The person administering the medication makes an entry into the medical log book as required under s. DCF 252.41 (4) (b)
that includes the type of medication given, dosage, time, date of administration and name or initials of the person administering the medication.
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.
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. The recording of the application of sunscreen or insect repellent is not required.
Children shall be protected from sunburn with protective clothing, if not protected by sunscreen.
Written procedures for the treatment of children who are in accidents or otherwise injured shall be available and made known to staff and shall be 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.
There shall be written procedures to be followed for bringing a child to emergency medical care.
First aid equipment shall be available at a designated location at the base camp.
Suspected poisoning shall be treated only after consultation with a poison control center.
A daily record of injuries shall be kept in the medical log. Records of injuries shall be reviewed monthly by the camp director and staff to ensure that all preventive measures are being taken. There shall be documentation in the medical log book required under s. DCF 252.41 (4) (b)
that reviews have taken place.
(g) Health history.
A written health history on a form prescribed by the department shall be obtained from the parent before the child's first day of camp. This shall be kept on file at the base camp and be available to staff. Information contained on the health history form shall be shared with any person assigned to care for the child.
DCF 252.44 Note
The department's form, Health History and Emergency Care Plan, is used to record a child's health history. Information on how to obtain forms is available from the department's web site, http://dcf.wisconsin.gov
, or from any regional office listed in Appendix A.
The camp shall maintain a record of immunizations for each child to document compliance with s. 252.04
, Stats., and ch. DHS 144
DCF 252.44 Note
The form, Day Care Immunization Record, may be used to record immunization information. An electronic printout from the Wisconsin Immunization Registry or other registry maintained by a health care provider may be used in place of the Day Care Immunization Record. Information on how to obtain forms is available from the department's web site, http://dcf.wisconsin.gov
, or from any regional office listed in Appendix A.
A child's hands shall be washed with soap and running water before and after meals and snacks and after 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.
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.
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 which is cleaned with soap and water and a disinfectant solution after each use with a chlorine bleach solution of one tablespoon bleach to one quart of water, made fresh daily or a quaternary ammonia product prepared according the manufacturer's recommendation.
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 DHS 172
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.
Water activity areas shall be free of hazards. Equipment in water activity areas, including but not limited to 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. DHS 172.26
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.
The camp shall maintain a ratio of one person with a current Red Cross 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, staff-to-child ratios under s. DCF 252.42 (3) (b)
shall be maintained by staff who can swim.
The waterfront director 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 or person acting as the waterfront supervisor may not be included in the staff-to-child ratios during any period when children are in the water.
The swimming ability of each child shall be assessed by either the parent or the camp. Documentation of the assessment shall be kept in the child's file.
Children shall be restricted to swimming areas within their swimming classification.
(d) Boating prohibited in swimming areas.
Except in an emergency, no rowboat, canoe, motor boat or other craft, except a lifeboat used by lifeguards, is permitted in a swimming area, pursuant to s. 30.68 (7)
(e) Supervision of waterfront activities.
Children shall be closely supervised when they have access to a beach or they are participating in fishing or other shoreline activities.
In this section, "boat" means every description of watercraft used or capable of being used as a means of transportation on water, including canoes, kayaks, large inner tubes, inflatable boats and sailboards. Small inflatable toys such as swim rings and air mattresses are not considered "boats" under this definition.
Each occupant of a boat shall wear a type I or II coast guard-approved personal flotation device which is appropriate to the weight of the person wearing it as specified in s. 30.62 (3) (a)
, Stats., and s. NR 5.13
There shall be at least one adult in each boat who is a competent swimmer as determined by the waterfront supervisor. When children are using single-seat boats, such as kayaks, a counselor who is a competent swimmer shall be close enough to the children to provide assistance if necessary.
Children who have not demonstrated advanced swimming skills shall be limited to the use of the rowboats only.
All boats, oars and paddles shall be in good repair and inspected annually for safety.
(9) Firearms and archery.
Firearms and archery equipment may not be used by children under 7 years of age. When firearms and archery equipment are used by children over age 7, the following precautions shall be observed:
The archery or shooting range may be used only under the supervision of a trained adult instructor.
Other program activities shall be in an area away from the designated archery or shooting range. The range shall be fenced in with rope or wire and marked with danger signs or flags.
Firearms, ammunition, and archery equipment shall be stored under lock and key when not in use.
Children shall be closely supervised to ensure that all firearms, ammunition and archery equipment is used in a safe manner and to ensure that all unused ammunition is returned to the instructor.
Children under 7 years of age shall not be allowed in areas where power tools are in use.
When power tools and other tools are not in use, they shall be stored in an area not accessible to children.
This subsection shall apply whether the camp owns, rents, or leases horses.
Children may ride horseback only under close supervision in a ring or other enclosed area.
The riding tack shall be maintained in good repair to provide maximum safety for children. It shall be appropriate to the age, size, and ability of the rider.
Horseback riding shall be specifically covered by the camp's liability insurance.
(12) Field trips.
For field trips away from the base camp: