and mecabolic disorders;weakened � � � .E � u � �.. v immune systems due to disease or medication); people younger than 19 years of age who are receiving long-tertn aspirin therapy; severely obese persons; and American indians and Alaskan � Natives. � • Encourage staff and campers to get vaccinated against 2009 H7 N7 influenza prior to coming to �. camp. � 0 2009 H1N1 influenza vaccination is recommended for ail persons 6 months of age and older. o Vaccinatlon may be especialiy important for persons at higher risk of getting severe flu illness. v Campers and staff who are at higher risk and others that want to decrease their risk of flu v,, should talk to their health care provider about getting vaccinated against 2009 H1N1 flu at least 2 weeks before camp starts if they havenR already been vaccinated or had laboratory�anfirtned u 2009 H1N1 irrfluenza. v o In addition,all persons aged 6 months or older are recommended for annual seasonal influenza vaccination,which will become available later in 2010 (typically late August or September at the � earliest). � o Remember that even individuals who believe they were previously sick with 2009 H1 N1 should �.. stiil receive the vaccine. u • P�omote frequeni hand washing with soap and wartn water or use of alcohol-based hand sanitizers. � • Promote good "cough etiquette." Cover coughs and sneezes with a tissue,or practice the habit of � coughing or sneezing into the inner elbow, if Gssues are not availabie. Individuals should wash their v hands or use hand sanitizer after sneezing or coughing into a tissue. v • Stay at home if siek and keep children at home if they are sick. People with influenza-like illness should stay home, or be isolated from others,for 24 hours after their symptoms have gone away. v influenza-like illness(ILI)is defined as fever, plus one w more of the following: cough,sore throat or v runny nose. � Ask parents/guardians for mukiple ways to contact them, and plan for any special mediql care and/or � transportation if their child were to get sick whi�e at camp. Camps should consider sVict policies mandating that staff stay home or isolated 'rf they are sick.The same holds Vue for campers who attend � day camps. Residentiai camps should cansider how they wiil care for and isolate staff and campers who � become ill and who reside at camp.Attention should be paid to ensuring that these individuals receive appropriate medical attention, iF necessary and, 'rf recuperating at camp, do so in a way tliat reduces the � chance that they wiii spread the iliness to others. � . Review your pre-admission screening criteria and policies. Campers and staff should not be �,, permitted to come to ramp sick with any iliness, including flu. Let parents/guardians, campers a�d staff � know about your camp's policy before camp starts. � • Update your preparedness and emergency plan.This may include reviewing and revising sick leave � and refund poliaes, and cross-Vaining staff in c�se someone needs to stay home due to illness. � . Ensure that there are adequate and aceessible supplies on-site, induding tissues, handwashing v stations with liquid hand soap and running water, alcohol-based hand-rubs, disposable wipes and household deaning products. u v • Train your staff about communicable disease prevention including specific infortnation on how to - recognize ILI and how to report passible cases of ILI to camp leadership. � � • Stay infortned about the latest developments.�ew the MDPH website,www.mass.aov/dph/swineflu and the CDC's website,www.cdc.aov/h1nlflu. '� Z v v � .. � � v v � � 2. What to do if staff or camoers become ill with influenza-like illness. � . Regular meetings between camp directors, medical staff and other appropriate professionals should � occur to assess the status of camper and staff heaith. For comprehensive treatment guideiines, please - visit: www.mass.aov/dnh/swineflu, didc on"Information fw Specific Groups,°and review the section v titled'information for Healthcare and Public Health Professionals." v Campers who deveiop ILI should be immediately separated from the general population and kept away v • from weil campers until they can be safely retumed home or taken for medical care, 'rf needed, OR until 24 hours after fever resolves(if the child is to remain at a residential camp). v � • Early and prompt treatment for symptomatic ind"rviduals with certain high-risk conditions and for those with severe iliness is imperetive. � � Protocols should be in place for medical evaluation of persons ili with ILI, and how monitoring will be conducted. Not ali patients with suspected influenza H1N1 infection need to be seen by a heaith care � provider. Patients with severe illness and those at high risk for complications from influenza should v contact a medicai provider or seek medical care. Most people who develop ILI will not require antivirai _ treatment. � � Consider antiviral chemoprophylaxis(for the purpose of preventing disease)onlv for persons who have had direct contact with someone with iMiuenza and who are at higher risk for flu�mpiications.The v decision to provide chemoprophylaxis should be made based on the specific situation and requires � clinical judgment. Careful monitoring of symptoms and early treatment of higher risk persons with suspected influenza is an altemative strategy and reduces the risk for development of antiviral � resistance during chemoprophylabs. � . Encourage persons who have had direct contad with someone with a flu-like iliness, but who are not at � higher risk for flu complications,to self-monitw and report any signs of illness to a camp staff inember. � CDC does not recommend providing antivirai medication to exposed healthy individuals as a preverrtive measure, if they are not at higher risk for flu complications. � � • A health care provider's note recommending a camper or staff member retum to camp before the end of the tull exdusion period dces not supercede public health guidance for influenza-like iliness. Note: � Rapid iMiuenza tests, used in some medical offices and emergency rooms,when positive, can help in � the diagnosis and management of patients with signs and symptoms of iMluenza. However, a neaative -. repid influenza test resutt does not mean that som�ne does not have H1 N1 influenza.All individuals � with any influenza-like illness should be isolated until 24 hours after their fever has resolved, without the � use of fever-reducing medications. � . Aspirin or aspirin-co�taining products should not be administered to any person aged 18 years old and younger with a confirmed or suspected case of influenza virus infection,due to the risk of Reye '`� syndrome. � If a lot of people get flu-like symptoms. � The key to this is preparedness. Determine—now—what needs to be done and how the camp will v respond: � • Know the parameters used by your local health officials.At what point would they want to be � infortned?What will they do when told? � � 3 � u � .. .. v � � v • Consider the capadty of your camp health services and what you might do should that capacity be exceeded.Think aboui bringing in extra help or reassigning counselors to assist.Consider how v people will be fed and the ability to handle their waste(vomit, diarrhea, etc). Think about the parameters you would use to determine that there is a problem before ttie situation is so significant � that camp may have to ciose. � • Consider what supplies will be needed in order to care for iil staff and campers, and how those can u be quidcly obtained. U �✓ Repordr�of Ca�esand'Cic�ter�c1�F[rrGfttsllk+ess: � Please repott any�u eases,or dusters of flu-like iifriess,to yculr taxt 6oard of heal�antl to MDPH at 617 883-6800.An h�1QPH ep[demiokc2gist can piovide Turther gu�dancae€m diagrrosis; � sutueillance anii outa'eak controt. : � � What else should camps consider when creat3ng a plan for H1 N1 flu7 � Because each camp is unique, plans will need to be tailored for individual loca6ons. Get the facts on the virus by visiting www.mass.aov/doh/swineflu.This will help you make informed decisio�s. Develop your plan from � the perspective of your camp, paying particular attention to: � The health status of your campers and staff:for example, people coping with respiratory challenges or � • those who are immune-compromised have a greater H1 N1 risk profile than generally healfhy people. v • Your camp's ability to respond to flu-like iiinesses that emerge while people are at camp. . Your refund policy for cancellations due to heaith concems. v . Your business continuance plans and/or insurance coverage. . Your ability to train staff to help manage this chailenge. u 1.i FurtherquesUons? L Please contad the MDPH Division of Epidemiology and Immunization at 617-983-6800. � � v �. �. � �.. v � �.. � u � v u � a � � v � � u � � PUBLIC HEALTH H 1 N 1 F I u v FACT SHEET (swine F�u) u Massachusetts De artment of Pubiic Heaith v What is H1N1 fluT v Flu is a disease of the body's breathing system, including the nose,throat and lungs. Flu is shoR for � "influenza." A INl flu is caused by a new virus that was first recognized in April of 2009,and was called "swine flu." HINI flu quickly spread to many parts of the world and is now a"pandemic,"or global � outbreak. H1N1 flu is not the same as swine flu,which is a virus that pigs can get. It is not the same as � "seasonal"flu which occurs every year,during the winter and early spring. But H1Nl flu causes symptoms � that are similar to seasonal flu, is spread like seasonal flu,and can be prevented like seasonal flu. u What are the symptoms of H1N1 flu? � H1N1 flu symptoms aze very similaz to seasonal flu symptoms. Most common aze fever,cough,and sore throat. Symptoms can atso include body aches,headache,chills,runny nose and feeling very tired. Some � people also have diarrhea and vomiting. Symptoms last from a few days to up to a week or more. v Is H1N7 flu serious? � Illness with H1N1 flu has ranged from mild to severe. While most people sick with H1N1 flu get better �,,i without needing medical treatment,severe illness and deaths have cecurred in some people. Like seasonal � flu,some people aze at higher risk of serious health problems when they get the H1N1 flu. This includes pregnant women,infants,and people with medical conditions like asthma,diabetes,heart disease,kidney � disease,muscle or nerve conditions that affect their breathing and weakened immune systems. v How does H1N1 flu spread? � The flu virus is in the wet spray(droplets of saliva and mucous)that comes out of the nose and mouth of v someone who coughs or sneezes. If you are close enough to a person with the flu(3 -6 feet)when they cough or sneeze,you can breathe in the virus and get sick. Flu symptoms staR 1 -4 days(usually 2 days) v after a person breathes in the virus. v Flu is spread easilv from petson to person. T'he virus can also live for a short time on things you touch like `/ doorlrnobs,phones and toys. After you touch these objects,you can catch the virus when you touch your � mouth,nose, or eyes. However,when the wet droplets on these types of objects dry out,the virus can't - cause infection. Adults with the HIN 1 flu can spread it from about one day before symptoms appear to �! about one week after. Children can spread the flu even longer after they get sick. v How is H1N1 flu treated? � There are drugs available that your doctor may prescribe to treat HINl flu. The drugs work best if started � soon after the start of symptoms. Your doctor can determine if you need treatment � People sick with any type of flu should make sure to drink plenty of fluids,get plenty of rest,eat healthy � foods,wash their hands frequently and stay home to avoid spreading the flu to other people. Over the � counter pain relievers may help people with the flu feel more comfortable. Children and teens with the flu v should never take aspirin because a raze but serious disease called Reye syndtome can occur. �,, Is there a vaccine for H7N7 flu? v Yes. A vaccine helps your body to protect itself against a disease. 'fhere aze two types of H1N1 vaccine available to protect against H1Nl flu. One is a"shoY'that is given with a needle,usually in the arm. The L other is a"nasal spray"(a spray inhaled through the nose). People 10 years of age and over will need one � u � _ � v dose of vaccine. Most children iutder the age of 10 will rned two doses of H1N 1 vaccine, separated by 3-4 `/ weeks. Getting flu vaccine wi11 not give you the flu or any other type of illness. Ask your doctor which � type ofH1N1 vaccine is best for you and your family. � Who should get H7N1 flu vaccine? v Certain groups should get the H1N1 vaccine when it becomes available: pregnant women;people who live v with or provide caze for infants under 6 months of age(e.g.,pazents,siblings, and daycaze providers); healthcare and emergency medical services personnel;people age 6 months to 24 years;and people age 25 1� to 64 years who have medical conditions that put them at higher risk for infiuenza related complications. v After these groups,it is expected that there will be enough HINI flu vaccine for anyone who chooses to get vaccinated. Please note that the groups listed above may change based on vaccine availability. Note: � current studies indicate rhe riskfor infectiott amongpersons over 65 years ofage is less than the riskfor � persons in younger age groups. � How do I know if I have H1 N1 flu? � If you have symptoms of flu, it could be seasonal or H IN I flu. If you think you have the flu, stay home v from work and school and avoid contact with others so you do not spread the virus. If you think you might have flu and you need to see your doctor,call ahead and let them know you might have the flu. 'i'hat way, � your doctor's office can take steps to avoid the spread of flu to others. The doctor may recommend that you V be tested for influenza � How do 1 protect myseif from getting sick with H1N1 flu? � Get vaccinated when the vaccine becomes available,especially if you have a medical condition which �/ • makes health complications from the flu more likely. � • Wash your hands oRen with soap and water or use alcohol based hand gel. v • Cough or sneeze into a tissue or the inside of your elbow if you don't have a tissue. Tluow the tissue in v the trash and wash your hands. • Use a regulaz household cleaner to clean surfaces that might get flu virus on them like door lrnobs,phones, � faucets and toys_ � • Stay home from work and school if you get sick with a flu-like illness and avoid contact with others v so the virus does not spread. Stay at home until you have been free from fever for at least 24 hoars � after your last dose of fever-redncing medication(like Tylenol,Advil or Motrin). For most people this will mean staying at home for about four days. � � How do 1 take care of someone who is sick with H1N7 flu? Flu: What You Can Do-Caring for People At Home is a booklet available in nine languages that gives you � lots of information to help you care for someone who has the flu in their home. A video is also available in v English and Spanish. Flu: What You Can Do informarion can be found at mass.eov/flu � Where can 1 get more information? � • Mass 2-1-1 provides flu information for the general public: cali 211 or 1-877-211-MASS(6277). � interpreter services available in many languages. • Call your doctor,nwse or clinic,or your local board of health � • Call the MA Depardnent of Public Health,Immunization Program at: (61'n 983-6800 or toll-free at(888) � 658-2850 u • Massachusetts Department of Public Health website at mass.sov/flu v • Center for Disease Control and Prevention(CDC)at: ��i�i.cdc.�ov/flu v For flu clinic information,visitthe MassPRO Public Flu Clinic Finder website at: httnJlBu.masspro.ors' v Updated November 6,2009 � �./ �/ � � v " �l'�1�,� �II�� r�, II��c'�: .., ., `, MINIMUM STANDARDS FOR RECREATIONAL CAMPS "v L � PERMITS � v 430.4541: CERTIFICATE OF OCCUPANCY AII facilities that might campers might take shelter in our inspected by the local fire department and hold � certificates. � � 430.215: FIRE PREVENTION v All camps are held outdoors. Ail facilities that might campers might take shelter in our inspected by the local � fire department and hold certificates. � 430.300: PRIVATE WATER SUPPLY � All UK Elite camps use town water. � v PLANS AND POLICIES-WRITTEN � 430.090: EMPLOYMENT BACKGROUND INFORMATION v Each staff person who may have unsupervised contact with the campers shall have a background free of � conduct which bears adversely upon his or her ability to provide for the safety and well-being of the campers. v (A) At a minimum UK Elite requires the following from each person who may have unsupervised V contact with a camper: (1) Prior work history, including address and phone number of a contact person; v (2) Three positive reference checks from individuals not related to the staff person including, � but not limited to, previous employers or school administrators. Returning counselors may v use references on record with the camp from the preceding year to satisfy the � requirements as long as there is no gap in employment longer than one year. v (3) Both CORI and SORI checks have been compieted. v 430.091:STAFF ORIENTATION � All staff, volunteer and paid, has attended orientation and have been made aware of all UK Elite Soccer's � philosophies, policies and procedures (in writing). v 430.093: PHYSICAL AND SEXUAL ABUSE POLICY � � While most definitions of physical and mental abuse are broad, here are several guidelines to � think about. If you suspect a staff member or parent of abusing or neglecting a child, report it v to the Camp Director immediately. By law, we must investigate any suspicions. v Here are several definitions to keep in mind: � Abuse - acts of commission (a deliberate act) or omission (neglecting a chiid's needs► by an � adult responsible for childcare that leads to physical, mental, or emotional harm. Child abuse is �,, damage to a child for which there is no "reasonable" explanation. u 1.i �.. ... v Sexuai Abuse — Exploitation of a child under 18 for the purpose of the perpetrator's sexual �"� gratification.There are two kinds of sexual abuse. � Non-Touching Offenses—Verbal sexual stimulation and exhibitionism (such as "mooning"). � Touching Offenses—Non-violent touches such as fondling. v v Physical Abuse—Non-accidentai injury or act by a caretaker that creates a risk of serious injury. There include, but are not limited to, pinching, pulling hair, punching, and slapping. v � Emotional Maltreatment- A pattern of blaming, belittling, verbally attacking, or rejecting a `,, chiid, or demanding a child assume responsibility for which s/he is incapable of handling. v Emotional maltreatment is a persistent lack of concern for a child's weifare. v Neglect-Chronic inattention to basic needs of a child. u ai If a child reports they are or have been abused, give them the benefit of the doubt. Be v supportive and listen. Children will very rerely lie about this. Markedly different or a change in v behavior in a child is one possible indicator of abuse. There are also physical indicator such as bruises and bleeding. If ever you are unsure of concerned, please speak with the Academy v Director of Director of Coaching. � � Physical and Sexual Abuse Plan v Throughout the day the Camp Director will monitor the interaction of the coaches with the � camper. If any questionable behavior is observes, the coach will be talked to and informed about how to relate to campers in a way that could not be constructed as physicaliy sexually � abusive. As a result of staff training, the coaches know that is it their duty to report any � observance of possibie abusive behavior to the Academy Director or Diredor of Coaching. � v If an actual or alleged incident of abuse involving a member or UK Elite Soccer Academy coaching staff is reported, the Director of Coaching will take the following steps: � 1. The alleged perpetretor will be met with to discuss the situation in an attempt to � get the true facts of the case. � 2. The parents of the child will be notified that an incident has been reported. If the � parents notify the camp of allegations made by the child, a meeting will be set up to discuss the matter. v 3. The alieged victim will be interviewed by the Director of Coaching to get his/her v version of the incident. Referral for counseling may also be initiated. � 4. The police will be brought in if necessary, full co-operating with the authorities v wili be expected from all camp personnel. � 5. The Academy lawyer will be consulted as to legal procedures, rights, etc., which need to be followed. �'' 6. If the media is involved, a prepared written statement will be issued explaining � the current status of the case. � � � u � � u v �.. � 430.191: CAMPERS BEHAVIOR AND DISCIPUNE GUIDELINES FOR STAFP y In order to implement the philosophy of the camo, it is essential that all staff keep in mind the following V guidelines in dealing with campers: v 1. The camper's physical and emotional safety is the highest priority. v 2. Understand and value the uniqueness of all campers. v 3. Treat all campers equally. � 4. Be supportive, positive and encouraging. � 5. Listen openly to camper's opinions and suggestions. � 6. Inform coaches that their behavior should not violate camper's rights while providing u guidance, direction and limits. � v Staff procedures for dealing with negative behavior: v 1. Call in Camp Director or designee when there is: a) Chronic negative behavior: b) v Uncertainty as to how to proceed: c)A camper is being physically aggressive. v 2. If a camper is having a chronic problem being a positive member of the camp community, v the issue will be dealt with in the following escalating sequence until the matter is resolved: � v • The coaches deal with the camper within the group. � • The counselors consult with the director and form a plan. • The Camp Director intervenes and talks with the camper. � • The parent(s) are notified as to what is happening. v • There is a camper and parent conference with the Directar. v • The camper is dismissed from camp. � v Before setting limits: v • Relax and be yourself. v • Use your sense of humor to help form a relationship but not to ridicule. v • ee aware of your own feelings so that you don't project your problems on to the � campers. � • Maintain you're cool. Never act angry. Let another coach take over while you cool off. � Goof communication is essential. Keep it simple. � • Try to stay mentally one step ahead of your campers. � • Avoid comparing one camper to another. � • Focus on each campers abilities and strengths. � • Encourage the campers to work out their problems themselves. � • Say "Do X" rather than "Don't do X". � • Think"win-win" whatever you are in a conflict with a camper. u • Be clear what is and what is not appropriate behavior for your age group. � • Spend quality time during the week with each camper. Do not favor a few. v • Always give the camper the be�e�t of the doubt. �,, • Ignore as much petty misbehavior as humanly possible. u � v � v • Set realistic expectations. � � Limit settioe and behavior manaaement: � 1. Replace punishment with naturel and logical consequences. v 2. Decide what you are going to do rather than what you are going to make your campers do. v 3. Discuss with the camper what alternatives there are so that the inappropriate behavior v does not keep occurring. � 4. Use "time out" as a last resort. � 5. Avoid power struggles at all costs. � 6. Misbehavior is a form of communication. � 7. Have a reason for what you ask a camper to do.Avoid power trips, nagging, controlling, etc. � 8. Give campers a choice rather than a command. u 9. If you inform a camper of the consequences for a particular behavior make sure you mean it u and enforce it if the behavior occurs. In the event of an altercation between campers, give v you attention to the injured party, not the aggressor.Avoid attacking the aggressor. � 10. Look for improvement, not perfection. v 11. ee creative; if one approach does no work,try another. y 12.The following prohibitions apply for all campers. � • Corporal punishment, inciuding spanking is prohibited. � . No camper shall be subjected to cruel or severe punishment, humiliation or v verbalabuse. • No camper shall be denied food or shelter as a form of punishment v • No chiid shall be punished for soiling, wetting, or not using the toilet. � � 430.210: PLANS TO DEAI WITH NATURAL DISASTERS OR OTHER EMERGENCIES v (A)The camp director will lead children away from the fields. v (B)The camp staff will check for stragglers. v (C)The camp staff is responsible for ensuring the number of children in attendance equals the v number of children safely evacuated.The staff will count the number of campers before the � start of camp and at the end of the evacuation. u � (A) FIRE DRILLS u Fire Drills will be conducted each Tuesday morning at snack break. Upon the signal (whistle), �,, coaches wili lead their team to the "safe zone" indicated at their orientation on Monday morning. � Upon arriving at the "safe zone" coaches will take an attendance.Teams (coaches and their `, campers) will remain at the "safe zone" until cleared to leave by the Camp Director.The Camp v Director will document the drill in their Camp Director's Report. v � (B) DISASTER PLAN � The Camp Director is to call the local police department in the event of a suspected disaster(such as a tornado or hurricane) relative to the specifics of the emergency. All coaches will be notified v v v � ..� � immediately and instructed to organize their groups at the designated shelter. Coaches will take an v attendance and await further directions from the Camp Director. In the event that an evacuation is � necessary,the camper's parents will be informed to pick up their children or where the campers wili be evacuated to by the local authorities. u � (C) LOST CAMPER PLAN v In the event of a lost camper,the matter should be brought to the Camp Diredor's attention �"� immediately by a coach.All coaches should gather their groups and take an attendance.After the v attendance is taken,the individual teams will be brought together into one large group that will be v supervised by two coaches.The remaining coaches will then conduct a search of the immediate � area especially that area where the camper was last seen.The camp Director will be given a � physical description of the lost camper and will then call the local police.The camp Director will �. stay untii the camper is found. � V (D)TRAFfIC CONTROL PLAN �,, In order to ensure the safety of campers and staff while at a camp or clinic site,the following plan � shall be foilowed during hours of operetion. v 1. Drop-off times y a. Parents must park in appropriate spaces in the parking lot at the school/field. v b. Parents must accompany children from their vehicle to their coach or Camp Director. � c.The Camp Director will be monitoring to insure this policy is being followed or to assist parents if needed. u 2. Pick-up times v a. Parents must come to the field to pick-up their children by 12:OOnoon (half-day campers) � or 3:OOpm (ful) day campers). v b. No children wili be allowed to go to the parking lot without a parent. v � 430Z11:SPECIAL CONTINGENCY PLANS FOR DAY CAMPS � (A) For children who fail to arrive in the morning(via parent drop-off or camp-provided � transportation): u • Double check attendance and/or roli call. u • Cail parents/guardians or other contact name provided on the camper's application � form. v (B) For children missing from the point of pick-up at the end of the day: `,, • Double check attendance andJroll call. � • Check with main office to see if camper was picked up early by parents. L • Check campgrounds in accordance with your lost camper plan. � (C) Por unregistered children arriving at camp: � • Check with the child's parents if still on site. � • Find out which camper the child arrived with: friend, brotherJsister, etc.—obtain � contact information from forms. � • Call the child's parent/guardian if the child's phone number is obtained. � u � � v A camper who fails to arrive at the point of pick-up will be classified as a lost camper and will follow the same ti protocol. Please see our lost camper policy. � - PROMOTIONAL LITERATURE/PACKET CONTAINS � � 430.159(B)(2): HEALTH CARE POLICY v Piease see our full Heaith Care Policy under the medical personnel/records. L � 430.190: GENERAL PROGRAM REQUIREMENTS � (A)All campers are released to only their parent/guardian unless other arrangements are u requested by the parent/guardian. � (Bi All of our camp materiais include the required state health department quote of �.. compliance. It is clearly stated on our website (during the registration process) and reiterated in � an emaii prior to arrival at camp. � � 430.190(D): REVIEW OF BACKGROUND MATERIALS � Every parent who has a child registered for our programs is sent an email prior to attending � that informs them of their right to review our policies and where they are available at � registration. Please see attached email below. � Dear Parents and Players, v lust a reminder we must have a current physical and immunization record for your child to attend camp.Your child will not be able � to participate in our program without these papers(you cannot bring them to the field).You may scan and email to �./ ReskeA@UKElite.com or fax to 781-585-1989.If you have already faxed or mailed in your medical papers then please ignore this V message.We apologize for any inconvenience,but the state of Massachusetts is very strict on rules and regulations surrounding vyouth camps. �/ All UK Elite Soccer policies,procedures and staff mandates regarding staff and safety of campers are available for parenu to review � at their request.There materials can always be found in the first aid area at camp and at registration.Please talk to our camp � director if you cannot locate these materials. � • Cleats � • Shin Guards • A Soccer Ball v • Water(We will provide a place for them to refill) � • Healthy Snack,or Lunch if staying full day-W E ARE NUT FREE!!Please check the labels on all snacks brought to U camp. � • Sunblock L All cancellations and postponements,due to less than perfect weather,will be posted on our office voicemail and website � WWW.UKEIite.com 1 hour prior to camp beginning.781-585-1950 Please contact our office with any questions or concerns. �.r � Thanks, � Erica Turner UK Elite Soccer,lnc. 1./ Regional Director v 781-585-1950 V � v � � TRANSPORTATION U � 430.251:TRANSPORTATION SAFETY Our day camps do NOT travel anywhere in a motor vehicle. � (A) Only that number of children or adults for who there is seating space shall be transported in � - a vehicle. v (B) All campers, attendants and driver shall utilize seat belts in accordance with Massachusetts � laws; y (C) The driver of the vehicle shall release campers oniy to the camper's parents or an individual � designated in writing by the camper's parent unless alternative arrangements are approve � in writing by the parent; v �.. 430.252: QUALIFICATIONS OF DRIVER ' � (A)The driver of a vehicle trensporting campers and staff shall be at least 18 years of age, have � at least two year's driving experience as a Iicensed driver, possess the required license for the �,, type of vehicle and possess a current American Red Cross Standard First Aid Certificate, or its v equivalent. � � 430.253:AUTOMOBILE INSURANCE v The operator shall not aliow any camp-owned or staff member's vehicle to transport campers unless it has the � following minimum amounts of liability insurence: (A) Injury per person, $100,000,00 � (B) Injury per accident$300,00, Property damage$5,000 u v STAFF QUALIFICATIONS � `� 430.302: CAMP DIRECTOR REQUIREMENTS � Each camp shall have at all times a Director who meets the following: � (A) Residential Camp. Each residential camp shall have a director who is at least 25 years of age and � who meets at least one of the following. � 1. Have successfully completed a course in camping administretion or v 2. Have at least two seasons previous experience as part of an administretive staff of a �,, recreational camp. �, (B) Day Camp. Each day camp shall have a Director who is at least 21 years of age and who meets at � least one of the following: � 1. Have successfully completed a course in camping administration or v 2. Have at least two seasons previous experience as part of the administrative staff of a � recreational camp. � (C) Primitive,Travel and Trip Camps. Each primitive,trevel and trip camp shali have a director accompany the campers who shall be at least 21 years old; and possess experience supervising a L recreational camp. ti u � � � � � 430.100: CAMP COUNSELOR REQUIREMENTS//JUNIOR COUNSELOR REQUIREMENTS v All staff has completed a camp counselor orientation meeting or has had at least four week's experience � working for our association. Our requirements for staff are the following: (A) Counselors shall have attained 18 years of age or have graduated from high school; � � (B) lunior counselors shall have attained 16 years of age; and shall be at least 3 years older than the - oidest camper. v 430.101: REQUIRED RATIO OF SUPERVISORY STAFF OR COUNSELORS TO CAMPERS v Each camp will have the following minimum retio or counselors to campers: � (A) Residential and day camps shall have at least one supervisory staff person for every ten campers � over the age of six.There shaff be one supervisory staff person for every five camper's age six or � under.Junior counselors may be included in meeting up to one half of the camper/staff retio within � each unit. �.. (B) Primitive,Travel and Trip Camps. Each primitive,travel and trip camp shall have at least one � counselor for every ten campers, with a minimum of two counselors. `, (C) Special Needs—Because of the physical nature of our camps, we do not have special needs v campers apply. We also do not deny special needs campers from participating. V � 430.103:SUPERVISION OF SPECIALIZED ARIVITIES v The camos will consist of only soccer drilts and games:there will be no high-risk activities. � MEDICAL PERSONNEL/RECORDS/FACILITIES U v 430.159: HEALTH CARE STAFF TO BE PROVIDED v The operator of each recreational camp of children shall provide: ~ (A) Chief Emergency Services Signature Healthcare: Ken Lawson MD, FACEP � License#76886 Office: 508-941-7139 Ce11:781-223-4587 �! (1) Assist i� the development of the camp's health care policy as described in 105 CMR 430.159 � (g) � (2) Review and approve the policy initially and at least annually thereafter; � (3) Approve any changes in the policy; u (4) Review and approve the first aid training of staff; � (5) Be available for consultation at all times; and �,, (6) Develop and sign written orders to be followed by the on-site camp health supervisor in the �, administration of his/hers health related duties. v (B) Health Care Policy � (1) Policy regarding mildly ill campers: v ➢ If player is not feeling well should go to the Health Supervisor. Campers will be � isolated from other campers in the infirmary until they are feeling well enough to join camp, or they are picked up by parents. � - ➢ The Health Supervisor will be responsible for monitoring tempereture, � symptoms and care of child. v v v � �. v v ➢ The Health Supervisor will decide when and if the child should be picked up for � extended care by their parent or primary care physician. v ➢ Seriously ill players(diarrhea,vomiting, high temperetures, chills, etc.) will be isolated from other players by confining them in the infirmary (area of isolation � where they will be comfortable) while experiencing symptoms. � ➢ The Health Supervisor wili be responsible for monitoring tempereture, v symptoms and care of child. � ➢ The parents will be notified immediately on the status of their child. � ➢ If the child is experiencing a tempereture of 100-102 (with no other symptoms) � the HCS woutd try to reduce temperature if the camper/parents want them to u stay at camp. Progress will monitor and if there is no change (8-lOhrs) in � tempereture the parents will be asked to pick up their chiid for further care by � their primary care physician. The child must be symptom and tempereture free � for them to join camp again. `,, ➢ Any child who is experiencing vomiting, diarrhea or a temperature of 103 or �,, higher will be trensported to a care facility by their parents. If the need is � immediate or the parents cannot take them, UK Elite wiil provide transport and � the chiid will be chaperoned until their parent or guardian can arrive.The parent � and doctor will be given a written document of all with all care given up to that v point by a UK Elite member of staff. The Health Superviwr will write a special note for each player who has a minor iojury to give to his/her � coach regarding follow-up care. If a coach is concerned about a player who returns from the Health y Supervisor without a note,the coach should act conservatively and not allow full participation in activities. � The coach should consult with the Health Supervisor as soon as possible to eliminate confusion wncerning V health care and adivity participation. � � (2) Procedures for Providing Emergency Health Care: �! ➢ Most injuries are small and not serious (scrapped knee, bumped head, and � soccer ball in the stomach).There is always a fully stocked first aid kit on site and � any UK Elite coach is responsible for dealing with minor injuries themselves � (band aids,ice packs). � ➢ If there is an injury you are unsure about... piease steer towards the side of �,, caution. Some of these injuries wiil include: a twisted ankle, a swolien bee sting, �,, any head injury...let the director know a soon as possible and he/she will make � the decision. �.. � ➢ If an injury is serious there are steps each coach needs to take. � (1) Calm the child down as much as possible and remember that your reaction can affect them, stay calm. � � (2) Let the director know ASAP what happened, name (full name) and age of chi{d. ti � u v � �. � (3) The coach who has the injury will take his group away from the injury and � continue with their session. � (4) The diredor will pass his group to the coach who has the closest age group. Worst case scenario is to run a relay race or start the kids scrimmaging if your � rtumbers are large. � - (5) The director makes the decision as to whether or not 911 is necessary. �'' (6) If there is an obvious break of bones, a camper went unconscious for any � amount of time or if they go into diabetic shock or an allergic reaction cali � 911, DO NOT HESITATE. v �! 911 will ask the following questions: � What is the problem?Stung by a bee,swollen area, swelling face, respiratory u problem. u Name and age of child? Beth Smith...8 years old. it is very important that you v know the last name. v Where are you?Cape Cod Academy, know the road that this is on. W L Barn/Osterville Rd. v What is the condition of child? Describe body, color of skin, respiretory, pulse. � v (7) Call Paul or Erica's cell phone immediately and notify them of the problem ,� (8) Immediately call the parents, do not stop until you reach a human voice. It is very important that you remain calm.Take the parenYs phone number to the v hospital with you, along with the child's physical and immunization chart (if � at camp). �' (9) Send a staff inember or a parent to the entrence of the field to uvait for the v ambulance. � (10) A staff member must go in the ambulance.This should not be the � director if there is not a suitable co-director at camp. � v ➢ If the injury is minor (nose bleed, twisted ankle,fall of any kind) it is always �., important to notify the parents at pick up and write down exactly what �,, happened in the medical log (located in the first aid box).There is no need to fiil �,,, out an injury report. When writing in the medical log book, do not skip lines; do v not cross anything out or tear pages out.You must use black or blue pen and � make sure you indicate the date, deseription of in}ury and the procedures � followed to care for that injury.Always sign your name. V � Every camp (not clinics) has a board of health binder that contains injury reports (for serious injuries and ALL head injuries).The director is responsible for � ensuring that this documentation is filled out correctly and accuretely. If the first � aid kit becomes depleted during the week it is the responsibility of the director � to restock. All supplies are located in the office. t�r � � � �. � � (C) Health Care Supervisor: � This person is at least 18 years of age and certified in First Aid and Child and Adult CPR. * Please v see our individual town applications for name and certificates. � 430.160:STORAGE AND ADMINISTRATION OF MEDICATION v (A) Medication prescribed for campers shall be kept in original containers bearing the pharmacy v label, which shows the date of filing,the pharmacy name and address,the filing pharmacisYs initials, � the serial number of the prescription,the name of the patient, the name of the prescribing v practitioner,the name of the prescribed medication, directions for use and cautionary statements, if �! any, contained in such prescription or required by law, and if tablets or capsules,the number in the � container. � (B) All medications will be in a locked box, which will be located in the first aid area.The � medicines will on be administered after a medication administration release form is filled out. � (C)A health supervisor is available at every camp. A copy of his certification is available in the �,, first aid area. � v 430.154: INJURY REPORTS v A report shall be completed on a form prescribed by the Massachusetts Department of Public Health for each v fatality or serious injury as a result of which a camper or staff person is sent home, is brought to the hospital or physician's office and where a positive diagnosis is made. Such injuries shall include but shall not necessarily 'v � be limited to those where suturing or resuscitation is required, bones are broken, or the chiid is admitted to the hospital.A copy of each injury report shall be sent to the Massachusetts Department of Public Health v within seven days of the occurrence of the injury. � ~ 430.155: MEDICAL LOG �'' Each recreational camp for children shall maintain a medical log which shall contain a record of all camper and �! stafF health complaints and treatment.The medical log shail list the date, name of patient, complaint and � treatment.The medical log shall be a bound book with pre-numbered pages in sequential order and lined � pages. No lines shall be skipped and all entries shall be in ink. � � 430.161: EMERGENCY/MEDICAL FACILITIES AND EQUITMENT � (B)There is a designated first aid area at every camp with a first aid kit. This area is used as an � outdoor infirmary, away from all other children. v (C) First aid kits shall contain non-perfumed soap, sterile gauze squares,compresses, adhesive � tape, bandage scissors,triangular and rolled bandages, a mask with a one way valve,tweezers, � a cold pack and a barrier protection gloves, preferably of non-latex composition. � 430.150: HEALTH RECORDS � (A) All health records for both stafF and campers and maintained alphabetically in each camp's � first aid area. 'v � � � v .. v (B)The camp director keeps a clipboard with each camper's name, address, pare�Ys name, v home and ail emergency phone numbers. � (C) Campers are not allowed to attend camp without written authorization for emergency medical care.This release is on the application in the camp brochure. u (D) No camper will be administered medicine without a written authorization signed by a � parent or guardian.These forms are maintained in each camp's first aid area. v E In u re ort forms certificate of immunization and health histo and or h sical � ) J rY P , , rY /P Y � � examination reports are maintained in the first aid area. V v 430.151: PHYSICAL EXAMINATIONS BY PHYSICIAN//CERTIFICATE OF IMMUNIZATION `� Every camper and fuil time staff member shall provide prior to attending: � (A) A health history, a report of a physical examination conducted during the preceding 12 u months; and a certificate of immunization. v {B) No person known to be suffering from tuberculosis in a communicable form shall be u allowed to work or attend a recreational camp for chiidren in any capacity which might v bring him into contact with any camper at such camp. \.. v 430.150: REQUIRED IMMUNIZATIONS v Proof of immunity(MMR, Polio, Diphtheria,Tetanus Toxoids, and Pertussis Vaccine) is required for all campers � and staff before they are allowed to participate at camp. � 430.153: PHYSICAL EXAMINATIONS OR IMMUNIZATION EXEMPTIONS � (A) Religious Exceptions. if a camper of staff member has religious objections to physical v examinations or immunizations,the camper or staff member shall submit a written statement, v signed by a parent or legal guardian of the camper,to the effect that the individual is in good v health and stating the reason for such objections. �'' (B) Immunizations contraindicated. Any immunization specified in 105 CMR 430.150 shall not � be required if the health history required by 305 CMR 430.151 includes a certification by a � physician that he or she has examined the individual and that in the physician's opinion the u physical condition of the individual is such that his or her health would be endangered by such � immunization. ti � 430.156:AVAILABILITY OF HEALTH RECORDS AND LOGS �, All medical records and logs shall be readily available to the health supervisor, camp nurse or camp doctor or " other health personnel.All medical records and logs shall be made available upon request to authorized � representatives of the Massachusetts Department of Public Health and of the local board of health which � licenses the camp.The Department of Public Heaith and the local board of health shall maintain the v confidentiality of information relating to the individual campers and staff. � 430.157:COMMUNICABLE DISEASE REPORTING � The operator of a recreational camp for chiidren shall be responsible for insuring that each case of any such v communicable disease occurring in a camp is immediately reported to the local board of health.The report � � u � v � shall be made by the operator. Such report shall include the name and home address of any individual in the � camp known to have or suspected of having such disease. Until adion on such case has been taken by the v camp health care consultant, strict isolation shall be maintained. 'v - 430.158: REPORTING OF OUTBREAK OP DISEASE v The operetor of a recreational camp for children shall be responsible for insuring that each suspected case of v food oisonin or an unusual revalence of an illness in which fever rash diarrhea sore throat vomitin or P B Y P Y � , , , , g, � jaundice is a prominent symptom is reported immediately to the local board of health and the Massachusetts L Department of Public Health,verbally or by telegrem or telephone.This report shall be made by the camp v physician, or if there is no physician in attendance, by the camp nurse, or if there is no nurse in attendance, by �! the camp diredor or the camp operetor. u � 430.163: PROTECTION FROM THE SUN � All campers are reminded, both in our literature and at camp to wear and bring sun block and to rest in the � shade. � � ACTIVITIES � Our day camps will only play soccer and do not include any of the following: v Aquatics � Crafts � Playground/Athletic Equipment Fire Arms � Archery � Horseback Riding v v CABINS/STRUCTURES � � 430.457: DAY CAMP SHELTER � Most of our camps are specific to the town we working.All camps will have shelter and all building facilities � are approved by the local board of health and come equipped with smoke detectors. u v 430.370/375:TOILETS �,, All of our Day Camps will either have a school facility, park facility or portable toilets available at all our camps. �, All toilets will be in compliance with all board of heaith regulations. � � 430.372: LOCATION AND MAINTENANCE OF TOILET FACILITIES � All are assured to be in sanitary condition. � 430.373:SINKS � Sinks will be provided at all the sites where toilets are made available by a school or park. in the instance that � only portable toilets are made available, hand sanitizer will be used by all children. v v �.. �. v �. v GROUNDS � � 430.300: PORTABLE WATER PROVIDED � UK Elite will provide bottled water only to campers. Hand sanitizer will be kept in the first aid box and children will be encouraged to use it before and after drinking and eating. � 430.300/304:ADEQUATE AND CENTRALIZED DRINKIN6 WATER � Disposable, paper cups wili be made available to all children. NO common drinking cup will be used or v allowed. � � 340.2098:TELEPHONE SYSTEM � A working ceil phone will always be at camp. Located in our Heaith Care Policies wili be local emergency phone u numbers. � � 340.213: COMMUNICATIONS SYSTEM AT CAMP � Our communications system consists of whistle blasts and voices. v � 340.165:TOBACCO USE � All use of tobacco is not allowed on any of our fields and is NEVER accessible to campers. � v 340.350/.355: PROPER STORAGE AND DISPOSAL OF SOLID WASTE v Ail campers will have a trash bag or trash can for all solid waste.The camp diredor is responsible for the removal of trash at the end of each day. u � 430.214:STORAGE OF HAZARDOUS MATERIALS � No hazardous material will be stored at camp. � � 430.450:SITE LOCATION � Ali of our camps children are located: � (A) So as to be accessible at ali times during the designated camping season; � (B) Where surface drainage conditions create no health or safety hazard; � (C) Where approved water supply and sewage disposal facilities can be and are � provided; and � (D) Where traffic conditions create no undue safety hazards. V � FOOD SERVICE �.. � 430.320-471: FOOD SERVICE � UK Elite does not provide food service at any of its day camps. All children are asked in our literature and through our correspondence to bring their own food to camp. � In the event that a child does not bring proper cold storage for their food, one will be made available to � them. � v v � � � �. „ GETRF : G�.--�`�'o � � � � �� v ,`�� . v � �, � � ., � v DEFINITIONS v � v Camp Director means an individual who has primary and direct responsibility for the day to day operetion and v supervision of a recreational camp for children including oversight of program operetions, supportive services, business affairs, health matters,food,staff supervision and trensportation. V v Camper means a child who attends a recreational camp for children. � Certificate of Immunization shall mean either: v (1) Any form or letter signed and dated by a physician or designee or v (2) A dated report from the Massachusetts Immunization Information System, provided that either � documents specifies the month and year of administretion and the type/name of the vaccine(s) � administered to the camper. v u Child and Children means a program which: �,, (1) Operetes on a site for more than two hours but less than 24 hours a day; v (2) Operetes for at least five days during a two week period; and � (3) Meets the definition of a recreational camp for children. � v Garbage means the animal, vegetable or other organic waste resulting from the handling, preparing, cooking, � consumption or cultivation of food, and containers and cans which have contained food unless such � containers and cans have been cleaned or prepared for recycling. � Habitation means that portion inside a building, tent, or other structure which is used for living, sleeping, �"� cooking or consumption of food. �. � Health Supervisor means that person on the staff of a recreational camp for children who are responsible for � the day to day operation of the health progrem or component. � � Junior Counselor means an individual who assists counselors in the performance of their duties, but who is � not exclusively responsible for them without the presence of a counselor or instructor. � u v � �. v Recreational Camp for Children means any day, primitive or outpost, residentiai, sports, trevel or trip camp � conducted wholly or in part for recreation or recreational instruction which: � (1) Operates for profit or philanthropic or charitable purposes, whether or not a fee is charged; (2) Serves give or more children who are not members of the family or personal guests of the � operetor; and � (3) Operates for any period of time between June 1 and September 30 of any year or not more v than 14 consecutive days during any other time of year. v (4) Recreational Camp for Children shall aiso mean any program which promotes or advertises L itself as a camp, even if it does not meet the criteria listed above. Provided that it is not � promoted or advertised as a camp, none of the following shall be deemed to be a recreational '✓ camp for children: �✓ a. a child care program licensed by the Office of Child Care Services in accordance �✓ with M.G.L. c28A 10; � b. single purpose classes, workshops, clinics or programs sponsored by municipal � recreation departments, or neighborhood playgrounds designed to serve v primary play interests and needs of children, as well as affording limited � recreation opportunities for all peopie of a residential neighborhood, whether v supervised or unsupervised, located on municipal or non-municipal property, v whether registration is required or participation is an a drop-in basis as provided � in M.G.L. c.11l, 127A; � c. a program operated solely on a drop-in basis; d. a classroom based instructional program provided that no specialized or high risk is activities (See 105 CMR 430.103) are conducted as a part of the program; � e. A summer school program accredited by a recognized educational accreditation v agency, where the accreditation inciudes standards for specialized and high risk v activities. If the progrem involves such activities (See 105 CMR 430.303) and the � summer progrem meets those accreditation standards. � � Residential Camp means a program which operates on a permanent site for four or more consecutive � overnights and meets the definition of a recreational camp for children. � � Rubbish means combustible and noncombustible waste materials, except garbage, and includes but is not � limited to such material as paper, rags, cartons, boxes, wood, excelsior, rubber, leather, tree branches, yard �, trimmings, gress clippings, tin cans, metals, mineral matter, glass, crockery, dust and residue from the burning v of wood, coal, coke, and other combustibie materials. � v Sports means, a progrem which operetes for two or more hours per day with a primary focus on one or more � sports activities and meets the definition of a day or residential camp for children. � Sports Camp means, a progrem which operates for two or more hours per day with a primary focus on one or �' more sports activities and meets the definition of a day or residentiai camp for children. � v � � �. � v Staff mea�s any individual employed by or performing services as a volunteer for a recreationai camp for � children and who may come into contad with campers, including but not limited to a camp director, camp � counselor, junior counselor, health supervisor, camp physician, camp nurse, bus driver, cook, dishwasher, v maintenance person and caretaker. � Supervisory Staff means those persons with the responsibility, authority and training to provide direct v su ervision to cam er rou s.This ma include counselors unior counselors enerei activit leaders or other P P S P Y � ,1 . g Y v staff,who provide supervision to campers without assistance. � �"� Travel Camp means a program which provides care for not less than a 72-hour period, uses motorizes � transportation to move campers as a group from one site to another and meets the definition of a recreational �/ camp for children. � v Trip Camp means a program which provides care for not less than a 72-hour period, moves campers under � their own power or by a transportation mode permitting individual guidance of a vessel, vehicle or animal v from one site to another and meets the definition of a recreational camp for children. Trip camp includes, for v example, a program which leads campers by bicycle, canoe or horseback from one site to another. � u � � v v �. � �. �. ti � � v v �.. �.. � � `. � � � � � v � � � � v " 11�dASSAC�IT3EB"TS DEPAit'I'liZEl�T O�' PTJBI,IC �AI.,TH " C�I�1�T�' SAl�TI�'A'I'ION PIgOGRAM[ `, R.ECIBEA'TION�I, C�ER IN�7I��'ItEPOIt'I' FOIt1Vi v In accordance with M.G.L.c. 111, §§3 and 127A and 105 CMR 430.000:Minimum Sanitation and Safety Standards for v Recreational Camps for Children(State Sanitary Code Chapter I�, 105 CMR 430.154 specifically requires that a report v be completed,on a form prescribed by the Massachusetts Depactment of Public Health,for each fataliry or serious injury as a result of wluch a camper or staff pecson is sent home,or is brouglrt to the hospitai or a physician's office and where a v posirive diagnosis is made. Such injuries shalt include,but shall not necessarily be limited to,thase where sutwing or v resuscitarion is required,bones are broken,or the child is admitted m the hospital.A copy of each injary report must be sent to the Messachusetts Depas�nent of Public Heaith wiUun SEVEN f'/�days of the occarrence of the inJury. v PLEASE PROVIDE A COMPREIiII�ISIVE AND THOROUGH RESPONSE TO EVERY QUESTION. � �,/ 1. Name of Camp: v 2. Address: City/Town � \./ 3. Name of Camp DirecWr. 4.Telephonc: � v 5. Today's Date: 6. Datc of Injnry: 7. Tiate of I nJ�Y- (AM/PI� � � S. Did d�e injury involve a camper,staff peison or both: v 9a Age of Camper ancUor Siaff Person: 96. Gender. tvfa(e Female �./ v 10. Briefly descnbe the incidem and u�t iu subseq jury: (Please do not include nersonal id tifvine mf'urmalioal v �. � v v � � u �.. �. �.. � 11. If the injury occ�ured outdoars,W]�at were t�e weathe�.condirions at the time of the mcident? � � v � ReportIDNmnlxr � � � (cOntmLLCd OVE[� � � ... ... _.. � �. � v 12. Did the in" )ury occ�s on the campground? If no[,spceify the off-site la�uon where the injury occurred. � (please describe the exac[location) � � � v P3. What bodY Part(s)were injured: � Ol.Head/Skul1_ 02,Face 03.Neck 04.Acm O5.Hmid v 06. Back_ 01.Abdomen_ O8.Leg_ 09.Ankie 10.Foot v 11. Other,pleau specifj• �./ v - 74. How did injucy occuf? v Ol.Fatling_02_Collision with persoa or objxt_ 03.Struck by another pason or object �./ _ 04 Drowning or near drowning_ O5.Biu or Sting _ 06.Cut 07.Bnm v Q8. Other,please ypxify — �./ �/ 25. Where was the injured p�son veated? � y Ol. Treated ia catt�infirmary_ 02.Treated in hospital Emergency Room,Physician's Office v 03. Admitted to Hospital 04.Other,please specify �/ i 6. Was ihe caznper sent home as a result of the injury? � Yes No 1./ �/ 27. Was more than one camper injured? Ya No 1f Ya,how many? v � f�. Did die injnry invulve all aoed abnse/neglect? Yes No � v fl9. Afiat chaages were made in tLe camp,ics envuonmont,or operation as a result of tLis mjury co prevert a r¢a��¢ren�e? � Please descnbe specific changes made; � � �./ � � �' PLEASEMAIL OR FAX CAhIPERINJURYREppRTSTO: �.. � MASSACFIUSEITS DEPARTMENT'OF PUBLIC HEALTI3 BUREAU OF ENVIRONMENTAL HEALTH � CO1vR1UNITy SAIVITATtON PROGRAM � 250 WASHINGTON STREET-7th FLOOR BOSTON,MA 021 Q8-4619 �/ TELEPIiONE(61'n-6245757 v FAX(61�6245777 rrz�riFP�raa..�nnu� v � � � � �. „ MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH „ COMMUIVITY SA1vITATION PROGRAM � RECREATIONAL CAMPER INJURY REPORT FORM � In accordance with M.G.L.c. 111,§§3 and 127A and 105 CMR 430.000:Minimum Sanitation and Safety Standazds for v Recreational Camps for C6ildren(State Senitary Code Chapter I�, 105 CMR 430.154 specifically requires that a report v be completed,on a form prescribed by the Massacbusetts Depachnent af Public Health,for each fatality or serious injury as a result of wluch a camper or staff person is sent home,or is bmught to the hospital or a physician's office and where a v positive diagnosis is made. S�ch injuries shall include,but shall not necessarily be limited to,those where suturing or � resuscitarion is required,bones are broken,or the c}u7d is admitted to the hospital.A rnpy of each injury report must be sent to the Massachasetts Department of Public Health within SEVEN('n days of the occnrrence of the injnry. � PLEASE PROVIDE A COMPREHENSIVE AND THOROUGH RESPONSE TO EVERY QUESTION. �/ V 1. Nffine of Camp: � v 2. Address: Ciry!Town � � 3. Name of Camp Direcwr. 4.Telephone: �./ � 5. Today's Date: 6. Date of Injury: 7. Time oPinjory: (AM/PIv� \./ � 8. Did the injury invotve a camper,staffpecson orboth: v 9a Age of Camper andlor StaffPe�son: 9b. Gender. Male Female \./ � 10. Briefly descnbe the incident and subsequent injury: (Please do not inciade oersanal ideotifvin¢InformaHonl `/ � � � � �./ � � � � � v 1L If the mj�y occuaed outdoors,whatwere the weathQ conditions at the lime of the incidenYl u v � x�a�rox� v I I (e°ntinued over) v � .. ... _.. u v u L . 12. Did the injury occ�on the campground? If not,specify the off-site location wheie the injury occurzed. � (please describe the exact locatioa) � � � v 13. What body part(s)wece injured: v Ol.Head/Skutl 02.Face 03.Neck 04.Arni O5.Havd v 06. Back_ 07.Abdomen_ 08.Leg_ 09.Ankle_ 10.Foot_ v 11. Othey please specify v v l4. How did in' �ury occur? � Ol.Falli�o_02.Collision with perso¢or object_ 03.Shuck by another peison or object _ �./ 00.Drowning or near drowning_ 05.Bite or Sting _ 06.GtR 07.Bum v O8. Other,please sp�ify — — �./ v - 15. Where was the injuted person treated? � � Ol. Tteated in camp infirmary_ 02 Treated in hospital Emergency Room,Physician's Office 03. Admitted ro Hospital 04.Other,please specify � � 16. Was the camper sent home as a result of the injnry? v Yes No �./ �./ 1�. Was more than one camper injured? Yes_No_ If Ya,how many? �./ v 18. Did the injury involve alleged abuse!neglect? Yes No � v 19. What chan es were made in the c g amp,its environmen�or operation as a result of this injiuy to prevent a reoccursence? � Please describe specific changes made: � � � � � � PLEASE MAIL pR FAX CAMPER INJURPREPORTS TO: � v MASSACfiUSETfS DEPARTMENT OF PUBLIC HEALTH BUREAU OF ErMRONMENTAL HEALTH � COMMUNITY SAI�IITATION PROGRAM � 250 WASHINGTON STREET-7th FLOOR BOSTON,MA 02108-4619 � TELEPHOIdE(61�-6245757 v FAX(617)6245777 �xPv;.�raA.,�nnR� v u v � v v " MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH " COMMU1vITY SAI�TITATION PROGRAM `, RECREATIONAL CAMPER INJURY REPORT FORM v � In accordance with M.G.L.c. 111,§§3 and 127A and 105 CMR 430.000:Minimum Saaitation and Safety Standazds for - Recreational Camps for Cluldren(State Sanitary Code Chspter I�, 105 CMR 430.154 specifically requires that a report � be completed,on a form prescribed by the Massachusetts Department of Public Heaith,for each fatality or serious injury � as a result of which a camper or staff person is sent home,or is brought to the hospital or a physician's office and where a positive dia�osis is made. Such injuries shall include,but shatl not necessazily be limited m,those where sutucing or �/ resuscitation is required,bones are broken,or the child is admitted to the hospital.A copy of each injury report must be v sent to the Massachusetts Department of Public Health withiu SEVEN days of the oecnrrence of the injary. PLEASE PROVIDE A COMPREHENSIVE AND THOROUGH RESPONSE TO EVERY QUESTION. v � 1. Name of Camp: �./ 2. Address: City/Town 1./ � 3. Name of Catnp Director: 4.Telephone: �./ �/ 5. Today's Date: 6. Datr of Injury: 7. Time of Injury: (.41v1/I'1vn � v S. Did[he injury involve a camper,s[affpason or both: � v 9a Age of Camper and/or Staff Pecson: 96. Gender. Male Female �./ 10. Briefly descnbe the incideut and subsequent injury: (Please do not include aersonal identifvina informatton) \./ �./ � �./ � u � L � � � � I l. If the injury occ�med outdoors,what wae the weather wnditions at the time of the i�ident? � � � � xepoamxumtcr f I (continued wa) v v .. ... _.. � �. � �. � 12. Did the injury occ�u on the campground? If not,specify the otF-site locadon whece the injury occucred. (please describe the exactlocation) � � � �./ � 13. What body part(s)were injured: �./ � Ol.HeadlSkull_ 02.Face_ 03.Neck _04.Arm _ O5.Hand_ v 06. Back_ 07.Abdomen_ 08.L.eg_ 09.Ankle_ 10.Foot_ 11. Othey please specify v � v14. How did injury occur? v Ol.Falling_02.Collision with person or object_ 03.Shuck by another peison or object _ v 04.Drowning or near drowning_ O5.Bite or Sting _ 06.G�t _ 07.Burn_ � 08. Other,please specify �/ � 15. Where was the injured persoe treated? � Ol. Treated in camp infirmary_ 02.Treated in hospital Emergency Room,Physician's Office � 03. Admitted to Hospital_04.Othey please specify v 16. Was the camper sent home as a result ofthe injury? � � Yes_No �..i �� 17. Was more d�an one camper injwed? Yes_No_ If Yes,how many? � � � 1S. Did the injury involve alleged abuse!neglect? Yes No �.. � 19. What changes were made in the camp,its environment,or opecation as a ces�ilt of this injury to prevent a reoccumnce? v Please describe speciSc changes made: v �. �.. �.. �.. � PLEASE MAIL OR FAX CAMPER INJURYREPORTS TO: � MASSACHUSETTS DEPARTMENI'OF PUBLIC HEALTI3 BUREAU OF ENVIRONMENTAL HEALTH � COMMUNITY SANITAITON PROGRAM � 250 WASHINGTON STREET-7th FLOOR BOSTON,MA 02108-4619 � TELEPHONE(617}624-5757 � FAX(617)6245777 v rxPv;c��mr��znnx� �.. v v � U v � u u v ♦. -a - . m v o ' N U � � � y � � �' 4/ Q � - m m � o m °� � � m s m t m o _ � o a m a m � .�'3� � � m f" F �- T � �/ � F y � W � i� � 7 � � E � m 'u a�i � v � _ � a i m' w m w Q � � a � .. o V Q � E in V � O � v a ' `o �. � o � u O I o � � O I � m � Q O � V � i m � W � 3 c�i �./ p� -�v o L H 3 _. 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V � p � '� � U � t _ o n � w -oa a � m W d v o ym = c��i WmmE W E = c .c m ._ co � m m � _' r ,� `� 'o Ta `= � o m d Eg U = � v1' 0 p � vi � m ti a a m ... � • � �Q v � 3E � m yW oae m �`+a - w m m .� '� ,� � ,Q g t u � W m � o Q oa •� Q N � ,N v ,,wy " m �om " M o � ; mpc�,..�m. � � aca � m � ° � v m .$ c m � � a� o o � m � c ui � �G i � ' N t6 � -Q•'" � a �a � � � � �UQ � a y � � 'y 3 m o � � c'�i Oi m � m � u0i N Q� m � n �./ � � +�C.. f6 C a m +t.. m C � '� C w � � \./ O m � � Gp � � C� m C J v m . . � � N � U N � C �` t�i1 � � C � �./ �N, � � � N �j .Q � � O � 0 W y �./ C �N � � � � � m � U y C y � � � W C �./ � Pim � 'py � 3 � -� � W °.o o m " 'a E .e ro o o � o �_ y I o,..�m. � 'c � Q c :w m a m � - � � N '� t=q U � { � aN � N �/ O �W ,;e3 m m � E `o � cco � - wcmwa� � ` E \/ � ,,, - $ �� ic � p °- � @o � N� C � 3 W ,C � N � '" m TO � � O Y y a Q� m C � � V Q �� . 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As such,I hereby -. authorize the following listed medicarions to be administered to campers as prescribed, � provided that,the medications are delivered to the camp,maintained by the camp,and v administered in accordance with Commonwealth of Massachusetts Regulations at 105 v CMR 430.160 and that the pazendguardian of the camper has provided written _ permission for the administration of the medication. u v I am not tbe prescribing physician for these medications. My signature indicates only - that I have reviewed the listed medications and associated potenflai side effects, adverse � reactions and other pertinent information with all personnel administering medicarions to `i campers and aot that I have reviewed or detercnined the appropriateness of the v medications for the camper.My signature further aclmowledges that all personnel listed below,who administer medications at the camp,aze either licensed health caze providers � authorized to administer medications or designated heaith care supervisors who are � appropriately trained to and aze doing so under my professional oversight. � v � Names of individual authorized to administer medications at camp: �.s u � y Health Caze Consuitant signature: Date: � � �/ Ilpdaced)muacy 2000 to reflect the ameodmmis m"Regulalioaa farMinimum S[anderds fa Recrealional Camps for Childra�,Smte � Saoitary Code,Cha�Ner[V"105 CMR 430.000. � � � � � � � � � � 'See advisory document of the Massachusetts Deparhnent of Public Aealth— � "Guidelines for the Storage and Administration of Medication in Camps" � � � � � �: .. � � � u o � 'v a ` ' N V W ` . N V � N V N � � � W � h 7 N W v � .� N � v O ^ N � v m � ._ a ° J o r z � � _ � a - � p. N N °' � a `/ "' c � F N � Y � � y � N Q w � v � � � o m � U d p,' � O � `/ � � c.a O . E' a � b z � U ^ N u ,,, O �/ w .L v l/ � � a A ... o. .°'.. � U �./ o m �+ Z � � `/ C �% N � �C O :: � � � � � C m `/ �N �°a � � � 9 0 (n q � Q � `� � _ � ° " W. �/ O a .� , m � � o h �` ' � '�+ �C u a�i V m O � y .wD � o � � ¢ g a w .� m �./ � z � � ,� ¢ � m � � ;� O � � v .� o �./ -� `0 3 � �� . .. �` m m '^ ro m � R r. "c . p o � cv m E O N ( I 'O � ' 0. A �N V ro Q, m o ° � w � !o `d 8 � r m a � '° " � �./ fA � Z G �" -�. .7-, Q C .� ci ni v oi U ��,/ � v �