<section article="ghg" article_name="Health - General" number="14-201" title_number="14" title_name="General Day Care" subtitle_number="2" subtitle_name="Elderly Individuals"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Day care center for the elderly” means a place that:</text> <level label="1"> <text>Is operated to provide, with or without charge, care for elderly individuals; and</text> </level> <level label="2"> <text>Either is:</text> <level label="i"> <text>Designated for group care for at least 4 elderly individuals; or</text> </level> <level label="ii"> <text>A family home that provides care for 2 or 3 elderly individuals.</text> </level> </level> </level> <level label="c"> <text>“Elderly individual” means an individual who:</text> <level label="1"> <text>Is 55 years old or older;</text> </level> <level label="2"> <text>Lives alone or with a spouse, family relative, or friend;</text> </level> <level label="3"> <text>Needs temporary supervision and care during a part of a day in a protective group setting; and</text> </level> <level label="4"> <text>Has a disability that is:</text> <level label="i"> <text>A reasonably static physical impairment that prevents:</text> <level label="1"> <text>Gainful employment; or</text> </level> <level label="2"> <text>The accomplishment of the routine of normal daily activities without assistance; or</text> </level> </level> <level label="ii"> <text>A permanent or recurrent mental impairment.</text> </level> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-202" title_number="14" title_name="General Day Care" subtitle_number="2" subtitle_name="Elderly Individuals"> <level label="a"> <text>The purposes of this subtitle are:</text> <level label="1"> <text>To provide for the establishment of day care centers for the elderly and services that will give many elderly individuals the chance to stay with their families or in their communities instead of being placed in a nursing home or State institution;</text> </level> <level label="2"> <text>To allow children and other relatives to keep elderly individuals instead of placing them in impersonal institutions; and</text> </level> <level label="3"> <text>To allow this State to deal more effectively and economically with the needs of its elderly individuals.</text> </level> </level> <level label="b"> <text>The General Assembly intends that day care centers for the elderly and services be used:</text> <level label="1"> <text>To avoid, as much as possible, unnecessary commitment of an elderly individual to a nursing home, State institution, or other long term care facility;</text> </level> <level label="2"> <text>To provide opportunities for elderly individuals to be discharged from nursing homes, State institutions, or general and special hospitals; and</text> </level> <level label="3"> <text>To serve only those elderly individuals who otherwise would be eligible under State or federal law for care in a nursing home, State institution, or other long term care facility.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-203" title_number="14" title_name="General Day Care" subtitle_number="2" subtitle_name="Elderly Individuals"> <text>This subtitle does not affect a relative who cares for an elderly individual or a neighbor or friend who cares for an elderly individual by mutual agreement.</text> </section> <section article="ghg" article_name="Health - General" number="14-204" title_number="14" title_name="General Day Care" subtitle_number="2" subtitle_name="Elderly Individuals"> <text>The Maryland Department of Health:</text> <level label="1"> <text>Has the primary responsibility, in conjunction with the Department of Human Services and the Department of Aging, to provide the guidance and means for establishing day care centers for the elderly in accordance with this subtitle; and</text> </level> <level label="2"> <text>Shall recruit and encourage the establishment of day care centers for the elderly and provide for their licensing.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-205" title_number="14" title_name="General Day Care" subtitle_number="2" subtitle_name="Elderly Individuals"> <level label="a"> <text>The Maryland Department of Health may use funds appropriated for the day care for the elderly to:</text> <level label="1"> <text>Assist in start–up costs of establishing a day care center for the elderly; and</text> </level> <level label="2"> <text>Subsidize day care services for financially eligible elderly individuals.</text> </level> </level> <level label="b"> <text>The services that are provided by the day care center for the elderly under this section shall include:</text> <level label="1"> <text>Therapeutic arts and crafts;</text> </level> <level label="2"> <text>Community excursions, if appropriate;</text> </level> <level label="3"> <text>Hobby cultivation;</text> </level> <level label="4"> <text>Health services;</text> </level> <level label="5"> <text>Counseling services for elderly individuals and their families;</text> </level> <level label="6"> <text>Group dynamics; and</text> </level> <level label="7"> <text>Other services that enhance social functioning and develop activities in daily living and personal independence.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-206" title_number="14" title_name="General Day Care" subtitle_number="2" subtitle_name="Elderly Individuals"> <level label="a"> <text>The Department shall adopt rules and regulations that set the standards necessary for the welfare and safety of elderly individuals who receive care in day care centers for the elderly.</text> </level> <level label="b"> <text>Before the Department adopts a proposed plan, rule, or regulation under this subtitle, the Department shall submit the plan, rule, or regulation to the Department of Aging for its recommendations.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-2A-01" effective_note="EFFECTIVE UNTIL DECEMBER 31, 2025 PER CHAPTER 437 OF 2022" title_number="14" title_name="General Day Care" subtitle_number="2A" subtitle_name="Howard County and Montgomery County Adult Day Health Care Services Pilot Program and Task Force. [Subtitle Subject to Abrogation]"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Elderly individual” has the meaning stated in § 14–201 of this title.</text> </level> <level label="c"> <text>“Integrator” means an entity that:</text> <level label="1"> <text>Organizes a voluntary association of licensed medical adult day care providers, home health care providers, and other providers and entities to coordinate to provide integrated services under the pilot program; and</text> </level> <level label="2"> <text>Is licensed in the State to provide at least one of the services included in the pilot program.</text> </level> </level> <level label="d"> <text>“Pilot program” means the Howard County and Montgomery County Adult Day Health Care Services Pilot Program.</text> </level> <level label="e"> <text>“Task Force” means the Task Force on the Howard County and Montgomery County Adult Day Health Care Services Pilot Program.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-2A-02" effective_note="EFFECTIVE UNTIL DECEMBER 31, 2025 PER CHAPTER 437 OF 2022" title_number="14" title_name="General Day Care" subtitle_number="2A" subtitle_name="Howard County and Montgomery County Adult Day Health Care Services Pilot Program and Task Force. [Subtitle Subject to Abrogation]"> <level label="a"> <text>This section applies only in Howard County and Montgomery County.</text> </level> <level label="b"> <level label="1"> <text>There is a Howard County and Montgomery County Adult Day Health Care Services Pilot Program.</text> </level> <level label="2"> <text>The purpose of the pilot program is to integrate the provision of medical adult day care services, home health care services, and medical services provided under the Maryland Medical Assistance Program.</text> </level> </level> <level label="c"> <text>Participation in the pilot program is limited to elderly individuals who are:</text> <level label="1"> <text>Residents of Howard County or Montgomery County; and</text> </level> <level label="2"> <text>Receiving medical adult day care services, home health care services, or medical services provided under the Maryland Medical Assistance Program, including medical services that are offered by a managed care organization.</text> </level> </level> <level label="d"> <text>Services provided under the pilot program shall include, when applicable:</text> <level label="1"> <text>An evaluation and assessment of each pilot program participant by a licensed nurse to complete an interdisciplinary care plan for the participant;</text> </level> <level label="2"> <text>The provision of remote services to the participant, using an electronic device with video conferencing capability issued to the participant to facilitate communication with providers;</text> </level> <level label="3"> <text>The creation of a medication strategy for the participant in order to provide appropriate evaluation and monitoring of the administration of medications;</text> </level> <level label="4"> <text>A program of activities and social engagement to assist participants in reducing loneliness and depression and to develop a sense of community with other participants;</text> </level> <level label="5"> <text>Coordination of medical care and other services ordered by a physician for the purpose of allowing participants to live safely in their home environment;</text> </level> <level label="6"> <text>The provision of basic housekeeping services to assist participants in daily activities that may be challenging; and</text> </level> <level label="7"> <text>The provision of transportation and delivery of meals.</text> </level> </level> <level label="e"> <level label="1"> <text>Howard County and Montgomery County jointly may designate and authorize the operation of one or more entities to serve as an integrator in Howard County and Montgomery County.</text> </level> <level label="2"> <text>An integrator shall be licensed in the State to provide at least one of the services to be included in the pilot program.</text> </level> </level> <level label="f"> <text>In consultation with Howard County and Montgomery County, an integrator shall coordinate all services provided under the pilot program.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-2A-03" effective_note="EFFECTIVE UNTIL DECEMBER 31, 2025 PER CHAPTER 437 OF 2022" title_number="14" title_name="General Day Care" subtitle_number="2A" subtitle_name="Howard County and Montgomery County Adult Day Health Care Services Pilot Program and Task Force. [Subtitle Subject to Abrogation]"> <level label="a"> <text>There is a Task Force on the Howard County and Montgomery County Adult Day Health Care Services Pilot Program.</text> </level> <level label="b"> <text>The Task Force consists of the following members:</text> <level label="1"> <text>One member of the Senate of Maryland, appointed by the President of the Senate;</text> </level> <level label="2"> <text>One member of the House of Delegates, appointed by the Speaker of the House;</text> </level> <level label="3"> <text>One representative of the Howard County government, designated by the Howard County Executive;</text> </level> <level label="4"> <text>One representative of the Montgomery County government, designated by the Montgomery County Executive;</text> </level> <level label="5"> <text>The Secretary of Aging, or the Secretary’s designee;</text> </level> <level label="6"> <text>The Secretary, or the Secretary’s designee; and</text> </level> <level label="7"> <text>The following members, appointed by the Governor:</text> <level label="i"> <text>Two representatives of the Maryland Association of Adult Day Services;</text> </level> <level label="ii"> <text>One representative of the home health care industry;</text> </level> <level label="iii"> <text>One representative of the Maryland Managed Care Organization Association; and</text> </level> <level label="iv"> <text>One representative of the Greater Maryland and the National Capital Area chapters of the Alzheimer’s Association.</text> </level> </level> </level> <level label="c"> <text>The Governor shall designate the chair of the Task Force.</text> </level> <level label="d"> <text>Howard County and Montgomery County jointly shall provide staff for the Task Force.</text> </level> <level label="e"> <text>A member of the Task Force:</text> <level label="1"> <text>May not receive compensation as a member of the Task Force; but</text> </level> <level label="2"> <text>Is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text> </level> </level> <level label="f"> <text>The Task Force shall:</text> <level label="1"> <text>Examine the status of medical adult day care in the State, including the provision of home health care and medical services to enrollees in medical adult day care programs;</text> </level> <level label="2"> <text>Review and evaluate the list of required services provided under § 14–2A–02(d) of this subtitle;</text> </level> <level label="3"> <text>Review and evaluate the efficacy of providing services using an integrator;</text> </level> <level label="4"> <text>Identify and measure any enhanced continuity of care, using the integrator model, that would allow enrollees to remain in their homes and the community, defer treatment in higher levels of care such as nursing homes, and reduce the incidence of treatment in acute care settings;</text> </level> <level label="5"> <text>Identify and measure any reduction in unnecessary utilization of emergency medical services by enrollees;</text> </level> <level label="6"> <text>Identify and compare differences and similarities between the pilot program, using the integrator model, and the features of the Program for All–Inclusive Care of the Elderly (PACE), including differences and similarities in the populations served;</text> </level> <level label="7"> <text>Identify and measure other potential benefits of the integrator model, such as greater social interaction, additional transportation options, avoidance of food insecurity, and monitoring the administration of medications; and</text> </level> <level label="8"> <text>Make recommendations regarding the implementation of the pilot program on a statewide basis.</text> </level> </level> <level label="g"> <text>On or before October 1 each year, the Task Force shall report its findings and any recommendations to the Governor and, in accordance with § 2–1257 of the State Government Article, the General Assembly.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-301" title_number="14" title_name="General Day Care" subtitle_number="3" subtitle_name="Medically Handicapped Adults"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Day care center for adults” means a place that:</text> <level label="1"> <text>Is operated to provide, with or without charge, care for medically handicapped adults; and</text> </level> <level label="2"> <text>Either is:</text> <level label="i"> <text>Designated for group day care for 4 or more medically handicapped adults; or</text> </level> <level label="ii"> <text>A family home that provides day care for 2 or 3 medically handicapped adults.</text> </level> </level> </level> <level label="c"> <text>“Medically handicapped adult” means an individual who:</text> <level label="1"> <text>Is 16 years old or older;</text> </level> <level label="2"> <text>Lives alone or with a spouse, relative, or friend; and</text> </level> <level label="3"> <text>Has a disability that is:</text> <level label="i"> <text>A reasonably static physical impairment that prevents gainful employment or the accomplishment of the routine of normal daily activities outside of an institutional or sheltered environment; or</text> </level> <level label="ii"> <text>A permanent or recurrent mental impairment that requires domiciliary or institutional care in a sheltered environment.</text> </level> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-302" title_number="14" title_name="General Day Care" subtitle_number="3" subtitle_name="Medically Handicapped Adults"> <level label="a"> <text>The purposes of this subtitle are:</text> <level label="1"> <text>To provide for the establishment of day care centers for adults and services that will give medically handicapped adults the chance to stay with their families or in their communities instead of being placed in a nursing home or State institution; and</text> </level> <level label="2"> <text>To allow this State to deal more effectively and economically with the needs of its medically handicapped adults.</text> </level> </level> <level label="b"> <text>The General Assembly intends that day care centers for adults and services be used:</text> <level label="1"> <text>To avoid, as much as possible, unnecessary commitment of a medically handicapped adult to a nursing home, State institution, or other long term care facility;</text> </level> <level label="2"> <text>To provide opportunities for medically handicapped adults to be discharged from nursing homes, State institutions, or general or special hospitals; and</text> </level> <level label="3"> <text>To serve only those medically handicapped adults who otherwise would be eligible under State or federal law for care in a nursing home, State institution, or other long term care facility.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-303" title_number="14" title_name="General Day Care" subtitle_number="3" subtitle_name="Medically Handicapped Adults"> <text>This subtitle does not affect a relative who cares for a medically handicapped adult or a neighbor or friend who cares for a medically handicapped adult by mutual choice and agreement.</text> </section> <section article="ghg" article_name="Health - General" number="14-304" title_number="14" title_name="General Day Care" subtitle_number="3" subtitle_name="Medically Handicapped Adults"> <level label="a"> <text>The Department of Human Services shall cooperate with and assist the Maryland Department of Health in carrying out the purposes of this subtitle.</text> </level> <level label="b"> <text>The Maryland Department of Health shall:</text> <level label="1"> <text>Provide the guidance and means for establishing day care centers for adults in accordance with this subtitle;</text> </level> <level label="2"> <text>Recruit and encourage the establishment of day care centers for adults;</text> </level> <level label="3"> <text>Provide for licensing of day care centers for adults; and</text> </level> <level label="4"> <text>Adopt and enforce rules and regulations that set the standards necessary for the welfare and safety of medically handicapped adults who receive care in these day care centers for adults.</text> </level> </level> <level label="c"> <level label="1"> <text>The Maryland Department of Health shall buy from any public or private agency the day care services for medically handicapped adults that are necessary and essential to enhance their well–being.</text> </level> <level label="2"> <text>These services shall include:</text> <level label="i"> <text>Therapeutic arts and crafts;</text> </level> <level label="ii"> <text>Community excursions, if appropriate;</text> </level> <level label="iii"> <text>Hobby cultivation;</text> </level> <level label="iv"> <text>Health services;</text> </level> <level label="v"> <text>Counseling services for medically handicapped adults and their families;</text> </level> <level label="vi"> <text>Group dynamics; and</text> </level> <level label="vii"> <text>Other services that enhance social functioning and develop activities in daily living and personal independence.</text> </level> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-401" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Alternative accreditation” means a national camping standard that is acceptable to the Secretary as providing adequate health and safety protection for the campers, such as the American Camping Association standards for camp programs and services and the Boy Scouts of America standards, which includes an annual monitoring process to verify compliance with the standard.</text> </level> <level label="c"> <text>“Camper” means any child under 18 years of age who is attending a youth camp.</text> </level> <level label="d"> <text>“Certificate” means a single certificate issued by the Department to a youth camp under this subtitle.</text> </level> <level label="e"> <text>“Council” means the Youth Camp Safety Advisory Council.</text> </level> <level label="f"> <text>“Day” means all or part of a 24-hour period.</text> </level> <level label="g"> <text>“Day camp” means a youth camp that:</text> <level label="1"> <text>Is operated for all or part of the day but less than 24 hours a day;</text> </level> <level label="2"> <text>Is conducted for at least 7 days during a 3–week period; and</text> </level> <level label="3"> <text>Provides 3 or more recreational activities or any 1 specialized activity including:</text> <level label="i"> <text>Aquatic programs;</text> </level> <level label="ii"> <text>Horseback riding;</text> </level> <level label="iii"> <text>Firearms control;</text> </level> <level label="iv"> <text>Riflery;</text> </level> <level label="v"> <text>Archery;</text> </level> <level label="vi"> <text>Adventure camps;</text> </level> <level label="vii"> <text>Artistic gymnastics;</text> </level> <level label="viii"> <text>Hang gliding;</text> </level> <level label="ix"> <text>Road cycling;</text> </level> <level label="x"> <text>Skiing;</text> </level> <level label="xi"> <text>Rock climbing;</text> </level> <level label="xii"> <text>Spelunking;</text> </level> <level label="xiii"> <text>Motorized vehicle activities;</text> </level> <level label="xiv"> <text>Rappelling; and</text> </level> <level label="xv"> <text>High ropes.</text> </level> </level> </level> <level label="h"> <text>“Occasional use” means periodic involvement in a program where there is no expectation of regular attendance.</text> </level> <level label="i"> <text>“Operate” means to supervise, control, conduct, or manage a youth camp as:</text> <level label="1"> <text>An owner;</text> </level> <level label="2"> <text>An agent of the owner;</text> </level> <level label="3"> <text>A lessee of the owner;</text> </level> <level label="4"> <text>A director; or</text> </level> <level label="5"> <text>An independent contractor.</text> </level> </level> <level label="j"> <text>“Residential camp” means a youth camp operating at a facility or campsite at which a camper either lives apart or intends to live apart from the camper’s relatives, parents, or legal guardians for at least 5 consecutive days.</text> </level> <level label="k"> <text>“Routine activity” means any type of activity other than a specialized activity as set forth in subsection (g)(3) of this section that is conducted for children by a youth camp.</text> </level> <level label="l"> <text>“Travel camp” means a residential camp that:</text> <level label="1"> <text>Operates for at least 5 consecutive days; and</text> </level> <level label="2"> <text>Provides for campers to use motorized transportation to move as a group to or among sites for experiences in different environments.</text> </level> </level> <level label="m"> <text>“Trip camp” means a residential camp:</text> <level label="1"> <text>That operates for at least 5 consecutive days; and</text> </level> <level label="2"> <text>In which a group of individuals move from 1 site to another under their own power or by transportation which permits individual guidance of a vehicle or animal.</text> </level> </level> <level label="n"> <text>“Unit” means a board, department, agency, or other component of a county or a municipal corporation.</text> </level> <level label="o"> <text>“Youth camp” or “camp” means any day camp, residential camp, travel camp, or trip camp that:</text> <level label="1"> <text>Accommodates 7 or more campers who are unrelated to the person operating the camp;</text> </level> <level label="2"> <text>Provides primarily recreational activities or has a substantial outdoor recreational component;</text> </level> <level label="3"> <text>Has permanent buildings, temporary buildings, or no buildings; and</text> </level> <level label="4"> <text>Operates on:</text> <level label="i"> <text>Owned private property;</text> </level> <level label="ii"> <text>Owned private facilities;</text> </level> <level label="iii"> <text>Leased private property;</text> </level> <level label="iv"> <text>Leased private facilities;</text> </level> <level label="v"> <text>Public property; or</text> </level> <level label="vi"> <text>Public facilities.</text> </level> </level> </level> <level label="p"> <text>“Youth overnight program” means an activity sponsored by a religious or a community organization at a facility or site at which an individual less than 18 years old either lives apart or intends to live apart from the individual’s relatives, parent, or legal guardians for fewer than 5 consecutive days.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-402" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <level label="a"> <text>This subtitle and the regulations issued under this subtitle do not apply to:</text> <level label="1"> <text>Purely social activities of a family or the guests of a family;</text> </level> <level label="2"> <text>Subject to subsection (b) of this section, programs or activities directed or operated by a board of recreation, recreation department, or similar public unit of a county, a municipality, as defined by § 1–101 of the Local Government Article, or the Maryland–National Capital Park and Planning Commission, that involve use of neighborhood facilities, including:</text> <level label="i"> <text>Schools;</text> </level> <level label="ii"> <text>Playgrounds;</text> </level> <level label="iii"> <text>Parks; or</text> </level> <level label="iv"> <text>Recreation centers;</text> </level> </level> <level label="3"> <text>Subject to subsection (c) of this section, programs or activities directed or operated by an agency of the State that involve occasional use of public facilities including:</text> <level label="i"> <text>Schools;</text> </level> <level label="ii"> <text>Playgrounds;</text> </level> <level label="iii"> <text>Parks; or</text> </level> <level label="iv"> <text>Recreation centers; or</text> </level> </level> <level label="4"> <text>Youth overnight programs sponsored by religious or community organizations operating or conducted for not more than 5 consecutive days during any 1 calendar year, such as a vacation bible school, youth bike trip, and similar activities.</text> </level> </level> <level label="b"> <level label="1"> <text>Subject to the provisions of paragraph (2) of this subsection, each local government shall adopt health and safety standards pertaining to the operation of youth camps.</text> </level> <level label="2"> <text>Each unit of local government, or the Maryland–National Capital Park and Planning Commission, that directs or operates a program or activity under subsection (a)(2) of this section shall certify in writing on or before April 1 of each year to the Maryland Department of Health that all of those programs and activities operated by the unit comply with the applicable health and safety standards of the local jurisdiction in which the program or activity is located and any State law the enforcement of which has been delegated to local government. However, a unit may annually elect to comply with this subtitle and the regulations adopted under it.</text> </level> </level> <level label="c"> <text>Each agency of the State that directs or operates a program or activity that is not exempt under subsection (a)(3) of this section shall annually certify in writing to the Maryland Department of Health that each program or activity operated by the agency complies with this subtitle and the regulations adopted under it.</text> </level> <level label="d"> <text>The Department shall:</text> <level label="1"> <text>Conduct inspections of:</text> <level label="i"> <text>A random 5 percent sample of programs or activities described under subsection (b) or (c) of this section to ensure that each program or activity is in compliance with all applicable health and safety laws and standards; and</text> </level> <level label="ii"> <text>Any program or activity about which a complaint has been filed; and</text> </level> </level> <level label="2"> <text>Advise the unit or agency of any significant violation of State regulations that would adversely impact the health or safety of children participating in a program or activity.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-403" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <level label="a"> <level label="1"> <text>In addition to the powers set forth elsewhere in this article and subject to the provisions of Title 10 of the State Government Article, on or before October 1, 1987, the Secretary shall adopt regulations for certifying youth camps and for issuing letters of compliance.</text> </level> <level label="2"> <level label="i"> <text>An applicant for a certificate shall submit an application to the Department on the form that the Secretary requires.</text> </level> <level label="ii"> <text>An application for a certificate or for a letter of compliance shall include:</text> <level label="1"> <text>The name and permanent mailing address of the applicant;</text> </level> <level label="2"> <text>The proposed location of the youth camp; and</text> </level> <level label="3"> <text>Any other information and fee that the Department requires.</text> </level> </level> <level label="iii"> <text>For a unit or agency subject to the provisions of this subtitle, the Secretary shall require the unit or agency to complete only one application for certification for all youth camps directed or operated by that unit or agency.</text> </level> </level> <level label="3"> <level label="i"> <text>The Department shall be solely responsible for implementing and enforcing the provisions of this subtitle.</text> </level> <level label="ii"> <text>Except as provided in subparagraph (iii) of this paragraph, the Secretary may impose a fee for the purpose of inspecting, monitoring, and regulating youth camps in accordance with § 2-104 of this article.</text> </level> <level label="iii"> <text>A camp accredited or certified in accordance with the provisions of subsection (b)(9) of this section may not be charged a fee under the provisions of this article.</text> </level> </level> <level label="4"> <level label="i"> <text>The operator of a youth camp directed or operated by a bona fide religious organization shall:</text> <level label="1"> <text>Submit an application for certification;</text> </level> <level label="2"> <text>Submit an application for a letter of compliance and have the youth camp inspected by the Department; or</text> </level> <level label="3"> <text>Submit an application for a letter of compliance and proof of an alternative form of accreditation acceptable to the Secretary under subsection (b)(9) of this section.</text> </level> </level> <level label="ii"> <text>When a youth camp is operating under subparagraph (i) of this paragraph, and an inspection reveals health or safety violations of the regulations adopted under this subtitle, the Secretary may issue an order to abate the violation or to cease operation.</text> </level> </level> </level> <level label="b"> <text>With due consideration for conditions existing in nature and for the importance of outdoor adventure experiences, the regulations shall include:</text> <level label="1"> <text>Safety procedures for:</text> <level label="i"> <text>Aquatic programs;</text> </level> <level label="ii"> <text>Horseback riding;</text> </level> <level label="iii"> <text>Firearms control;</text> </level> <level label="iv"> <text>Riflery;</text> </level> <level label="v"> <text>Archery;</text> </level> <level label="vi"> <text>Adventure camps;</text> </level> <level label="vii"> <text>Artistic gymnastics;</text> </level> <level label="viii"> <text>Hang gliding;</text> </level> <level label="ix"> <text>Road cycling;</text> </level> <level label="x"> <text>Skiing;</text> </level> <level label="xi"> <text>Rock climbing;</text> </level> <level label="xii"> <text>Spelunking;</text> </level> <level label="xiii"> <text>Motorized vehicle activities;</text> </level> <level label="xiv"> <text>Rappelling; or</text> </level> <level label="xv"> <text>High ropes;</text> </level> </level> <level label="2"> <text>Except for outdoor cookouts, sanitation regulations pertaining to the facilities and personnel for the storage, preparation, and serving of food products;</text> </level> <level label="3"> <text>Personal health, first aid, and medical services, health supervision, and the maintenance of health records for campers;</text> </level> <level label="4"> <text>Water supplies, sewage disposal systems, and refuse collection and disposal procedures;</text> </level> <level label="5"> <text>Fire and safety standards relating to the buildings and the occupants of buildings;</text> </level> <level label="6"> <text>Systems for the routine reporting of fatalities and serious illnesses or accidents;</text> </level> <level label="7"> <text>Any personnel screening procedures that are required for operators and employees of group day care centers;</text> </level> <level label="8"> <text>Procedures for conducting inspection, monitoring compliance, and verifying information;</text> </level> <level label="9"> <text>Alternate accreditation which has been approved by the Secretary; and</text> </level> <level label="10"> <text>Minimum standards for the supervision of campers during routine activities.</text> </level> </level> <level label="c"> <text>The Secretary may not adopt regulations that set ratios for camper to medical staff personnel except for:</text> <level label="1"> <text>Camp health supervisors at a camp where 50% or more of the campers have identified medical problems;</text> </level> <level label="2"> <text>Personnel required to meet emergency safety standards, for example the number of persons that require certification in cardiopulmonary resuscitation (CPR) and first aid; and</text> </level> <level label="3"> <text>Camp health supervisors, or their designees, trained to administer medicine to campers.</text> </level> </level> <level label="d"> <text>The Secretary shall cooperate with other departments or agencies to facilitate the activities of the departments or agencies in carrying out responsibilities for enforcing the laws and regulations relating to youth camps.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-403.1" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Applicant” means an individual who is seeking to become a youth camp owner, operator, employee, or volunteer who will have access to a camper.</text> </level> <level label="3"> <text>“Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.</text> </level> </level> <level label="b"> <text>The Department shall apply to the Central Repository for an applicant’s:</text> <level label="1"> <text>State criminal history records check; and</text> </level> <level label="2"> <text>National criminal history records check.</text> </level> </level> <level label="c"> <text>As part of the application for a criminal history records check, the Department shall submit to the Central Repository:</text> <level label="1"> <text>A complete set of the applicant’s legible fingerprints taken in a format approved by the Director of the Central Repository and the Director of the Federal Bureau of Investigation;</text> </level> <level label="2"> <text>The fee authorized under § 10–221(b)(7) of the Criminal Procedure Article for access to Maryland criminal history records; and</text> </level> <level label="3"> <text>The mandatory processing fee required by the Federal Bureau of Investigation for a national criminal history records check.</text> </level> </level> <level label="d"> <text>In accordance with §§ 10–201 through 10–229 of the Criminal Procedure Article, the Central Repository shall forward to the applicant and the Department the applicant’s criminal history record information.</text> </level> <level label="e"> <text>Information obtained from the Central Repository under this section:</text> <level label="1"> <text>Is confidential;</text> </level> <level label="2"> <text>May not be redisseminated; and</text> </level> <level label="3"> <text>May be used only for the personnel screening procedures authorized by this subtitle.</text> </level> </level> <level label="f"> <text>The subject of a criminal history records check under this section may contest the contents of the printed statement issued by the Central Repository as provided in § 10–223 of the Criminal Procedure Article.</text> </level> <level label="g"> <text>If criminal history record information is reported to the Central Repository after the date of the initial criminal history records check, the Central Repository shall provide to the Department revised criminal history record information for the applicant.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-404" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <level label="a"> <text>There is a Youth Camp Safety Advisory Council in the Department.</text> </level> <level label="b"> <text>The Council shall advise and assist the Department in developing and reviewing the regulations required under § 14-403 of this subtitle.</text> </level> <level label="c"> <text>The Council shall report annually to the Secretary on:</text> <level label="1"> <text>The number of youth camps;</text> </level> <level label="2"> <text>The number of facilities in each county;</text> </level> <level label="3"> <text>The number of campers; and</text> </level> <level label="4"> <text>Any other pertinent information.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-405" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <level label="a"> <level label="1"> <text>The Council consists of 11 members.</text> </level> <level label="2"> <text>Of the 11 Council members:</text> <level label="i"> <text>1 shall be a representative of the Department;</text> </level> <level label="ii"> <text>1 shall be a camping leader with professional experience, but who is not a youth camp owner or manager;</text> </level> <level label="iii"> <text>1 shall be actively engaged in the ownership or management of a youth camp operating for profit;</text> </level> <level label="iv"> <text>1 shall be actively engaged in the ownership or management of a nonprofit youth camp;</text> </level> <level label="v"> <text>1 shall be actively engaged in the ownership or management of an American Camping Association accredited youth camp;</text> </level> <level label="vi"> <text>1 shall be actively engaged in the ownership or management of a youth camp that is not accredited by the American Camping Association;</text> </level> <level label="vii"> <text>1 shall be a member of the public;</text> </level> <level label="viii"> <text>2 shall be selected from the local health departments from 2 counties; and</text> </level> <level label="ix"> <text>2 shall be selected from nationwide organizations involved in camping such as scouting and 4-H.</text> </level> </level> <level label="3"> <text>The Governor shall appoint the Council members with the advice of the Secretary and the advice and consent of the Senate.</text> </level> </level> <level label="b"> <level label="1"> <text>The term of a member is 3 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by the terms provided for members of the Council on July 1, 1986.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed.</text> </level> <level label="5"> <text>Members of the Council:</text> <level label="i"> <text>Are eligible for reappointment; but</text> </level> <level label="ii"> <text>May not serve more than 2 full consecutive terms.</text> </level> </level> </level> <level label="c"> <text>The Governor may remove a member for incompetence or misconduct.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-406" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <text>A certificate issued under this subtitle is not transferable.</text> </section> <section article="ghg" article_name="Health - General" number="14-407" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <level label="a"> <text>The Department shall:</text> <level label="1"> <text>Investigate complaints received regarding a youth camp; and</text> </level> <level label="2"> <text>Require appropriate training, including knowledge of outdoor camping, for a camp inspector.</text> </level> </level> <level label="b"> <level label="1"> <text>Before a youth camp makes a formal offer of employment to a job applicant, the operator of the youth camp may request from the Department a determination as to whether the results of a national or State criminal history records check would be the basis for prohibiting the hiring of the applicant.</text> </level> <level label="2"> <text>Within 3 business days after receipt of a request from the operator of a youth camp under paragraph (1) of this subsection, the Department shall issue a written determination to the youth camp as to whether the results of a national or State criminal history records check would be the basis for prohibiting the hiring of the applicant.</text> </level> <level label="3"> <text>A determination issued by the Department under paragraph (2) of this subsection is binding on the Department and the youth camp unless the applicant:</text> <level label="i"> <text>Has subsequently been convicted of a crime;</text> </level> <level label="ii"> <text>Has pending criminal charges; or</text> </level> <level label="iii"> <text>Had previously undisclosed criminal convictions.</text> </level> </level> <level label="4"> <text>The Department may set a reasonable fee to cover the cost of a criminal history records check required under this subsection.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="14-408" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <text>Subject to the hearing provisions of § 14-409 of this subtitle, the Department may deny a certificate to any applicant, or suspend or revoke a certificate, if the applicant or certificate holder:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a certificate for the applicant or certificate holder or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a certificate;</text> </level> <level label="3"> <text>Violates this subtitle; or</text> </level> <level label="4"> <text>Violates any regulation adopted by the Department under this subtitle.</text> </level> </section> <section article="ghg" article_name="Health - General" number="14-409" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <text>Except as otherwise provided in § 10-226(c) of the State Government Article, before the Department takes any action under § 14-408 of this subtitle, the Department shall give the person against whom the action is contemplated an opportunity for a hearing before the Department.</text> </section> <section article="ghg" article_name="Health - General" number="14-410" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <text>The Department or an official acting under authority granted under this subtitle may not restrict, determine, or influence the curriculum or ministry of a youth camp in the State.</text> </section> <section article="ghg" article_name="Health - General" number="14-411" title_number="14" title_name="General Day Care" subtitle_number="4" subtitle_name="Maryland Youth Camp Act"> <text>This subtitle may be cited as the “Maryland Youth Camp Act”.</text> </section> <section article="ghg" article_name="Health - General" number="14-501" title_number="14" title_name="General Day Care" subtitle_number="5" subtitle_name="Youth Sports Programs"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Concussion” means a traumatic injury to the brain causing an immediate and, usually, short–lived change in mental status or an alteration of normal consciousness resulting from:</text> <level label="i"> <text>A fall;</text> </level> <level label="ii"> <text>A violent blow to the head or body; or</text> </level> <level label="iii"> <text>The shaking or spinning of the head or body.</text> </level> </level> <level label="3"> <text>“Sudden cardiac arrest” means a condition in which the heart suddenly and unexpectedly stops beating.</text> </level> <level label="4"> <text>“Youth athlete” means an individual who participates in an athletic activity in association with a youth sports program conducted:</text> <level label="i"> <text>At a public school facility; or</text> </level> <level label="ii"> <text>By a recreational athletic organization.</text> </level> </level> <level label="5"> <text>“Youth sports program” means a program organized for recreational athletic competition or instruction for participants who are under the age of 19 years.</text> </level> </level> <level label="b"> <level label="1"> <text>A youth sports program shall make available information on concussions, head injuries, and sudden cardiac arrest developed by the State Department of Education under §§ 7–433 and 7–436 of the Education Article to coaches, youth athletes, and the parents or guardians of youth athletes.</text> </level> <level label="2"> <text>A coach of a youth sports program shall review the information provided in paragraph (1) of this subsection.</text> </level> </level> <level label="c"> <level label="1"> <text>A youth athlete who is suspected of sustaining a concussion or other head injury in a practice or game shall be removed from play at that time.</text> </level> <level label="2"> <text>A youth athlete who has been removed from play may not return to play until the youth athlete has obtained written clearance from a licensed health care provider trained in the evaluation and management of concussions.</text> </level> </level> <level label="d"> <text>Before a youth sports program may use a facility owned or operated by a local government, the local government shall provide notice to the youth sports program of the requirements of this section.</text> </level> </section>