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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)1. 1. A physician licensed in Wisconsin.
DCF 252.44(6)(b)2. 2. A registered nurse or practical nurse licensed in Wisconsin.
DCF 252.44(6)(b)3. 3. A physician assistant licensed in Wisconsin.
DCF 252.44(6)(b)4. 4. An emergency medical technician.
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) (c) Ill child procedure.
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) (d) Communicable disease.
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
DCF 252.44(6)(e) (e) Medication.
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,, 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,, 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)5. 5. Standard first aid procedures shall be followed for injuries.
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) (g) Medical log.
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) (i) Health precautions and personal cleanliness.
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)2. 2. Change wet or soiled diapers and clothing promptly.
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) (7)Swimming and water activity areas.
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) (am) Swimming area.
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 3½ 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.b. b. If access to the pool is through a gate, the gate shall be closed and locked.
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.d. d. Locks shall be located so that the locks cannot be opened by children.
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.
DCF 252.44(7)(am)2.f. f. The area around the pool enclosure shall be free of toys or equipment that would allow a child to climb or otherwise gain access to the pool.
DCF 252.44(7)(am)3. 3. The swimming area used by a day camp shall have designated areas for non-swimmers, intermediate swimmers, advanced swimmers and divers. A child shall be restricted to the area of the pool or beach that is within the child's swimming ability.
DCF 252.44(7)(am)4. 4. Access to a water activity area or beach shall be controlled so that children may not enter the area without the knowledge of waterfront staff and any area used for swimming shall be clearly marked.
DCF 252.44(7)(am)5. 5. Equipment in water activity areas, including docks, ladders, rafts, diving boards, boats, life jackets, and paddles, shall be maintained and in good repair.
DCF 252.44(7)(am)6. 6. Rescue equipment, including a shepherd's crook type pole, a backboard, ring buoy, and rescue tube shall be maintained and immediately available at each water activity area as specified in s. ATCP 76.26.
DCF 252.44(7)(b) (b) Waterfront supervisor.
DCF 252.44(7)(b)1.1. Each day camp offering swimming, boating, canoeing, or other water activities whether at a pool or a beach shall designate a staff person as waterfront supervisor. All water activities, whether on or off the premises, shall be under the direction of the waterfront supervisor or an equally qualified adult who is present at the waterfront during water activities. The waterfront supervisor shall:
DCF 252.44(7)(b)1.a. a. Be 18 years of age or older; and
DCF 252.44(7)(b)1.b. b. Hold a current certification as a life-guard from a nationally recognized certifying agency.
DCF 252.44(7)(b)1m. 1m. If the center uses a pool, beach, or other water attraction that is not located on the center premises and certified lifesaving personnel are on duty, the waterfront supervisor is not required to meet the qualification in subd. 1. b.
DCF 252.44(7)(b)2. 2. The camp shall maintain a ratio of one person with a current Red Cross certified lifesaving certificate per 25 children in the water, except where a public swimming place has life-saving personnel on duty. While children are in the water, only staff who can swim may be included when determining counselor-to-child ratios under Table DCF 252.425.
DCF 252.44(7)(b)3. 3. The waterfront supervisor or an equally qualified person shall be on duty at all times whenever children are in the water.
DCF 252.44(7)(b)4. 4. The waterfront supervisor shall establish and enforce a method for supervising children in the water such as the buddy system, the colored cap system or another method of supervising children. The supervision plan shall be included in the camp's written waterfront plan and reviewed during pre-camp training.
DCF 252.44(7)(b)5. 5. The waterfront supervisor shall establish and enforce a method for checking persons in and out of the water. The check-in and check-out procedures shall be included in the camp's written waterfront plan and reviewed during pre-camp training.
DCF 252.44(7)(b)5m. 5m. The waterfront supervisor shall establish and enforce procedures for ensuring that children who have access to a beach or are engaged in fishing or other shoreline activities are properly supervised.
DCF 252.44(7)(b)6. 6. The waterfront supervisor or person acting as the waterfront supervisor may not be included when determining counselor-to-child ratios during any period when children are in the water.
Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.