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.
(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:
A person currently certified as having completed the American Red Cross Standard First Aid course or equivalent.
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.
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.
When an apparently ill child is observed in the day camp, the following procedures shall apply:
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.
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.
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.
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
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
Camp staff may give prescription and non-prescription medication to a child only under the following conditions:
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
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.
The medication is in the original container and labeled with the child's name, and the label includes the dosage and directions for administering.
All medications shall be stored so that they are not accessible to the children.
Medications shall be stored at the appropriate temperature as indicated on the label.
No medication may be kept at the camp without a current authorization from the parent.
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.
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:
Written permission from the parent to call the family physician or refer the child or medical care in case of emergency shall be on file at the camp. This permission shall be used only when the parent or the designated responsible person cannot be reached.
DCF 252.44 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.
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.
A camp shall establish and follow written procedures for treating minor injuries and for taking a child to an emergency medical care facility.
First aid equipment shall be available at a designated location at the base camp.
Superficial wounds may be cleaned with soap and water only and protected.
Suspected poisoning shall be treated only after consultation with a poison control center.
The licensee shall maintain a medical log book that has a stitched binding with pages that are lined and numbered.
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.
A provider shall record all of the following in the medical log under subd. 1.
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.
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.
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.
Any incident or accident that occurs when the child is in the care of the center that results in professional medical evaluation.
The director or a designee shall review records of injuries with staff every 6 months to ensure that all possible preventive measures are being taken. The reviews shall be documented in the medical log book under subd. 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.
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.
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.
Cups, eating utensils, toothbrushes, combs and towels may not be shared and shall be kept in a sanitary condition.
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.
There shall be a supply of dry and clean clothing and diapers sufficient to meet the needs of all children at the camp.
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.
Center staff shall follow universal precautions when exposed to blood and blood-containing bodily fluids and injury discharges.
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.
When children are diapered, the camp counselor shall do all of the following:
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.
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.
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.
Place disposable soiled diapers and gloves, if used, in a plastic-lined, hands-free, covered container immediately.
Remove soiled diapers from containers as needed but at least daily for washing or disposal. Containers shall be washed and disinfected daily.
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.
Wash the child's diaper area before each diapering with a disposable or fabric towel used only once.
In this subsection, “waterfront" means a pool or beach accessible to or used by children in care.
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.
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.
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.
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.
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.
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.
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.
Equipment in water activity areas, including docks, ladders, rafts, diving boards, boats, life jackets, and paddles, shall be maintained and in good repair.
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
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:
Hold a current certification as a life-guard from a nationally recognized certifying agency.
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.
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.
The waterfront supervisor or an equally qualified person shall be on duty at all times whenever children are in the water.
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.
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.
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.
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.