DCF 252.44(4)
(4) Rest. When a session is more than 4 hours in length, there shall be a rest period or period of quiet activities of at least 30 minutes for all children under 5 years of age.
DCF 252.44(5)(a)(a) Food shall be provided in accordance with Table DCF 252.44 which is based on the amount of time children are present. Food may be served at flexible intervals, but no child may go without nourishment for longer than 3 hours.
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See PDF for table 
DCF 252.44(5)(b)
(b) Camp-provided transportation time shall be included in determining the total number of hours a child is present for the purpose of par.
(a).
DCF 252.44(5)(c)
(c) Food allergies of specific children shall be reported to cooks, counselors and substitutes having direct contact with children.
DCF 252.44(5)(d)1.
1. Be posted in the kitchen and in a conspicuous place accessible to parents.
DCF 252.44(5)(d)2.
2. Be planned at least one week in advance, dated and kept on file for 3 months.
DCF 252.44(5)(e)
(e) At a minimum, each meal and snack provided to children shall meet the U.S. department of agriculture child and adult care food program minimum meal requirements for amounts and types of food. Additional portions of vegetables, fruits, bread, and milk shall be available.
DCF 252.44(5)(f)
(f) When food for a child is provided by the child's parent, the camp shall provide the parent with information about requirements for food groups and quantities specified by the U.S. department of agriculture child and adult care food program minimum meal requirements.
DCF 252.44(5)(g)
(g) A special diet, based on a medical condition, excluding food allergies, but including nutrient concentrates and supplements, may be served only upon written instruction of a child's physician and upon request of the parent. A special diet based on a food allergy may be served upon the written request of the parent.
DCF 252.44(6)(a)
(a) Observation. Each child upon arrival at the camp shall be observed by a staff person for symptoms of illness. For an apparently ill child, the procedure under par.
(c) shall be followed.
DCF 252.44(6)(b)
(b) Health supervision. There shall be an adult at the camp at all times who is responsible for health supervision. The on-site health supervisor shall be one of the following:
DCF 252.44(6)(b)5.
5. A person currently certified as having completed the American Red Cross Standard First Aid course or equivalent.
DCF 252.44(6)(bm)
(bm) If a public or private rescue or emergency vehicle cannot arrive at the camp within 10 minutes of a phone call, a person who is certified by the department as a first responder under ch.
DHS 110 must be on the premises during the hours when children are present. This person may serve as the camp health supervisor.
DCF 252.44(6)(c)1.1. There shall be an isolation or first aid area for the care of children who become ill. If the area is not a separate room, it shall be separated from space used by other children by a partition, screen or other means.
DCF 252.44(6)(c)2.
2. When an apparently ill child is observed in the day camp, the following procedures shall apply:
DCF 252.44(6)(c)2.a.
a. A child with symptoms of illness or a condition such as vomiting or diarrhea, shall be isolated and shall be made comfortable, with a place to lie down available, with a staff member within the sight or hearing of the child. Isolation shall be used until the child can be removed from the camp.
DCF 252.44(6)(c)2.b.
b. The child's parent, or a designated responsible person when parents cannot be reached, shall be contacted as soon as possible after the illness is discovered to take the child from the camp.
DCF 252.44(6)(d)1.1. No child or any other person with a reportable communicable disease specified in ch.
DHS 145 may be admitted or readmitted to a camp, be permitted to remain in a camp, or be permitted to have contact with children in care during the period when the disease is communicable.
DCF 252.44(6)(d)3.
3. A person in contact with children or a child may be allowed to return to a camp if the person's physician provides a written statement that the condition is no longer contagious or the person has been absent for a period of time equal to the longest usual incubation period of the disease as specified by the department.
DCF 252.44 Note
Note: The Division of Public Health in the Department of Health Services has developed materials that identify those communicable diseases that are required to be reported to the local public health officer. These materials also provide information on the symptoms of each disease and guidance on how long an infected child must be excluded from the camp. Copies of the communicable disease chart are available from the Department of Health Services website at
https://www.dhs.wisconsin.gov/publications/p4/p44397.pdf.
DCF 252.44(6)(e)1.1. Camp staff may give prescription and non-prescription medication to a child only under the following conditions:
DCF 252.44(6)(e)1.a.
a. A signed, dated, written authorization that includes the child's name and birthdate, name of the medication, administration instructions, medication intervals, and the length of the authorization from the parent is on file. Blanket authorizations that exceed the length of time specified on the label are prohibited.
DCF 252.44 Note
Note: The department's form, Authorization to Administer Medication, or the provider's own form may be used to obtain the parent's authorization to administer medication. Information on how to obtain the form is available on the department's website,
http://dcf.wisconsin.gov, or from any of the regional licensing offices in Appendix A.
DCF 252.44(6)(e)1.b.
b. The medication is in the original container and labeled with the child's name, and the label includes the dosage and directions for administering.
DCF 252.44(6)(e)2.
2. All medications shall be stored so that they are not accessible to the children.
DCF 252.44(6)(e)3.
3. Medications shall be stored at the appropriate temperature as indicated on the label.
DCF 252.44(6)(e)3m.
3m. All medication for a child in care shall be administered by the camp as directed on the label and as authorized by the parent.
DCF 252.44(6)(e)4.
4. No medication may be kept at the camp without a current authorization from the parent.
DCF 252.44(6)(e)5.
5. Bee sting medication, inhalers, an insulin syringe, or other medication or device used in the event of a life-threatening situation may be carried by a child over the age of 7 years with written authorization from the parent and the child's physician.
DCF 252.44(6)(f)
(f)
Injury. Written procedures for the treatment of children who are in accidents or otherwise injured shall be available, made known to staff, and carried out as follows:
DCF 252.44(6)(f)1.
1. Written permission from the parent to call a child's physician or refer the child for medical care in case of injury shall be on file at the camp. The camp shall contact the parent as soon as possible after an emergency has occurred or, if the injury is minor, when the parent picks up the child.
DCF 252.44 Note
Note: The camp may use the department's form, Child Care Enrollment, or its own form for obtaining medical consent from the parent. Information on how to obtain forms is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 252.44(6)(f)2.
2. Prior to the opening of camp, a planned source of emergency medical care, such as a hospital emergency room, clinic, or other constantly staffed medical facility, shall be designated and made known to staff and parents.
DCF 252.44(6)(f)3.
3. A camp shall establish and follow written procedures for treating minor injuries and for taking a child to an emergency medical care facility
.
DCF 252.44(6)(f)4.
4. First aid equipment shall be available at a designated location at the base camp.
DCF 252.44(6)(f)6.
6. Superficial wounds may be cleaned with soap and water only and protected.
DCF 252.44(6)(f)7.
7. Suspected poisoning shall be treated only after consultation with a poison control center.
DCF 252.44(6)(g)1.1. The licensee shall maintain a medical log book that has a stitched binding with pages that are lined and numbered.
DCF 252.44(6)(g)2.
2. Pages may not be removed from the medical log under subd.
1. and lines may not be skipped. Each entry in the log book shall be in ink, dated, and signed or initialed by the person making the entry.
DCF 252.44(6)(g)3.
3. A provider shall record all of the following in the medical log under subd.
1.:
DCF 252.44(6)(g)3.a.
a. Any evidence of unusual bruises, contusions, lacerations, or burns seen on a child, regardless of whether received in or out of the care of the camp.
DCF 252.44(6)(g)3.b.
b. Any injuries received by a child while in the care of the camp on the date the injury occurred. The record shall include the child's name, the date and time of the injury, and a brief description of the facts surrounding the injury.
DCF 252.44(6)(g)3.c.
c. Any medication dispensed to a child, on the date the medication is dispensed. The record shall include the name of the child, type of medication given, dosage, time, date, and the initials or signature of the person administering the medication.
DCF 252.44(6)(g)3.d.
d. Any incident or accident that occurs when the child is in the care of the center that results in professional medical evaluation.
DCF 252.44(6)(g)4.
4. The director or a designee shall review records of injuries with staff monthly during camp operations to ensure that all possible preventive measures are being taken. The reviews shall be documented in the medical logbook under subd.
1. DCF 252.44(6)(i)1.
1. A child's hands shall be washed with soap and running water before meals and snacks and after handling animals and toileting or diapering.
DCF 252.44(6)(i)2.
2. Persons working with children shall wash their hands with soap and running water before handling food, after assisting with toileting and after wiping bodily secretions from a child.
DCF 252.44(6)(i)3.
3. Soap and water-based wet wipes may be used to wash hands when there is no running water immediately available. Disinfecting hand sanitizers may not replace the use of soap and water when washing hands.
DCF 252.44(6)(i)4.
4. Cups, eating utensils, toothbrushes, combs and towels may not be shared and shall be kept in a sanitary condition.
DCF 252.44(6)(i)5.
5. Children shall be clothed to ensure body warmth and comfort. Wet or soiled clothing and diapers shall be changed promptly from an available supply of clean clothing.
DCF 252.44(6)(i)6.
6. There shall be a supply of dry and clean clothing and diapers sufficient to meet the needs of all children at the camp.
DCF 252.44(6)(i)7.
7. As appropriate, children shall be protected from sunburn and insect bites with protective clothing, if not protected by sunscreen or insect repellent. Sunscreen and insect repellent may only be applied on the written authorization of the parent. The authorization shall include the ingredient strength of the sunscreen or repellent. If parents provide the sunscreen or insect repellent, the sunscreen or repellent shall be labeled with the child's name. Children may apply their own sunscreen or insect repellent with written parental authorization. Recording the application of sunscreen or insect repellent is not required.
DCF 252.44(6)(i)8.
8. Center staff shall follow universal precautions when exposed to blood and blood-containing bodily fluids and injury discharges.
DCF 252.44(6)(i)9.
9. Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags.
DCF 252.44(6)(j)
(j)
Diapering. When children are diapered, the camp counselor shall do all of the following:
DCF 252.44(6)(j)1.
1. Consult with the child's parent to develop a toilet training plan so that a child's toilet routine is consistent between the camp and the child's home, if the child is in the process of becoming toilet trained.
DCF 252.44(6)(j)3.
3. Change each child on an easily cleanable surface that is cleaned with soap and water and a disinfectant solution after each use. The disinfectant solution shall be registered with the U.S. environmental protection agency as a disinfectant and have instructions for use as a disinfectant on the label. The solution shall be prepared and applied as indicated on the label.
DCF 252.44(6)(j)4.
4. If the diapering surface is above floor level, provide a barrier or restraint to prevent falling. A child may not be left unattended on the diapering surface.
DCF 252.44(6)(j)5.
5. Place disposable soiled diapers and gloves, if used, in a plastic-lined, hands-free, covered container immediately.
DCF 252.44(6)(j)6.
6. Remove soiled diapers from containers as needed but at least daily for washing or disposal. Containers shall be washed and disinfected daily.
DCF 252.44(6)(j)7.
7. Apply lotions, powders or salves to a child during diapering only at the specific written direction of the parent or the child's physician. The directions shall be posted in the diapering area. The application of diapering lotions, powders or salves is not required to be recorded in the camp medical log.
DCF 252.44(6)(j)8.
8. Wash the child's diaper area before each diapering with a disposable or fabric towel used only once.
DCF 252.44(7)(a)(a)
Definitions. In this subsection, “waterfront" means a pool or beach accessible to or used by children in care.
DCF 252.44(7)(am)1.1. Pools and other swimming areas used by children shall be located, constructed, equipped and operated according to the requirements of chs.
SPS 390 and
ATCP 76 for pools and water attractions. A beach shall be in compliance with applicable local ordinances.
DCF 252.44(7)(am)2.a.a. Swimming pools shall be enclosed with a 5 foot fence with a self-closing, self-latching door. Spaces between the vertical posts of the fence shall be 3
½ inches or less. In addition, all of the following restrictions apply when the pool is not in use by children.
DCF 252.44(7)(am)2.c.
c. If access to the pool is through a door, the door shall be closed, visibly locked and equipped with an alarm at the door that signals when someone has entered the pool area. The door may not be used as an exit.
DCF 252.44(7)(am)2.e.
e. The free-standing wall of an above ground pool may not serve as an enclosure unless it is at least 5 feet in height and not climbable. If a ladder is present, the ladder shall be removed or raised up so that it is inaccessible to children.
