SOUTH SHORE YMCA EMILSON BRANCH CAMP GORDON CLARK BOARD OF HEALTH POLICIES AND PROCEDURES - 2020 CAMP DIRECTOR: Christopher Crossen-Sills, M, Ed.
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SOUTH SHORE YMCA EMILSON BRANCH CAMP GORDON CLARK BOARD OF HEALTH POLICIES AND PROCEDURES 2020 CAMP DIRECTOR: Christopher Crossen-Sills, M, Ed.
PROCEDURES FOR THE BACKGROUND REVIEW OF STAFF South Shore YMCA is certified for access to CORI. Each staff person will fill out a CORI check form issued by the CHSB, which will have a unique association identification number on it. Each staff person will sign the form. The YMCA will send the CORI request to the CHSB along with a $10.00 payment. Each staff person who can have unsupervised contact with the campers must have a background free of conduct which bears adversely upon his/her ability to provide for the safety and well being of the campers. At minimum the South Shore YMCA shall require for each camping season, the following from each person who may have unsupervised contact with a camper: ï Prior work history, including address and phone numbers of a contact person ï Three reference checks from individuals not related to the staff person, but not limited to employers or school administrators ï Obtain CORI/Juvenile Report from the CHSB ï SORI check from the MA Sex Offender Registry Board ï Any break in employment service at any time during the year requires a new CORI & SORI for the staff person ï The South Shore YMCA will maintain written documentation verifying background and character for each staff member for three years ï Until requirements are met, the South Shore YMCA shall ensure that staff members shall not have unsupervised contact with campers, unless a staff person member whose background check is approved is also present. ALL CORI & SORI CHECKS ARE ON FILE WITH THE HUMAN RESOURCES DEPARTMENT AT THE SOUTH SHORE YMCA, 91 LONGWATER CIRCLE, NORWELL, MA 02061 PARENTS RIGHT TO REVIEW Upon registering for camp, families may request copies of background checks, health care & discipline policies, in addition to procedures for filing grievances. All information is located within the parent handbook; however, leadership staff may assist families in acquiring the information on these subjects.
PROCECURES FOR ORIENTATION OF STAFF AND VOLUNTEERS All staff will receive a minimum of 15 hours of training prior to the beginning of camp. Staff will receive training on a range topics including, bun not limited to: ï OSHA regulations ï Child Abuse Prevention ï YMCA Policies & Procedures ï Behavior Management ï Emergency Procedures ï Pool Safety In addition each staff member will receive training within their unit as to their individual duties with regards to all aspects of the running of camp. STAFF COVID ADDITION 2020 Training All staff training on new standards and expectations completed before first day of camp. Also, to include trauma informed care around COVID-19. 1. Covid19 Training and Signs/Symptoms 2. Cleaning 3. Social Distancing 4. Proper Discussion points with Campers / Mental health (EMPATHY COVID)- 15 minute Y USA approved training 5. Trauma Informed Care- staff working with children/families 6. Trauma Informed Care- Supervisors to support staff 7. American Red Cross Link Virtual online trainings when possible. Recommend Redwoods FREE Online Training. All other training should be done in cohorts to avoid large groups until necessary. Staff will be trained on how to properly disinfect and sanitize areas their cohorts use. Covid-19 Use local Board of Health guidelines to develop exposure notification plan to Exposure communicate with staff and members. Include: Isolation, containment and contact tracking procedures Stay at home requirements Staff Unable to Determine how to handle employees who are unable or unwilling to return to work Work (fearful, family obligations, high risk category).
PROCEDURES FOR REPORTING SUSPECTED CHILD ABUSE OR NEGLECT When child abuse is suspected or disclosed by a child it is imperative that the staff/volunteer protect the child’s right to privacy. ï Find a private place to talk—always maintain the “opportunity to be viewed” ï Be a good listener/observer—respond calmly, establish a good rapport ï Minimize the need for questioning—two to three open ended, clarifying questions are best ï Reassure the child—however do not make promises Mandated Reporting - All SSYMCA staff fall under the MA guidelines of Mandated Reporting and are mandated by law to report all incidents of suspected abuse and/or neglect of children under the age of 18 to the Department of Children and Families via 51A Report. According to MA General Laws to Protect Children Section 51A-F no staff will ever be “discriminated or retaliated against” for making a report of suspected abuse. All staff will report to their supervisor any indication of or warning signs concerning abuse and or neglect involving a child, inappropriate behavior by a staff member/volunteer AND any instances of staff violating this Code of Conduct and Child Protection Policy SSYMCA staff who identify concerning behavior or a violation of policy by a fellow staff person must report the event to their supervisor or next /lateral chain of command and /or to the VP of Human Resources immediately. Overview of Reporting Procedure 1. Any form of child abuse (a child who is harmed or threatened with physical or emotional harm by the acts or lack of action /deliberately or through negligence or inability/of a caretaker) including physical, emotional, sexual or neglect if suspected, is to be reported to your supervisor immediately. 2. At that time both you and your supervisor (or next/lateral in chain of command) will report the abuse or neglect to the MA Department of Children and Families (DCF). 3. The Executive Director or designee and Program Director in consultation with DCF may jointly decide if, when, and/or how the parents/guardians should be advised that the SSYMCA has filed a 51A report. 4. Once the suspected abuse or neglect has been orally reported to DCF, a written report (51A) must be submitted within 48 hours. Please note that any mandated reporter who fails to make the required reports may be fined up to $5000 and /or 2 1/2 years in jail. (Chapter 119 sections 51A-E). 5. If the alleged abuse involves a SSYMCA staff or volunteer, they will immediately be suspended from work and will remain suspended until a full investigation is completed. Reinstatement of a staff or volunteer will occur only after all allegations have been cleared to the satisfaction of SSYMCA CEO Paul Gorman. The Hanover Department of Health will be notified when 51A reports are filed for a camper who attends the Camp Gordon Clark. Child Training should include all NEW COVID-19 protection procedures for campers Protection as well as all the required child abuse, child sexual abuse and neglect preventions. With modified ratios and new bathroom/changing stall procedures it is imperative camp leadership reevaluate their child protection protocols to ensure they align with new standard operating procedures under COVID-19. Praesidium Guidelines
HEALTH CARE POLICY HEALTH CARE CONSULTANT Name: David Irons Address: 191 Independence Ave Quincy, MA 02169 Telephone: 617-773-5070 HEALTH CARE SUPERVISOR(s) 1. Katherine Hartford, RN – Camp Nurse (Registered Nurse) 2. Christopher Crossen-Sills – Camp Director 3. Kelly Fisher, COVID Spokesman/RNA 4. Lauren Picard, RNA EMERGENCY TELEPHONE NUMBERS: Fire: 911 Police: 911 Rescue/Ambulance: 911 Poison Control Center: 1-800-222-1222 HOSPITAL(s) utilized for EMERGENCIES Name: South Shore Hospital Address: 55 Fogg Road Weymouth, MA 02190 Telephone: 781-340-8000 EMERGENCY PROCEDURES (transportation method & notification of parent) Administer immediate first aid. Contact parent or emergency contact if applicable. Transport camper via ambulance with staff person. Child’s information sheet and physical form should accompany the child. EMERGENCY PROCEDURES (if parents cannot be contacted) Continue trying to contact parent or emergency contact. EMERGENCY PROCEDURES (when off premises) All children’s information sheets and physical forms along with any medication are taken on the trip. Staff are made aware of the nearest phone, in addition to the cell phone each director has. Staff will also designate an area that will be considered our home base for the day – campers will be made aware of this area in case someone gets lost. PROCEDURES FOR UTILIZING FIRST AID EQUIPMENT ï Location of first aid kits: Camp Nurses Office, one with each group ï Location of first aid manual: First Aid Kit ï First aid is administered by: Katherine Hartford, RN (Camp Nurse) ï First aid kits are maintained by: Katherine Hartford, RN (Camp Nurse) ï Contents of first aid kit: sterile gauze squares, compresses, 4 inch roll-flexible gauze bandage, 2 inch roll- flexible gauze bandage, 1 inch roll-bandage tape, 1 triangular muslin bandage, scissors, tweezers, barrier protection gloves-non-latex, instant cool pack/plastic bag for ice cubes, non-perfumed soap, mask- 1-way valve
PLAN FOR INJURY PREVENTION AND MANAGEMENT (monitoring the environment) Each specialist/unit director will be responsible for inspecting his/her program area for safety hazards and/or equipment that is in need of repair. Hazards will be removed or fixed or the campers will be moved to a safer area. Camp Nurse and Camp Director will be notified immediately of all concerns. PROCEDURES FOR REPORTING SERIOUS INJURY/IN-PATIENT HOSPITALIZATION/DEATH OF A CAMPER OR STAFF PERSON TO THE DEPARTMENT OF PUBLIC HEALTH A report (prescribed by the Health Department) will be completed for each serious injury or fatality resulting in a camper/staff being sent home or transported to the hospital/physician where a positive diagnosis is made. This report will be sent to the Health Department accompanied with a phone call concerning this matter. PROCEDURES FOR INFORMING PARENTS WHEN FIRST AID IS ADMINISTERED TO THEIR CHILDREN, INCLUDING TIME FRAME AND DOCUMENTATION. Any and all serious injuries that occur at camp (including all injuries that occur from the neck up), will result in immediate phone calls to parents from the Camp Nurse. PLAN FOR INFECTION CONTROL & MONITORING Parents are aware that they must notify the camp director if their child has a communicable disease. When this is done the director will send a notice home informing all other campers that such a situation does exist. This will be immediately reported to the local board of health and the child will not be admitted back into camp unless accompanied by a doctor’s note stating that the child is no longer contagious. PROCEDURES FOR THE CLEAN UP OF BLOOD SPILLS All staff have attended an OSHA training regarding blood and exposure. Blood will be cleaned up using rubber gloves and disposed of in the proper hazardous waste bags. The area will be cleaned with the appropriate cleaning solutions. EMERGENCY PLAN FOR THE EVACUATION OF THE PROGRAM OR FACILITY 1. Each door in every room we use has the evacuation plans posted where the campers can read them 2. Children will be lead out of the building by their counselor 3. The Camp Director or Assistant Director will be responsible for checking all rooms after evacuation 4. The director will meet all the children & counselors at a predetermined location where the director will account for all the children in camp 5. Evacuation drills will take place once every session 6. The director will document date, time and effectiveness of each drill PLAN FOR ADMINISTERING MEDICATION Dr. David Irons, our Health Care Consultant will be available at all times for consultation. He will oversee a written policy for the administration and storage of all medications. Health Supervisor: Katherine Hartford, RN These people: Are over the age of 18 Are Certified in First aid & CPR Can safely handle and administer medication properly Can keep proper records Demonstrates accurate notations on the record Will contact Health Consultant with any questions
Can utilize the “911” emergency system Will assure confidentiality All medication prescribed for campers shall be kept in its original container with a current date, the name of medication, patient’s name, doctor’s name and the name of the pharmacy & pharmacist. All medication will be kept in a locked storage cabinet in the Nurse’s Office and will only be opened to administer the medication. This medication will be administered by the Health Supervisor. Exception: Campers may be allowed to self-medicate themselves using a prescribed Epi-pen or inhaler and the parent/guardian and camp health care consultant can give written approval for their Camp Counselor to carry these medications with them in the group’s First Aid Kit which will remain with the counselor throughout the day. At the end of each day, these first aid kits will be locked in the camp office and counselors will pick them up each morning. Our Health Consultant, Dr. David Irons will sign off on this medication given out at camp. Parents will also have to sign an authorization form before medication will be distributed at camp. The Health Supervisor will keep accurate record of all medication that is dispensed daily. PLAN FOR RETURN OR DESTROYING UNUSED MEDICATION AT CAMP When medication is no longer needed and cannot be returned, the Health Care Consultant, with a witness present, will destroy any medication and make a record of this action in their medical log. PLAN FOR THE CARE OF MILDLY ILL CAMPERS The child will be removed from the group and brought to the Nurse’s Office where she/he can rest quietly on a cot with a pillow. Parent will be contacted and the parent may be asked to pick-up child from camp. Camp Nurse will document this in the medical log. PROCEDURE FOR IDENTIFYING AND PROTECTING CHILDREN WITH ALLERGIES AND/ OR OTHER EMERGENCY MEDICAL INFORMATION Camp Nurses will be responsible for reviewing all physical forms which will indicate allergies and any other conditions relative to the safety of the child at camp. Once identified, special consideration lists will be distributed to the appropriate staff in charge of dealing with the identified child. PROCEDURE FOR HANDLING SERIOUS INJURY If the YMCA staff is unable to treat a camper, an ambulance will be called to transport the camper to the nearest hospital. The parent will be called and will be advised to meet the ambulance at the hospital. A staff member along with a copy of the child’s medical form will accompany the child to the hospital.
DISCIPLINE POLICY Should a discipline problem arise, we follow a three step process, and each step will be documented in writing along the way. We will communicate with the camper each step along the way to help them understand why they have been disciplined. 1st Offense – Verbal Warning nd 2 Offense – 5 minute Time-Out/Conference with Unit Director rd 3 Offense – Time-Out/Conference with Camp Director/Asst. Director A repeat visit to the Camp Office will result in a phone call to the parent about the behavior, and a meeting may be scheduled. Suspensions will be issued for violent or inappropriate behavior, or repeated visits to the Camp Office for 3rd Offenses. Expulsions from camp occur when a camper’s behavior puts anyone at risk (including themselves), or the camper has already received one suspension. In addition to the procedures outlined above, the following discipline policies are in effect at camp. 1. Corporal punishment including spanking is prohibited 2. No camper shall be subjected to crude or severe punishment 3. No camper shall be denied food or shelter 4. No camper shall be punished for soiling, wetting or not using the toilet 5. Records shall be kept regarding a camper’s behavior which will include the date, time and the camper & staff person involved in the incident.
FIRE EVACUATION PLAN South Shore YMCA Camp Gordon Clark Directions for leaving facility: please see plans for each room in the YMCA. A fire drill will take place on the second day of each session. A roster of all campers for that session will be available for the director along with a list of staff present each day. Each Area Specialist will be responsible for their activity area. If there is not a Specialist than the counselor of each group will be responsible. Staff at no time will ever leave a camper unsupervised. All doors will have escape route posted so campers and staff can read (picture & words). An alarm will sound in the case of a real fire signaling an evacuation. Camp Director will contact 911 by office phone or cell phone, as well as contacting the YMCA Associate Executive Director and Senior Program Director. Designated area to meet that is far away from South Shore YMCA is the YMCA field near the Flag Pole. At this location counselors will take attendance and the director will do group and staff checks. Occupant Response to a Fire All staff not assigned to a group of campers should notify anyone in the area of the danger. If there is time they should close all doors but keep unlocked. Fire alarm will be activated by the nearest staff person. All staff are aware of who and what they are responsible for during the evacuation. The director should call 911 stating the name of the building and its address along with the nearest cross road, location of the fire in the building, any info about the fire and contact phone number. The staff person will not hang up until the emergency services person does so. All fire drills will be dated and documented. signature Fire Dept
DISASTER PLAN GENERAL In the case of any type of disaster/emergency advisory by the local authorities, all campers will be evacuated to a safer area. All Directors/Specialty Staff will go to each program area and blow whistle, signifying an emergency and all campers need to report to the designated area. TORNADO or HIGH WINDS In the case of a tornado campers will be moved inside in the gym of the YMCA. They will be kept away from any/all glass windows. Camper should crouch down on floor with hands covering back of head and neck. If any groups cannot make it to a suitable indoor structure, they should lie flat in the nearest ditch or depression and use hands to cover their heads. FLASH FLOOD Camp Director will be responsible for evacuating all low-lying areas and move to higher ground avoiding small rivers and streams. Staff & campers should not walk through flowing water more than ankle deep. LIGHTNING When campers are outside they will be moved inside to the YMCA facility. If anyone feels their hair standing on end, should squat down with head between knees (not lying flat). Everyone should avoid isolated trees or other tall objects, bodies of water, sheds or fences. CHEMICAL SPILL In the event of a chemical spill campers will be evacuated to the parking lot of the Hanover Mall, across Mill Street. WILDFIRE Camp Director will be responsible for listening to local TV or radio broadcasts for updated emergency information. Staff will follow the advice of local officials regarding best escape routes, considering that wildfire can change direction quickly. Anyone trapped ï should crouch in a pond or river ï lie flat and cover body with wet clothes or soil ï if no water, look for shelter in a cleared area or among a bed of rocks ï breathe the air close to the ground through a wet cloth to avoid scorching lungs or inhaling smoke
LOST CAMPER PLAN In the case of a lost camper all camp groups need to report to designated area to be accounted for by Head Counselors and camp leadership staff. DESIGNATED AREA: Flag Pole, YMCA field. The camper’s name and age should be reported to the Camp Director/Asst. Director, as well as where the camper was last seen, what camper was wearing and any other information that would be helpful. Associate Executive Director of the YMCA will be informed. Each counselor will count their campers and be responsible for their group and report to their coordinator the attendance of the group. Office attendance records should be checked to make sure camper was not picked up. Notify emergency 911 if camper is still missing and relay all pertinent information to the dispatcher.
LOST SWIMMER PLAN In the case of a lost camper at the pool area, the lifeguard will blow the whistle and clear the pool and call for a buddy check and a group check. At this time all campers will find their buddy and sit with him/her. Counselors will also count their campers in their own group. Counselors are always responsible for the whereabouts of the campers in their group. Local emergency personnel will be contacted if necessary. 911 will be called. YMCA Associate Executive Director will be informed. Lifeguards will be responsible for searching every inch of the swimming pool. Lifeguard staff will be responsible for checking bathrooms/locker rooms. All swimmers will be moved by their counselor back to the drop-off/pick-up area of camp. Aquatics Supervisor & Camp Director would be responsible for interviewing any witnesses to confirm last seen location. Aquatics COVID ADDITION 2020 Bathing Bathing load are based on the camps ability to maintain social distancing. Camps Loads? should investigate how much space is needed for campers of different swimming abilities to ensure social distancing. Awaiting Clarification from DPH Free Swim Cohorts may swim together. Cohorts must maintain social distancing when using the pool area together. Suggest lane markers and other barriers be used to ensure groups do not mix. Swim Suggest non-contact lessons. Instructors teaching from deck and maintaining 6 feet while Lessons students in pool. Classes no more than 9 with instructor. Instructors can teach multiple cohorts but should ensure all proper precautions with handwashing in between groups and keep social distancing during lessons. Lifejackets Good practice: Limit the amount of shared supplies and equipment per activity. Hand wash life jackets in hot soapy water. Allow to air dry and spray lifejackets with alcohol-based disinfectant spray. Better practice: Hand wash life jackets in hot soapy water. Use a dryer to ensure complete drying with a temperature set point not to exceed 140 °F. Spray lifejackets with alcohol- based disinfectant spray before use Best practice: Designate certain equipment (e.g., lifejackets) to individuals for the duration of camp, to decrease the quantity of shared items. If you think your product has been exposed to a virus, clean as recommended by the manufacturer and then let dry in a warm, low humidity environment for at least 72 hours before reuse. Avoid spraying inflatables with specific disinfectants that are detrimental to the fabric. e.g. bleach-based products. Do not machine launder life jackets. Life jackets should be hand- washed with gloved hands – wash as hot as possible (
Changing Recommend assigned changing areas for each cohort. If that cannot be accomplished Stalls and camps should clean stalls after each use and document that cleaning was done. Lockers Only one cohort at a time should utilize indoor locker room space at one time. Camper’s belongings should be individually stored in lockers, cubbies, or in some fashion to ensure there is no mixing of belongings.
TRAFFIC CONTROL PLAN AND CAMPER RELEASE POLICY Traffic will be coordinated by the Camp Director with assistance of other YMCA directors as well as area specialists. Drop Off In the morning parents will need to park in a designated spot in the YMCA parking lot. They will then be required to accompany their camper to their unit tent where they will be signed in by a counselor. Pick Up Parents, or individuals previously authorized in writing to pick campers up, will be directed to one of two designated pick up areas according to their camper’s unit tent. YMCA Directors, the Camp Director and area specialists will assist in traffic flow. Once in their designated pick up area parents/authorized individuals will stay in their car and tell an area specialist their camper’s name and unit. Campers will be accompanied to the car by their counselor and will be signed out by parents/authorized individuals only after the counselor has checked their proper identification to make sure that they are authorized to pick the camper up. In the event that an individual who is not authorized attempts to pick up a camper, the Camp Director/Asst. Director will call the parents to obtain temporary authorization. Pick Up and Only staff and campers are allowed on camp grounds. Drop off should be done Drop Off in specific areas with designation. Camps may only check in groups of 10 Procedures campers at one time. Suggested staggered and separate ways for groups to check in together. After answering questions and temp screen, and remote check in, campers should proceed to handwashing station. Suggest automated digital check in process. Beginning of Camp day: • Staff member will meet at car with gloves and mask on to take camper’s temperature and complete a symptom check. *If a camper has a temperature greater than 100 or shows symptoms, they will not be allowed into camp that day. Campers can return after being 24 hours without a fever and symptoms. • Parents are to remain in vehicle during check in procedure. • Parents roll down their passenger side window. Parents will be required to use their own hand sanitizer and pen before being handed the check in book to sign in their camper. • MEDICATIONS: parents bring in medications with ‘Permission to Administer’ paperwork to give staff. • Camper will then proceed to wash their hands at handwashing station before proceeding to their group to begin their camp experience!! End of Camp Day: • Staff member will meet at car with gloves and mask. • Parent will roll down passenger’s side window, Staff will verify ID • Parents will be required to use their own hand sanitizer and pen. • Staff will hand parent sign out book • Staff can release camper to parent.
CONTINGENCY PLANS Registered campers who fail to arrive Each morning campers will be checked in on the attendance sheets when they arrive at camp. Parents are asked to inform the Camp Office by phone of any absences. Any camper who does not arrive after two days will be called on the telephone to confirm their whereabouts. Campers who appear who are not registered All parents will be required to check in upon arrival to camp. On the first day of each session, campers/parents will check in at the registration area. Full time YMCA staff will be on hand to properly staff the registration area. If a camper / parent arrive and are not registered, they will be turned away. If during the day, a child appears who is not a registered camper, the child will be kept in the office and an attempt will be made to contact parents/guardians. If parents/guardians cannot be contacted after an adequate period of time, the police will be contacted. Campers who fail to arrive at end of day at pick-up Counselor would notify the director if a camper was missing and we would begin the Search & Rescue procedure outlined in the ‘Lost Camper Plan’ section. The Camp Director will double check with the YMCA to confirm roster for that session. Campers who are not picked up at the end of the day If a camper is not picked up at the end of the day (4:00 for campers not enrolled in extended day and 6:00 for campers enrolled in extended day), the child will stay with the Director on duty and a call will be placed to the parents/guardians. If parents/guardians cannot be contacted after an adequate period of time, the police will be contacted. Campers who arrive at camp, but are not registered for camp If a camper arrives at camp with their family, but are not registered for camp they will be asked to report to the camp office before being signed in. The family will need to register with our camp registrar to ensure we have all pertinent information in regards to emergency contacts, etc. If there is no room in camps that the family is trying to register for, the family will not be able to register for camp for the given week. CAMPERS COVID ADDITION 2020 FIELD GUIDE Some information provided below is available in the Field Guide on Implementation of CDC Guidance: ACA YUSA FIELD GUIDE FOR CAMP MA EEC All materials supplied below are derived from the EEC MASSACHUSETTS CHILD AND GUIDELINES YOUTH SERVING PROGRAMS REOPEN APPROACH Minimum Requirements for Health and Safety
ENTRY Daily Screening: Programs must screen all staff and children before they are permitted SCREENING to enter the camp space following the requirements below. (1) Establish a single point of entry to the program to ensure that no individual is allowed to enter the building until they successfully pass the screening. (2) Designate specific program staff to conduct all screening activities and thermometer checks, and establish a designated screening area (e.g., a side room or enclosed area close to the point of entry) that will allow for more privacy in order to ask questions confidentially or conduct a temperature check. Unless a physical barrier, such as a plexiglass screen, is used, the space used for screening must allow for social distancing of childcare staff from child/family while screening is being conducted (i.e. at least 6 feet of separation). (3) Health check responses and individual temperature check results must be recorded and maintained on file. (4) Verbally screen children and parents asking the following questions. If any of the below are yes, the child must not be allowed to enter the building. The child must return home with their parent or caregiver. (a) Today or in the past 24 hours, have you or any household members had any of the following symptoms? • Fever (temperature of 100.0°F or above), felt feverish, or had chills? • Cough? • Sore throat? • Difficulty breathing? • Gastrointestinal symptoms (diarrhea, nausea, vomiting)? • Abdominal pain? • Unexplained Rash? • Fatigue? • Headache? • New loss of smell/taste? • New muscle aches? • Any other signs of illness? (b) In the past 14 days, have you had close contact with a person known to be infected with the novel coronavirus (COVID-19)? (5) Staff must make a visual inspection of each child for signs of illness, which could include flushed cheeks, rapid breathing or difficulty breathing (without recent physical activity), fatigue, or extreme fussiness. Confirm that the child is not experiencing coughing or shortness of breath. In the event a child is experiencing shortness of breath or extreme difficulty breathing, call emergency medical services immediately. (6) Camps must include non-contact temperature checks (using a scanning or temporal thermometer), conducted by designated staff, as part of their screening protocols. To ensure that staff conducting temperature checks are able to do so safely, the following protocol must be followed: (a) Perform hand hygiene. (b) If social distancing or barrier/partition controls cannot be implemented during screening, personal protective equipment (PPE) including eye protection (goggles or disposable face shield) that fully covers the front and sides of the face, in addition to mask and gloves, should be used when within 6 feet of a child. However, reliance on PPE alone is a less effective control than maintaining social distancing during screening. (c) Check individual’s temperature using a non-contact or temporal thermometer. If performing a temperature check on multiple individuals, ensure that a clean pair of gloves is used for each individual and that the thermometer has been thoroughly cleaned in between each check, in accordance with CDC recommendations for infection control. (d) Remove and discard gloves and other PPE, in accordance with CDC guidance. To reduce the risks of contamination when using PPE, staff must be adequately trained on appropriate donning and doffing of required PPE. Programs must have adequate space to safely don/doff PPE, designated space for clean PPE supply that is separate from dirty/contaminated/disposed PPE, and consideration should be given for ongoing shortages and unreliable supply of PPE nationally.
(7) All staff, parents, children, and any individuals seeking entry into the program space must be directed to self-screen at home, prior to coming to the program for the day. If the program is a family child care program, all household members must self- screen before coming into the child care space. (a) Self-screening shall include checking temperature (temperature of 100.0°F or above is considered a fever), and checking for symptoms included fever, cough, shortness of breath, gastrointestinal symptoms, abdominal pain, unexplained rash, new loss of 5 Close contact is defined as being within 6 feet of an individual who has tested positive for COVID-19 for more than 10 minutes while that person was symptomatic, starting 48 hours before their symptoms began until their isolation period ends. taste/smell, muscle aches, or any other symptoms that feel like a cold. Anyone with a fever of 100.0°F or above or any other signs of illness must not be permitted to enter the program. (b) Parents and staff must sign written attestations daily regarding any household contacts with COVID-19, symptoms (e.g., fever, sore throat, cough, shortness of breath, loss of smell or taste, or diarrhea), or if they have given children medicine to lower a fever. (c) Individuals who decline to complete the screening questionnaire or have temperature checked will not be permitted to enter the program space. RECOMMENDATIONS: Camps should consider how to ensure check-in still “feels like camp.” Look at investing in a fun booth or decorations to make the temp check and the question part still seem as fun as possible. Camps should investigate portable handwashing stations that can be installed at the entry area. Talk with your board of health to see if Temp Screening can be done through a car window. Could campers be screened before they get out of their car to streamline the drop off procedures? Suspected Planning for Isolation and Discharge: Camps must take the following actions to prepare Cases for a potential exposure. (1) Designate a separate space to isolate children or staff who may become sick, with the door closed (or a solid barrier) if possible. Isolated children must be supervised at all times. A private or separate bathroom must be made available for use by sick individuals only. Others must not enter isolation room/space without PPE appropriate to the care setting. A location with an open window and/or good air circulation is optimal. In family child care settings with one adult, staff should isolate children who may become sick using a barrier to maintain adequate supervision of all children. (2) If your facility does not have designated isolation rooms/spaces, determine a pre- specified location/facility to which you will be sending patients presenting with COVID- 19 symptoms. (3) Have an emergency back-up plan for staff coverage in case a child or staff becomes sick. (4) Know the contact information for the local board of health in the city or town in which the program is located. (5) Have masks other cloth face coverings available for use by children and staff who become symptomatic, until they have left the premises of the program. (6) Designate a separate exit from the exit used to regularly exit for those being discharged due to suspected infection. RECOMMENDATION: camps could put up portable tents with sides that could be erected near the nurse’s station or bathrooms. Tent could be retrofitted with PPE and designated a space for quarantine. Multiple tents could be used if needed.
If a Child Becomes Symptomatic: If a child becomes symptomatic, programs must CONTRACTED follow the protocols below: CASES (1) Immediately isolate from other children and minimize exposure to staff. (2) Whenever possible, cover children’s (age 2 and older) noses and mouths with a mask or cloth face covering. (3) Contact the child’s parents and send home as soon as possible. (4) Follow the program’s plan for the transportation of a child who has developed symptoms and who relies on program transportation. If a Child or Staff Contracts COVID-19: Sick children or employees who are COVID-19 positive or symptomatic and presumed to have COVID-19 must not return until they have met the criteria for discontinuing home isolation and have consulted with a health care provider. Determine the date of symptom onset for the child/staff. Determine if the child/staff attended/worked at the program while symptomatic or during the two days before symptoms began. Identify what days the child/staff attended/worked during that time. Determine who had close contact with the child/staff at the program during those days (staff and other children). (1) If the individual tests positive for COVID-19 but is asymptomatic, isolation may be discontinued when at least 10 days have passed from the date of the positive test, as long as the individual remains asymptomatic. For example, if the individual was tested on April 1, isolation may be discontinued on or after April 11. In the event that a program experiences an exposure, programs must notify the following parties. (1) Employees and families about exposure but maintain confidentiality. (2) Local board of health if a child or staff is COVID-19 positive. (3) Funding and licensing agencies if a child or staff member has tested positive. Exposures If a child or staff has been exposed to COVID-19, regardless of whether the individual has symptoms or not, the child or staff must not be permitted to enter the program space and must be sent home. (1) Exposed individuals must be directed to stay home for at least 14 days after the last day of contact with the person who is sick. The program must consult the local board of health for guidance on quarantine for other children and staff and what additional precautions will be needed to ensure the program space is safe for continued child care services. (2) If an exposed child or staff subsequently tests positive or their doctor says they have confirmed or probable COVID-19, they must be directed to stay home for a minimum of 10 days from the 1st day of symptoms appearing AND be fever-free for 72 hours without fever reducing medications AND experience significant improvements in symptoms. Release from isolation is under the jurisdiction of the local board of health where the individual resides. (3) If a child’s or staff’s household member tests positive for COVID-19, the child or staff must self-quarantine for 14 days after the last time they could have been exposed. If an Exposed Child or Staff Remains Asymptomatic and/or Tests Negative for COVID- 19: If the exposed individual remains asymptomatic and/or tests negative for COVID- 19, they must remain in quarantine and continue to monitor for the full 14 days
Pick Up and Only staff and campers are allowed on camp grounds. Drop off should be done in Drop Off specific areas with designation for each group. Camps may only check in groups of 10 Procedures campers at one time. Suggested staggered and separate ways for groups to check in together. After answering questions and temp screen, and remote check in, campers should proceed to handwashing station. Suggest automated digital check in process. End of Camp Day: • Staff member will meet at car with gloves and mask. • Parent will roll down passenger’s side window, Staff will verify ID • Parents will be required to use their own hand sanitizer and pen. • Staff will hand parent sign out book • Staff can release camper to parent. Limit Groups of 10 campers or less with same counselors every day. Cohorts of campers and Groupings staff not to exceed 12 individuals at one time. Ratios and Camps operate at a capacity that can maintain social distancing all of campers and Group Ops groups when indoors. Camps must maintain 30 square feet for all campers indoors and ensure groups are kept separate. Masks Masks do not need to be worn while engaging in active outdoor play, if children are able to keep physical distance from others. Campers must wear a mask when they cannot socially distancing or in the building when they cannot socially distance. Personal Camps should provide a personal storage space (i.e., cubby, footlocker, etc.) for Belongings camper’s personal belongings. If that is not possible, individual areas should be designated for groups to store belongings if needed. Camps should provide a list to parents prior to camp about what is appropriation to bring to camp. Only essential items should be allowed into camp. Shareable items (playing cards, Pokemon Cards, Electronics, etc) should not be allowed unless they are necessary or approved by the Y staff. Bathrooms and Create a staggered bathing schedule and limit the number of people using the facilities Changing at one time. Areas Assign changing room stalls to campers/staff to create consistency in the spaces and limit how many shared spaces there are. Build disinfecting procedures into the schedule for the day after pool times to ensure sanitation for the next group. NEW Campers Camps should make every effort to ensure groups and cohorts do no change week to Procedure week. Camps should prioritize campers that are attending for multiple weeks and recommend setting minimum weeks of enrollment (4+) New campers should be grouped together in their own cohorts whenever possible. Campers should stay in their groups and cohorts week to week without changes. FACILITIES Reduce Reduce or eliminate the sharing of Pens, paper, and other items that may be passed Sharing of between individuals. This includes Digital Check In, Med Forms, Incident and documents and Accident Reports. supplies
Bathrooms and Create a staggered bathing schedule and limit the number of people using the Changing facilities at one time. Areas VENDORS All vendors will be put through the same protocol as staff when entering the camp grounds or facility. Questions, Temp Screen, hand washing, documentation, check sheet. Recommend no petting zoos, or presentations where items are shared/passed around by the campers. All performers must stay a maximum of 10 feet from camps and can only perform to cohorts that are socially distanced. Assigned Assigned Seating, Week by Week. Divided areas for children when social distancing Spaces is not possible. PPE Sanitizers Add additional sanitizers follow CDC guidelines Field guide recommendations to order: • Hand soap- 50% more than you would order for a typical camp season • EPA approved sanitizers – order double amount • Hand sanitizer – 0.5FL OZ per staff and child per day (ex: 50 fl oz per 100 people per day) • Surface cleaners and wipes – double the amount that you typically order • 50% more paper towels *see field guide for medical staff order recommendations Shared Items Limit amount of shared materials. Anything that is shared must be disinfected before use by another camper. Individual specific writing utensils, scissors, etc. Rainy Days Camp should attempt to limit Enrollment on rainy days – Communicate to campers about not coming during rainy days or being picked up early when it does rain. Plan for EAP. Groups must be kept spate and camps must provide 30 square feet per camper, or 360 square feet per cohort of 12. Fire Drills Camps should consider alerting their fire drills and emergency action plans to ensure EAP social distancing during an emergency drill. Lost and Found Lost and Found should be collected by a staff member wearing gloves. All items should be bag individually of kept separate from other items. If possible, return the items to the proper camper. Do not mix items PROGRAMS Activities Ropes Course Camps should determine feasibility of running ropes courses at their respective camps. New regulations state “activities that require or may require direct staff support, close contact, or rescue must not be conducted, except where necessary to support participation for children with special needs.” So camps need to determine if their local board of health will allow ropes course usage. Camps must maintain social distancing and not have to perform a rescue. If not running ropes: Update all marketing and communications to reflect ropes courses not being offered for the summer. If so: Camps to develop ropes course operations guide with COVID updates. Camps to order PPE for staff, cleaning supplies to ensure all equipment can be washed safely per manufacturers recommendations (i.e. no disinfectant), and enough equipment to use rotation schedule for all pieces.
For best practices on operating a challenge course with social distancing and disinfectant guidelines visit: COVID-19 REOPENING & OPERATION STRATEGIES FOR CHALLENGE COURSES & AERIAL ATTRACTIONS Upon opening: Equipment rotation & cleaning log to be completed daily by course manager or specialist. Each piece of equipment is to be on a 48 hour rotation windows with pieces to be used only by one individual (staff or camper) daily. All logs must be audited bi-weekly by course manager accompanied camp director. Course observations to be completed weekly and documented. Element that’s can be cleaned between groups must be, while those that can’t must enter 48 rotation schedule. Archery Camps to determine feasibility of running archery courses at their respective camps. If not: Update all marketing and communications to reflect archery courses not being offered for the summer. If so: Camp to create cleaning guidelines for all pieces of equipment. Bows and arrows are to be used by only one camper per group per block. All used equipment to be cleaned and disinfected in between groups. Additional equipment to be purchased to supply one bow per camper for each group. Free Play Refrain from games and activities that encourage physical contact or proximity of less than 6 feet, like tag or circle time Playgrounds Camp specific playgrounds may be used, while maintaining social distancing. In accordance with CDC guidance, outdoor areas, like playgrounds and outdoor fitness areas, generally require normal routine cleaning, but do not require disinfection. High touch surfaces made of plastic or metal, including grab bars and railings, tables and benches, should be frequently cleaned. Cleaning and disinfection of wooden surfaces or groundcovers (mulch, sand) is not recommended. Communal parks and playgrounds must not be utilized. This includes public offsite playgrounds as well as playgrounds shared by multiple programs or houses. Playgrounds shared by multiple programs and houses may be used provided there is a plan for proper cleaning and disinfection between each group’s use. Camps should determine the feasibility of proper cleaning and distancing before using a play structure. If deemed feasible use of playgrounds should be limited to groups of ten and by cohorts. If there is a change in cohorts, play structure must be disinfected prior to another group using. If participants are not able to social distance, masks are recommended Visitors and Vendors Non-Camp Y 1. All special guests/vendors will be contacted the week prior to their Staff and arrival and the following will be reviewed: Vendors a. Health screening questions will be asked
b. Reminder of where to park upon arrival, and the time that they should arrive c. Reminder that upon arrival we will do a temperature check d. Explanation of how the groups will be situated i. Each group will be together (group of 9 kids) w/ a minimum of 6-8 feet between groups e. Reminder that the vendor must remain at least 10 feet away from all children and staff f. Reminder that the vendor must have a face covering 2. Upon arrival at the facility the following will occur: a. Health care screening questions will be asked again b. Temperature check will be taken 3. If vendor passes both the screening questions and temperature check then they will proceed to their location for set up. 4. Once at their final destination, staff will review w/ the vendor the following: a. Must have face covering on at all times b. Must be at least 10 feet from any camper or staff c. Cannot use props that are touched by more than one child during the program d. All equipment must be cleaned between shows 5. Once the program is over, the vendor will break down his/her equipment and exit the grounds immediately Traveling “field trips” Recommend no traveling field trips. If transportation is needed the recommendation are as follows: 1 camper will occupy each seat. The positioning of each camper with be staggered between window and aisle in every other row. If possible, all the campers that traveled on the bus will be become a cohort. Ceremonies Large celebrations or ceremonies are not recommended. If a camp determines that and gatherings are feasible. The following is recommended. Have cohorts stay together and Celebrations distance from other groups. Seek out creative ways to make these happen such as a camp wide loud speaker system or broadcast of a walkie talkie that all cohorts have. Social The ACA has developed a list of games that can be played while social distancing. Distance Camps should make every effort to ensure campers are not sharing equipment and games direct contact with other campers is limited. Also click here for a list of camp from asphalt green Games
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