Recreational Camp Inspection Report

 

NAME OF CITY OR TOWN

STATE SANITARY CODE: CHAPTER IV, MINIMUM SANITATION AND SAFETY

STANDARDS FOR RECREATIONAL CAMPS FOR CHILDREN, 105 CMR 430.000

RECREATIONAL CAMP FOR CHILDREN INSPECTION REPORT

NAME OF CAMP

ADDRESS
OWNER 

OFF SEASON ADDRESS

CAMP DIRECTOR

INSPECTED BY

CAPACITY

WATER SOURCE

DATE OF INSPECTION

Regulation 105 CMR 430.000 The items marked below with an “X” indicate the violated provisions of 105 CMR 430.000.

Items marked with a “ü ” are satisfactory.

REGULATION X/ü VIOLATIONS/COMMENTS

.090

Written procedures available for the review of background of staff. Prior work history, references, and CORI and SORI information. Documents verifying background check being maintained.

Staff have no unsupervised contact with campers until background check is approved, unless staff member whose background check is approved is present.

 

.091

All persons and staff receive orientation before working with children. Orientation plan in writing.
 

.093

Written procedures for reporting suspected incidents of child abuse and neglect.
 

.100

Counselors have required training and experience.

Adequate ratio of counselors to campers.

 

.101

Camp director is on premises at all times. Staff aware of person who is responsible for the administration of the camp.

Age: _____________________

Training:

 

.102

Specialized or high risk activities supervised by counselors with evidence of appropriate training, experience and certification. Counselors present at all times.
 

.102

Aquatics activities supervised by an aquatic director with proper current certifications.

Age: ___________________

Certification:

 

.102

Adequate ratio of properly certified counselors to campers to supervise swimming.
 

.102

Adequate ratio of certified counselors to campers

for the supervision of watercraft activities. All staff

and participants wear U.S. Coast Guard approved personal flotation devices.

Minimum of two counselors each in separate watercraft for white water, hazardous salt water or hazardous fresh water. Campers possess prior training certificate before participating in these watercraft activities.

Names:________________________________

________________________________

Certification:

 

.102

Properly certified individuals provided for scuba diving activities. Certification:_______________________________
 

.150

Health Records

Required health records maintained for each camper and staff member.

 

.151

Maintaining medical log. Log readily available.
 

.153

Injury report form completed for each fatality or serious injury. Copy of report sent to MDPH.
 

.154

Residential Camp: Health history, report of physical exam, and immunization record, prepared and signed by licensed health care provider, furnished to camp by each camper and staff member prior to attending camp.

Day Camp: Current medical history signed by parent or guardian, or by licensed health care provider to camp prior to attending camp.












.155

REQUIRED IMMUNIZATIONS

Campers and staff under 18 years old

Immunization Dose(s) X/ü

MMR 1

Measles 2nd dose required

Polio (OPV or e-IPV) 3

4 doses required if

mixed schedule vaccine

given (IPV and OPV)

Diphtheria and 4

Tetanus Toxoids DTaP/DTP/DT/Td

and Pertussis

Booster dose of Tetanus/diphtheria, (td) required

if greater than 10 years since last dose.

Hepatitis B: (for 3

children born (effective 1-1-99)

after 1/92)

Number of records checked___________

Campers and staff 18 years or older

Immunization Dose(s) X/ü

Measles 2*

Mumps 1*

Rubella 1

Diphtheria and 3

Tetanus Toxoids

*unless born before 1957

 

 

 

 

 

 

 

Number of records checked___________

 

.159

Camp health care consultant. Signed written orders for use by health care supervisor.

Name: ____________________________

 

.159

Written camp medical policy. All staff provided with copy of such policy and trained in the program’s infection control procedures and implementation of the policy during staff orientation.

Parents provided with copy of the policy pertaining to the care if mildly ill campers, administration of medication and procedures for emergency care prior to admitting a child to camp.

 

.159

Health supervisor provided.

Name:________________________________

Training:

 

.160

Proper storage of medication.
 

.160

Written approval from health care provider to administer medications.
 

.161

Infirmary provided. Designated area provided for isolation of child ill with communicable disease separate from the regular living quarters.

(Residential Camp)

 

.162

Laundry facilities.
 

.163

Operator encourages campers and staff to reduce exposure to ultraviolet exposure from the sun.
 

.165

Tobacco use, if any, restricted to designated areas not accessible to campers. Designated area  appropriate.
 

.190

Program activities and physical environment provided to meet needs of campers and does not pose a hazard to their health and safety.
 

.190

Campers released only to camper’s parent or individual designated in writing by parent.
 

.191

Written procedures for disciplining campers. Plan provided to parents and to each staff member when employed.

 

.201

Riflery program operated in safe manner. Firearms stored in locked cabinet. Ammunition stored in separate locked facility away from firearms.

Shooting range located well away from other activities

 

.102

Firearm activities supervised by properly trained individual. Proper counselor to camper ratio.
 

.102

Proper ratio of counselor to campers at the archery range.  

 

.202

Archery program located well away from other program activities and clearly marked. Equipment under lock and key when not in use.
 

.203

Personal weapons restricted.
 

.204

Waterfront and boating programs operated in safe manner. Swimming area in clean and safe condition. Camper’s swimming ability determined and campers confined to swimming areas consistent with the limits of their skills. “Buddy system” and “lost swimmer” plans established.  

 

.204

Piers and other equipment in good repair.
 

.204

All watercraft equipped with U.S. Coast Guard approved flotation devices.
 

.204

Campers possess appropriate swimming certificate before being allowed to participate in either white water or hazardous salt water boating activities.  

 

 

.205

Crafts equipment in good repair and properly installed.
 

.206

Playground and athletic equipment in good repair and of a safe design.
 

.206

Playground equipment designed to prevent injury and possibility of entrapment of extremities.

Equipment securely anchored. Concrete or asphalt surfaces under equipment prohibited. Pliable or canvas seats on swings provided.

 

 

 

.207

Proper storage and operation of power equipment.
 

.102

All horseback riding instructors licensed in accordance with M.G.L. C. 128, S2A
 

.208

Horseback Riding Program. Licensed instructor, hard hats worn, minimum of 1 experienced instructor for every 10 riders.

Name:______________________________________

.209

Telephone provided with roster of emergency numbers including camp’s health care consultant.
 

.210

Written Contingency Plans. Fire evacuation plan, disaster plan, lost camper and swimmer plan, traffic control.
 

.211

Special contingency plans for day camps
 

.212

Emergency Procedures – Primitive, travel and trip camps.
 

.213

Emergency communication system.
 

.214

Gasoline, flammable substances and other hazardous materials properly labeled and stored in building not occupied by campers.  

 

 

.215

Written statement of compliance from the fire department

.216

Smoke detectors provided.
 

.217

Tents, fire-retardant and non-toxic “USE NO OPEN FLAME” stenciled inside and out of tents if not fire retardant.  

 

.250

Vehicles for transporting campers in compliance with M.G.L. c. 90, in particular ss. 7B and 7D and with the applicable regulations of Massachusetts Registry of Motor Vehicles.
 

.252

Qualifications of driver.

Age: __________________

Names:_____________________________________________________________

 

.300

Potable water supply provided; adequate quantity and pressure.

Private or municipal well______________________________________

.300

Adequate drinking water facilities provided and centrally located
 

.301

Plumbing maintained in good working order.
 

.302

Cross connections  

 

.320

Food Service – Operated in compliance with 105 CMR 590.000 Sanitary Code Article X, Minimum Standards for Food Establishments. Required permit posted in food service facility.
 

.330

Nutritious meals served. Menus posted. Foods meet “Recommended Dietary Allowances” of Food and Nutrition Board, National Academy of Sciences.
 

.334

Adequately trained staff and equipment provided to ensure handicapped campers are eating nutritionally adequate meals.  

 

.335

Operator provides proper methods of storing meals brought from home at safe temperature and protected from contamination. Meal provided to campers who arrive without a bag lunch.
 

.350

Solid waste disposal.
 

.360

Sewage disposal.
 

.370

Adequate numbers of toilets, sinks and showers provided.

# toilets:___________________

# showers:_________________

# sinks:___________________

 

.372

Toilets less than 200 feet from sleeping rooms.

Toilet paper provided. Windows and other openings screened.

 

.375

Ventilation provided for toilet and shower room to the outdoors.
 

.376

Hot water at hand sinks, showers and bathtubs does not exceed 112 degrees
 

.377

Sanitary facilities maintained in clean condition.
 

.378

Adequate toilet, sink and shower facilities for special needs campers.  

 

 

.400

Rodent and insect control.
 

.401

Weed and noxious plant control.
 

.431

Swimming Pools. Operated in accordance with 105 CMR 435.000, Minimum Standards for Swimming Pools. Pool permit posted.
 

.432

Bathing Beaches. Bacterial sampling done in accordance with 105 CMR 445.000. Results of testing available.
 

.450

Site location.
 

.451

Current certificate issued by the building inspector.

Structures weathertight and waterproof.

Certification#:__________________________

 

.462

Screening provided for sleeping quarters and food service areas.
 

.453

Lighting provided for each kitchen, dining room, infirmary, toilet room and stairway.
 

.454

Floors maintained.  

 

 

.455

Adequate egresses provided.
 

.456

Egresses free from obstructions.
 

.457

Shelters for day camp.
 

.458

Shelters for residential camps. Adequate square feet of floor space per person.
 

.459

Non-ambulatory campers housed on ground level; egresses leading to grade or ramp provided.
 

.470

Bed or cot provided for campers and staff. Bunk spacing. 40 ft2/bunk, 45 ft2/double bunk
 

.471

Sleeping prohibited in food areas.
 

.472

Bedding and towels laundered; common towels not allowed.

REGULATION

NO.

THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE

SIGNED________________________________Date:___________

Camp Director

SIGNED_____________________________Date:_________

Board of Health/Health Department