(d) Single-service utensils and food containers may not be reused.
(e) Foods shall be stored at temperatures that protect against spoilage. Milk and other perishable food shall be maintained at or below 40 degrees Fahrenheit.
(f) Food shall be protected from potential contamination and adulteration, including dirt, insects, rodents, or animals. Dry foods, such as cereals, crackers, and pasta shall be stored in bags with zip-type closures or metal, glass, or food-grade plastic containers with tight-fitting covers and shall be labeled and dated. In this paragraph, “food-grade plastic” means any plastic material used in the manufacture of dishes or utensils which has been found not harmful to human health by the national sanitation foundation.
(g) Raw fruits and vegetables shall be washed before being served or cooked.
(h) Meals shall be prepared at the base camp in a central kitchen operated by the camp or in another location that has been inspected by a representative of a state agency. Food delivery vehicles shall be equipped with clean containers or cabinets to store food while in transit. Containers for cold food shall be capable of maintaining the temperature at or below 40 degrees Fahrenheit and containers for hot food shall be capable of maintaining the temperature at or above 140 degrees Fahrenheit.
(i) Extra food that was prepared but not served shall be dated, refrigerated promptly, and used within 36 hours, or frozen immediately for use within 6 months.
(4) Water. (a) A supply of safe drinking water shall be available to children at all times from disposable cups, covered water bottles labeled with the child’s name, or angle jet type drinking fountains. Common use of drinking cups is prohibited.
Note: It is recommended that single-use disposable water bottles not be reused.
(b) 1. When a public water system is not available, a private well may be used if it is approved by the department of natural resources. At least 2 weeks prior to the camp opening each year, water samples from an approved well shall be tested for lead and bacteria by a laboratory certified under ch. ATCP 77. The water supply shall be bacteriologically safe. The laboratory report shall be made available to the department upon request. 2. If the results of the water test under subd. 1. indicate the water is bacteriologically unsafe, the water shall be appropriately treated and re-tested until it is determined to be safe. Bottled water shall be used on a temporary basis until the water is determined to be safe.
Note: Camps using a private well that serves at least 25 of the same people over 6 months of the year are considered to have a non-transient non-community water system (NTNC) and must be in compliance with Chapter NR 809, Safe Drinking Water Act Standards. Contact the nearest department of natural resources office from the list at https://dnr.wi.gov/Contact/SSbyCounty.html. (d) Where running water is not available, a covered drinking water container that is easily distinguishable from other containers, constructed of a food grade material that does not permit the water to become contaminated by dirt, insects, or animals, and suitable for pouring or equipped with a faucet shall be provided. Dipping into water from the container is prohibited. The container shall be cleaned and sanitized daily. The water source shall be a public water supply or as specified in par. (b).
(5) Washrooms and toilet facilities. (a) Handwashing and toileting facilities shall be provided and accessible to children.
(b) Single-use disposable towels shall be provided and accessible to children.
(c) Soap, toilet paper, and a wastepaper container shall be provided and accessible to children.
(d) Outdoor toilets, when used, shall be constructed according to the requirements of the applicable Wisconsin commercial building codes and maintained in good repair.
(e) A portable toilet shall be in compliance with s. SPS 391.13 and local ordinances. (f) Plumbing shall comply with all applicable sections of Wisconsin plumbing codes.
(g) Liquid waste disposal shall be connected to a public sewer, if available. If not available, liquid waste disposal shall be in accordance with chs. SPS 382, 383, and 384. (h) Handwashing and toilet facilities shall be in clean and sanitary condition.
SECTION 377. DCF 252.44 (1) (a) 9. (Note) is amended to read:
DCF 252.44 (1) (a) 9. (Note): With parental consent and consultation, it is recommended that centers camps who care for children who have an Individualized Family Service Plan (IFSP) or an Individualized Education Program (IEP) coordinate programming activities with the local school district or Birth to Three agency.
SECTION 378. DCF 252.44 (2) (b) and (3) (title) are amended to read:
DCF 252.44 (2) (b) If a camp uses time-out periods to deal with unacceptable behavior, time-out periods may not exceed 5 3 minutes, and the procedures shall be included in the camp’s child guidance policy as specified in par. (a). For purposes of this paragraph, a “time−out” is an interruption of unacceptable behavior by the removal of the child from the situation, not to isolate the child, but to allow the child an opportunity to pause, and with support from a counselor, reflect on behavior and gain self-control.
(3) (title) Equipment and furnishings.
SECTION 379. DCF 252.44 (3) (a) (intro.) and (b) (intro.) and 2. are amended to read:
DCF 252.44 (3) (a) (intro.) The camp shall provide program equipment and furnishings in a variety and quantity which will allow that allows staff to implement activities outlined in the written policy on program objectives and activities required under s. DCF 252.41 (1) (g)2. (f) 5. and which meets all of the following criteria: (b) (intro.) All equipment and furnishings, whether or not owned by the camp, shall be:
2. Of sound Safe, durable, of sturdy construction with no sharp, rough, loose, protruding, pinching or pointed edges, or areas of entrapment, in good operating condition, and anchored when necessary.
SECTION 380. DCF 252.44 (3) (b) 4. is created to read:
DCF 252.44 (3) (b) 4. Used in accordance with all manufacturer’s instructions and any manufacturer’s recommendations that may affect the safety of children in care.
SECTION 381. DCF 252.44 (3) (d) is repealed and recreated to read:
DCF 252.44 (3) (d) No trampolines or inflatable bounce surfaces on the premises may be accessible to children or used by children in care.
SECTION 382. DCF 252.44 (5) (title) is repealed and recreated to read:
DCF 252.44 (5) (title) Meals, snacks, and food service
SECTION 383. DCF 252.44 (5) (e) and (Note) and (f) are repealed and recreated to read:
DCF 252.44 (5) (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.
(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.
SECTION 384. DCF 252.44 (5) (h) is repealed.
SECTION 385. DCF 252.44 (6) (a) 1. is renumbered (6) (a).
SECTION 386. DCF 252.44 (6) (a) 2. is repealed.
SECTION 387. DCF 252.44 (6) (c) (title) is repealed and recreated to read:
DCF 252.44 (6) (c) (title) Ill child procedure.
SECTION 388. DCF 252.44 (6) (d) 1. and 3. (Note) are repealed and recreated to read:
DCF 252.44 (6) (d) 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. 3. (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. SECTION 389. DCF 252.44 (6) (e) 1. d., 6., and 7. are repealed.
SECTION 390. DCF 252.44 (6) (f) and (g) are repealed and recreated to read:
DCF 252.44 (6) (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:
1. 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.
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.
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.
3. A camp shall establish and follow written procedures for treating minor injuries and for taking a child to an emergency medical care facility.
4. First aid equipment shall be available at a designated location at the base camp.
5. Standard first aid procedures shall be followed for injuries.
6. Superficial wounds may be cleaned with soap and water only and protected.
7. Suspected poisoning shall be treated only after consultation with a poison control center.
(g) Medical log. 1. The licensee shall maintain a medical log book that has a stitched binding with pages that are lined and numbered.
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.
3. A provider shall record all of the following in the medical log under subd. 1:
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.
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.
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.
d. Any incident or accident that occurs when the child is in the care of the center that results in professional medical evaluation.
4. 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.
SECTION 391. DCF 252.44 (6) (h) and (Note) are repealed.
SECTION 392. DCF 252.44 (6) (i) (title), 1., and 5. are amended to read:
DCF 252.44 (6) (i) (title) Personal Health precautions and personal cleanliness
1. A child’s hands shall be washed with soap and running water before and after meals and snacks and after handling animals and toileting or diapering.
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.
SECTION 393. DCF 252.44 (6) (i) 7. to 9. are created to read:
DCF 252.44 (6) (i) 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.
8. Center staff shall follow universal precautions when exposed to blood and blood−containing bodily fluids and injury discharges.
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.
SECTION 394. DCF 252.44 (6) (j) 3. and (7) (title) and (am) 5. are amended to read:
DCF 252.44 (6) (j) 3. Change each child on an easily cleanable surface which that 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. 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.
(7) (title) water activity area. Swimming and water activity areas.
(am) 5. 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.
SECTION 395. DCF 252.44 (7) (b) 1m. is created to read:
DCF 252.44 (7) (b) 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.
SECTION 396. DCF 252.44 (7) (b) 2. and 3. are amended to read:
DCF 252.44 (7) (b) 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, staff-to-child only staff who can swim may be included when determining counselor-to-child ratios under s. Table DCF 252.42(3)(b) 252.425 shall be maintained by staff who can swim.
3. The waterfront director supervisor or an equally qualified person shall be on duty at all times whenever children are in the water.
