Title 10 — Subtitle 16. Housing

“Mobile home” means any portable structure (other than a camping vehicle) designed for use as a conveyance upon highways, having no foundation other than a chassis or removable jacks, and so equipped or constructed as to permit occupancy for dwelling and sleeping purposes.

“Dependent mobile home” means a mobile home which does not contain plumbing or plumbing fixtures.

“Independent mobile home” means a mobile home which contains a flush toilet or a bath or shower, and is designed or constructed to be connected to utilities and sanitary facilities.

“Mobile home park”, referred to as park, means any area or plot of ground upon which two or more mobile homes occupied for dwelling purposes are located, regardless of whether or not a charge is made for the accommodation.

“Mobile home park” does not include a park used to accommodate agriculture or migrant workers.

Mobile home spaces shall be laid out so that the mobile home park is in compliance with local fire codes, local ordinances, the State Fire Prevention Code, and the “Fire Safety Criteria for Manufactured Home Installations, Sites, and Communities” (National Fire Protection Association Standard No. 501A, 1987 Edition) which is incorporated by reference in COMAR 12.03.01.06D. The same space requirements apply to camping vehicles when they are parked on mobile home spaces.

In those cases when independent mobile home spaces are not serviced by central sewerage or a central water supply system, or both, the appropriate regulations of the Secretary of Health apply.

Each mobile home space shall abut on an access road which has unobstructed access to a street or roadway. The spaces shall be well defined.

The following facilities shall be minimum for parks accommodating from one to ten dependent mobile homes:

One flush-type toilet bowl receptacle shall be provided into which shall be emptied the contents of all portable containers of human excrement. An adequate supply of hot and cold water for cleaning the containers shall be provided. This equipment shall be in a separate room of a service building with a single direct opening to the outside. All plumbing of the service building shall comply with all applicable plumbing codes.

For those parks accommodating more than ten dependent mobile homes, the following additional fixtures shall be provided:

Urinals may be substituted for not more than one-third of the additional flush-type toilets required under Sec. B(3).

Where service buildings are required they shall:

Laundry Facilities. Laundry facilities shall be provided in the ratio of one laundry tray and one washing machine, or an automatic washing machine, to every 30 mobile home spaces or fraction of that. These facilities shall be provided in a separate room of a service building or in a separate building.

“Approving Authority” means the Secretary of Health or his designee.

“Camp” means a property consisting of a tract of land and all tents, vehicles, buildings, or other structures pertaining to it used as living quarters or shelter, which is operated gratuitously or for compensation, during any portion of any 5 or more days per annum, and which accommodates five or more persons at any time. However, this definition may not apply to a camp to be used by one family on its own premises, motels, motor courts, migrant labor camps, and mobile home parks.

Camping Vehicle.

“Garbage” means all animal and vegetable wastes resulting from the handling, preparing, cooking, and serving of food, exclusive of recognized industrial by-products and human and animal excreta.

“Permit” means a written permit issued by the Approving Authority according to these regulations.

“Person” means a person, persons, individual, partnership, firm, corporation, company, or association having charge, care, custody, ownership, or control of a camp or part of a camp.

“Refuse” means all putrescible, nonputrescible, combustible, noncombustible, and solid waste materials, including garbage, rubbish, and ashes, but not including sewage.

“Service building” means a building housing toilet, bathing, laundry, and other sanitary facilities.

Toilets 1 per 20 15

Urinals 1 per 30

Lavatories 1 per 20 20

*Showers 1 per 20 20

Fixed adjacent transparent glass sidelights 18 inches or less in width with opaque stiles at least 1-3/4 inches in width shall be exempt from the requirements of this regulation.

If the ground, floor, or equivalent surface area in the path of approach to a fixed adjacent transparent glass sidelight from either side for a minimum distance of 3 feet from the sidelight is so arranged, constructed, or designed as to deter persons from approaching the sidelight or a permanent barrier is installed in the path of approach, the sidelight shall be exempt from the requirements of this regulation. Decorative pools, horticultural planting, or similar installations shall be considered as indicating that the ground, floor, or equivalent surface area is not a path of approach. Benches and similar barriers which are securely fastened to the floor or wall to prevent their removal shall be considered as blocking the path of approach provided they may not be less than 18 inches in height from the ground, floor, or equivalent surface and extend across at least two-thirds of the total width of the glazed area of the sidelight.

Transparent glass doors with a glazing sill at least 18 inches above the ground, floor, or equivalent surface immediately adjacent, shall be exempt from the requirements of this regulation.

Fixed adjacent transparent glass sidelights supported by opaque sill and wall construction and having a glazing sill at least 18 inches above the ground, floor, or equivalent surface immediately adjacent shall be exempt from the requirements of this regulation.

Display windows in any establishment, building, or structure which fall within the definition of a sidelight shall be exempt from the requirements of this regulation if the top of the supporting sill and wall construction is not less than 18 inches above the ground, floor, or equivalent surface immediately adjacent and the interior area is occupied with merchandise or similar displays to clearly indicate to the public that it is not a means of ingress or egress.

The marking design shall be:

The vertical dimension of any marking including lettering may not be less than 1-1/2 inches in height.

Adhesive strips not less than 1-1/2 inches in vertical dimension extending across at least two-thirds of the total glazed area;

Decals;

Paint, gilding, or other opaque marking materials;

Protective grills at least 4 inches wide, extending the full width of the door, at least 30 inches, but not more than 36 inches from the ground, floor, or equivalent surface.

If admission is charged to attend the outdoor musical festival;

To an outdoor musical festival with 500 or more spectators in attendance for:

To an outdoor musical festival with 1,000 or more spectators in attendance for:

Baltimore City;

Allegany County;

Howard County;

Montgomery County;

Carroll County by a college or public school; or

Kent County by a nonprofit agricultural, charitable, civic, fraternal, religious, social welfare, or war veterans' organization operating in Kent County.

“Applicant” means a person who is applying for a health permit as part of the process of applying for a promoter license in order to hold an outdoor musical festival.

“Health officer” means the health officer or the health officer's designee for the county in which the outdoor musical festival will be held.

“Health permit” means a permit issued by a health officer verifying that an applicant has complied with:

“Outdoor musical festival” means an event at which a group of individuals participates in musical entertainment:

“Permanent structure” means a structure that:

Promoter.

“Promoter license” means a license to act as a promoter issued by the clerk of the circuit court for the county in which the outdoor musical festival will be held.

Copies of contracts, leases, agreements, or other documentation that verifies compliance for the provision of health services and facilities, safety, and sanitation at the outdoor musical festival as required in Regulations .05 — .08 of this chapter;

The name, address, and telephone number of the applicant;

The name, address, and telephone number of the property owner where the outdoor musical festival will be held;

The location of the outdoor musical festival by:

The dates and times that the outdoor musical festival will be conducted;

A written description, a site plan, and photographs of the outdoor musical festival site;

Documentation of local zoning approval for use of the property as a site for an outdoor musical festival;

A description of the type of entertainment and events scheduled during the outdoor musical festival;

Attendance estimates listed by dates and times;

The total number of tickets that will be printed for:

A written description of:

A written plan for:

A statement of compliance with the Worker's Compensation Act; and

The signature of the applicant.

From a public or individual potable water supply system that is:

A temporary potable water supply that has been approved by the local health department or applicable local authority;

One drinking fountain will be provided for each group of 500 spectators or fraction of 500 spectators;

One designated male toilet facility and one designated female toilet facility will be provided for each group of 200 spectators or fraction of 200 spectators;

One designated male hand-washing facility and one designated female hand-washing facility that are supplied with water, soap, and hand towels will be provided for each group of 200 spectators or fraction of 200 spectators;

The toilet and hand-washing facilities provided for the outdoor musical festival will be:

Garbage and refuse storage and removal will be provided so that a health problem, hazard, or nuisance is not created;

Litter control measures will be provided to prevent the accumulation of bottles, broken glass, and other sharp and dangerous objects;

Weeds and grass will be cut to a height of 3 inches or less as a tick control measure;

The site will be kept free of puddles of stagnant water as a mosquito control measure;

Lighting will be provided at the following locations when the outdoor musical festival is conducted between the times of sunset and sunrise:

Warning signs or barriers will mark clearly potentially hazardous areas at or adjacent to an outdoor musical festival site, such as:

Emergency medical services will be provided that meet the requirements of Regulation .06 of this chapter.

The expected number of individuals that will attend;

Details of arrangements and copies of contracts made to satisfy the requirements of this regulation;

Confirmation that the local jurisdictional emergency medical services operational program and hospital emergency department have been notified of the location, date, and expected number of attendees of the outdoor musical festival;

Approval of the plan by the local jurisdictional emergency medical services operational program;

Confirmation of a communication system capable of contacting fire, rescue, police, and 9-1-1 services; and

Procedures for the documentation and tracking of patient care and transport;

Fewer than 5,000 people, a minimum of two first responders who are:

From 5,000 — 10,000 people, a minimum of:

More than 10,000 people, a minimum of:

An enclosed area that is environmentally controlled to provide protection against extremes of heat or cold;

Equipped with cots and blankets;

Well lighted and ventilated; and

Maintained in a clean and sanitary condition;

First aid supplies;

Defibrillation equipment, including at least one automated external defibrillator with portable oxygen device;

Supplies and equipment necessary for the staff required in §B of this regulation to deliver care according to Maryland Medical Protocols for Emergency Medical Services Providers; and

Supplies and equipment necessary for the staff to maintain precautions against disease transmission; and

An agreement of the local emergency medical services operational program to provide ambulance service; or

A contract with a Maryland licensed commercial ambulance service to provide ambulance service.

Except as provided in §§A and B(2) and (3) of this regulation, an applicant shall post with the application for a health permit a cash bond in an amount to be determined by the health officer.

The health officer may not set a bond in excess of:

In St. Mary's County, an applicant may pledge real or personal property instead of posting a cash bond if the applicant submits to the health officer a verified financial statement confirming that the fair market value of the pledged property equals or exceeds the amount of the bond required.

Keep the bond until 30 days after the end of the outdoor musical festival; and

Return to the applicant any money that has not been used and is not needed to satisfy pending claims.

Removal of the trash; and

Repair of the damage.

Determine the validity of the claim and, if justified, the amount of money needed to cover the claim; and

Pay from the bond the amount necessary to cover the claim.

Review the application and required documentation for a health permit; and

Approve or deny the issuance of a health permit.

Of the reason for the denial; and

That the applicant has an opportunity for a hearing in accordance with Regulation .15 of this chapter.

Applicant; and

Property owner.

Suspend or revoke the health permit if the permit holder:

Summarily suspend the health permit and close an outdoor musical festival if protection of the public health, safety, or welfare imperatively requires emergency action.

Written notice of the suspension or revocation of the health permit;

The reasons for the suspension or revocation; and

In accordance with Regulation .15 of this chapter, an opportunity for a hearing.

Shall cease operation of the outdoor musical festival; and

May not resume operation of the outdoor musical festival until:

May not start operation of the outdoor musical festival; and

Shall cease operation and may not start or resume operation until:

Schools;

Playgrounds;

Parks; or

Recreation centers;

Schools;

Playgrounds;

Parks; or

Recreation centers; or

Vacation bible school;

Youth bike trip; or

Activity similar to §D(1) or (2) of this regulation.

“Acceptance letter” means a notice sent to a unit of local government, the Maryland-National Capital Park and Planning Commission, or a State agency, issued by the Department pursuant to this chapter and Health-General Article, §14-403, Annotated Code of Maryland, accepting written certification that the programs or activities operated by:

“Adult” means an individual 18 years old or older or an individual 17 years old who has graduated from high school.

Adventure Camp.

“Alternative accreditation” means a national camping standard that:

“Assistant counselor” means an individual who is 16 years old or older or an individual who has successfully completed the tenth grade.

“Camp” means a youth camp.

Camper.

“Certificate” means a document showing the authority to operate a youth camp, issued by the Department pursuant to this chapter and Health-General Article, §14-403, Annotated Code of Maryland, which displays the name of the person granted the authority.

“Community organization” means a local community association or club that:

“Counselor” means an individual who:

“Critical violation” means failure to comply with:

“Day” means all or part of a 24-hour period beginning at 12 a.m.

“Day camp” means a youth camp that:

“Department” means the Maryland Department of Health.

“Director” means an individual or the individual's designee who in either case:

“Formal instructor training” means an established program for a specialized activity that:

“Good standing” means:

“High ropes” means an adventure camp course activity where the potential drop to the ground for the camper exceeds 3 feet.

Instructor.

“Letter of compliance” means a notice to an operator of a youth camp directed or operated by a bona fide religious organization, issued by the Department pursuant to this chapter and Health-General Article, §14-403, Annotated Code of Maryland, granting the operator the authority to operate the youth camp.

Occasional Use.

“Operate” means to supervise, control, conduct, or manage a youth camp as:

“Operator” means a person who owns, supervises, controls, conducts, or manages a youth camp.

“Person” means an individual, receiver, trustee, guardian, personal representative, fiduciary, or representative of any kind and any partnership, firm, association, corporation, or other entity.

“Personnel administrator” means an adult who is 21 years old or older and:

“Potentially hazardous food” has the meaning stated in COMAR 10.15.03.

“Primarily recreational activities” means that 50 percent or more of a camper's time at camp is spent in recreational activities.

“Primitive camp” means a day camp or residential camp where permanent facilities for water supply and sewage disposal systems, food service facilities, sleeping areas, bathing facilities, and hand-washing facilities are not available.

Recreational Activity.

“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.

Routine Activity.

“Secretary” means the Secretary of Health or the Secretary's designee.

Sensitive Position.

“Specialized activity” means:

“Substantial outdoor recreational component” means that 25 percent or more of a camper's time at camp is spent in outside recreational activities.

“Travel camp” means a residential camp that:

“Trip camp” means a residential camp:

“Unit” means a board, department, agency, or other component of a county or a municipal corporation as defined by Article 23A, §9, Annotated Code of Maryland.

“Water safety rescuer” means an individual who is certified by a national organization and the certification substantiates that the individual:

Youth Camp.

“Youth Camp Safety Advisory Council” means an 11 member body that:

Adopt health and safety standards pertaining to the operation of youth camps; and

Submit to the Department documentation that verifies that the unit of local government maintains standards that are at least as protective as those required by this chapter.

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.

A random 5 percent sample of programs or activities described under Regulations .03 and .04 of this chapter to ensure that each program or activity is in compliance with all applicable health and safety laws and standards; and

Any program or activity about which a complaint has been filed; and

The actual camper days, that is, the sum total of the actual number of campers who attended camp each day during a camp season;

The number of injuries and illnesses that required an operator to submit a report to the Department under COMAR 10.16.07.06; and

Other pertinent information requested by the Department.

Complete a self-assessment on a form prescribed by the Department by the end of the first week of camp operation each year; and

Submit the same form to the Department within 4 weeks of the end of the camp.

Operate the youth camp during the period specified on the certificate or letter of compliance; and

Provide a specialized activity at a specific location.

Operate a youth camp as defined by this chapter and Health-General Article, §14-401, Annotated Code of Maryland, unless the operator has obtained a youth camp certificate or letter of compliance from the Department;

Operate a youth camp except during the period of time specified on the certificate, the letter of compliance, or an amendment letter from the Department;

Provide a specialized activity that is not specified on the certificate, the letter of compliance, or an amendment letter from the Department; and

Provide a specialized activity at a location that is not approved by the Department.

One person to another person;

One location to another location; or

One youth camp to another youth camp.

Apply for a certificate or, in the case of an operator of a youth camp directed or operated by a bona fide religious organization, a certificate or letter of compliance, on a form prescribed by the Department;

Except as provided in §§D and E of this regulation, pay to the Department the fee as set forth in COMAR 10.01.17.02 at the time of application; and

Submit documentation that verifies compliance with or capability of compliance with:

Apply for a certificate or, in the case of an operator of a youth camp directed or operated by a bona fide religious organization, a certificate or letter of compliance, on a form prescribed by the Department;

Except as provided in §§D and E of this regulation, pay to the Department the required fee as set forth in COMAR 10.01.17.02 at the time of application;

When a new specialized activity or a new location for a specialized activity is added to the camp’s program, submit documentation that verifies compliance with Regulations .47 — .52 of this chapter; and

When a camp changes location, submit documentation that verifies compliance with:

An operator of multiple camps at separate sites shall apply for a separate certificate and pay a separate fee for each camp site; and

When multiple operators of camps are using the same site, each operator shall:

The operator shall apply for a certificate on a form prescribed by the Department; and

The Department may not charge the operator a fee.

Submit the completed application on the prescribed form;

Except as provided in §E of this regulation, pay the required fee; and

Submit the required compliance documentation.

Submit the completed renewal application on the prescribed form;

Except as provided in §E of this regulation, pay the required fee;

Pay any fee owed in accordance with §H of this regulation; and

Submit the required compliance documentation.

The Department shall:

Within 2 weeks following receipt of the notice from the Department, the camp operator shall pay the fee owed to the Department.

Monitor a youth camp for compliance with this chapter; and

Inspect the camp at least every fourth year or as necessary for the enforcement of this chapter.

The Department may enter, at reasonable times, the property of a youth camp for the purposes of inspecting, monitoring, and verifying information relative to the enforcement of this chapter.

A person may not deny or interfere with the Department's entry into a youth camp under this chapter.

An operator shall permit a representative of the Department to examine and copy records of the youth camp to verify information relative to the enforcement of this chapter.

Record the inspection results on an inspection form prescribed by the Department;

Identify on the inspection form the conditions found that violate the provisions of this chapter;

Notify the camp operator on the inspection form to correct violations by a specific date; and

Provide one copy of the inspection report to the camp director.

Immediately, if it creates an imminent and substantial danger to a camper; and

Within the period of time specified by the Department.

The correction will be made within a mutually agreeable amount of time; and

No imminent and substantial danger to a camper exists without the correction.

The affected regulation;

The reason for the request;

The name and address of the applicant;

The name and location of the camp; and

That the requirement is met by an alternative that complies with the intent of the regulation.

Operator applies for a variance of a requirement in accordance with §A of this regulation; and

Campers' health, safety, and well-being are not compromised if the variance is granted.

Grant a variance for a specific time period; and

Specify the terms of the variance.

The Department shall issue a nontransferable certificate or letter of compliance in accordance with the information provided on the application to a camp that meets the requirements of this chapter.

Except for a camp that applies under Regulation .08A, when a camp does not meet all the requirements of this chapter, the Department may issue a nontransferable certificate or letter of compliance in accordance with the information provided on the application if:

A unit of local government or the Maryland-National Capital Park and Planning Commission that complies with Regulation .03 of this chapter; or

An agency of the State that complies with Regulation .04 of this chapter.

Fails to:

Fraudulently or deceptively obtains or attempts to obtain a certificate or letter of compliance;

Fraudulently or deceptively uses a certificate or letter of compliance;

Violates a provision of the Maryland Youth Camp Act, Health-General Article, §§14-401 — 14-411, Annotated Code of Maryland; or

Violates a provision of this chapter.

Regulation .08 of this chapter;

Regulation .20 of this chapter;

Regulation .21A(2) of this chapter;

Regulation .22 of this chapter;

Regulation .34 of this chapter;

Regulation .35 of this chapter;

Regulation .36A and B(1) — (2), C, or D of this chapter;

Regulation .37A(1) — (2), B, C, or D of this chapter;

Regulation .39A(2) — (4) and (8)(c) and B of this chapter;

Regulation .42 of this chapter;

Regulation .46A or B of this chapter; and

Regulations .47 — .54 of this chapter.

Written notice of the denial of the certificate or letter of compliance;

The reasons for the denial; and

In accordance with Regulation .17 of this chapter, an opportunity for a hearing.

Fails to correct any violation within the specified time period;

Fails to comply with an approved written schedule of compliance;

Fraudulently or deceptively obtains or attempts to obtain a certificate or letter of compliance;

Fraudulently or deceptively uses a certificate or letter of compliance;

Violates any provision of the Maryland Youth Camp Act, Health-General Article, §§14-401 — 14-411, Annotated Code of Maryland;

Violates any provision of this chapter; or

Fails to correct a situation that threatens the health, safety, or welfare of a camper at the camp.

Regulation .20 of this chapter;

Regulation .21 of this chapter;

Regulation .22 of this chapter;

Regulation .34 of this chapter;

Regulation .35 of this chapter;

Regulation .36A and B(1) — (2), C, or D of this chapter;

Regulation .37A(1) — (2), B, C, or D of this chapter;

Regulation .39A(2) — (4) and (8)(c) and B of this chapter;

Regulation .42 of this chapter;

Regulation .46 of this chapter; and

Regulations .47 — .54 of this chapter.

Written notice of the suspension or revocation of the certificate or letter of compliance;

The reasons for the suspension or revocation; and

In accordance with Regulation .17 of this chapter, an opportunity for a hearing.

Shall cease operation; and

May not resume operation until:

May not start operation; or

Shall cease operation and may not start or resume operation until:

Taking and keeping physical possession of the certificate or letter of compliance until the certificate or letter of compliance is reinstated;

Posting signs at the entrance of the camp stating that the certificate or letter of compliance to operate a camp has been denied, suspended, or revoked by the Department; or

Taking another measure within the law that will adequately ensure that the youth camp does not operate.

A person seeking the Department's approval for alternative accreditation shall:

When a camp is accredited by an alternative accreditation approved by the Department and the accreditation organization suspends, revokes, or discontinues the youth camp's accreditation, the accreditation organization shall notify the Department of the suspension, revocation, or reasons to discontinue camp:

Shall review the alternate accreditation proposal submitted by the camping organization within 60 calendar days from receipt of the documentation;

Shall accept alternative accreditation as fulfilling the requirements of this chapter when the alternative accreditation:

May suspend, deny, or revoke approval for the alternative accreditation when the accreditation organization fails to comply with §A of this regulation;

Shall give the person whose alternative accreditation is suspended, denied, or revoked:

May inspect a camp that is accredited by an accreditation organization approved by the Department, according to Regulation .09 of this chapter;

May investigate a complaint received about the camp;

May deny, suspend, or revoke the accredited youth camp's certificate or letter of compliance; and

May issue an order to abate a violation or an order to cease operation.

Submit:

Obtain a youth camp certificate or letter of compliance issued by the Department as required in Regulation .07 of this chapter;

When a camp is accredited by an alternative accreditation approved by the Department and the youth camp's accreditation is suspended, revoked, or discontinued by the accreditation organization, notify the Department of the suspension, revocation, or reasons to discontinue camp:

Close a camp:

If the operator wishes to reopen the camp, apply for and obtain a certificate or letter of compliance in accordance with this chapter.

Constructing, remodeling, or enlarging a youth camp;

Converting a property for use as a youth camp; or

Reducing or eliminating facilities at a youth camp.

The alterations comply with the requirements of this chapter; and

Applicable local approvals required under law, regulation, and local ordinance are obtained before using the premises as a youth camp, including local:

Ensure that a person serving as a personnel administrator has applied for:

Have on file and available for inspection for any person in a sensitive position:

Ensure that before the camp operates, the Department has on file for the personnel administrator a:

Notify the Department, in writing within 10 calendar days, if the personnel administrator changes.

Shall terminate the individual from employment or remove from consideration for employment, as applicable; and

Unless the individual appeals the decision to the Office of Administrative Hearings and the appeal is concluded in favor of the individual, may not:

Ensure that, for an individual in a sensitive position at a camp a:

Determine if the individual may hold a sensitive position at camp according to §§F and G of this regulation; and

Upon determining that an individual may not hold a sensitive position at camp:

Determine if the individual may serve as the personnel administrator at camp according to §§F and G of this regulation; and

Notify the individual, camp owner, and camp operator in writing about the:

Determine if an individual may serve in any sensitive position according to §§F and G of this regulation; and

Notify the individual and personnel administrator in writing within three business days about the:

A crime involving:

A sex offense;

A violent crime classified as a felony;

Abduction or kidnapping;

Abuse of a child or an adult;

Confinement of an unattended child;

Manufacturing, distributing, or dispensing a controlled dangerous substance;

Perjury;

Pornography;

Possession with intent to manufacture, distribute, or dispense a controlled dangerous substance; or

Reckless endangerment.

Shall assess, on the basis of the following factors, the individual's suitability for a sensitive position or serving as personnel administrator at camp:

Depending on the results of the assessment, shall permit or prohibit the individual from serving in a sensitive position or as a personnel administrator.

An individual who is prohibited from serving in a sensitive position or as a personnel administrator by the Department pursuant to §§F and G of this regulation may request that the Department conduct a reassessment with respect to the incident, crime, or offense.

For a reassessment request to be eligible for consideration:

In order to reach a decision on the request for reassessment, the Department may request additional information from the individual, personnel administrator, camp operator, or any agency or entity cited in connection with the reassessment request.

Upon reaching a decision on the request, the Department shall notify the individual, personnel administrator, owner, and director of that decision.

The camp operator may not permit the individual to begin or to resume serving in a sensitive position or as personnel administrator until the Department has notified the operator that the individual is not disqualified.

Ensure camper safety during natural disasters, severe weather, and other emergencies;

Evacuate campers from the camp;

Account for campers and locate a missing camper;

Use fire, rescue, police, and 911 services;

Ensure emergency transportation;

Notify the camper's parent or guardian;

Ensure camper safety until the camper's parent, guardian, or parent's or guardian's designee picks up the camper;

Monitor for adverse weather conditions; and

Meet the requirements of §B(4) — (7) of this regulation.

Not more than 30 calendar days before working at the camp, each staff member or volunteer:

Documentation is kept on file that each staff member or volunteer received the training required in §B(1) of this regulation;

A staff member or volunteer conducts emergency procedures according to the emergency plan;

A telephone or alternate means of communication is provided to:

A drill in the emergency procedures is conducted early in each session and a written record is maintained of the drill;

At least one adult staff member and one counselor or assistant counselor are present so that in the event of an emergency:

During severe weather, adequate shelter is provided for the campers and camp staff members.

Educating staff members and volunteers;

Reporting child abuse both internally and externally;

Screening staff members and volunteers prior to working at camp;

Reinforcing the camp’s policies and procedures during camp operation;

Evaluating the facilities and grounds;

Supervising campers;

Educating on appropriate touching;

Responding to inappropriate behaviors by staff, volunteers, parents, and campers;

Communicating with staff members, volunteers, parents, the Department, and the media;

Supporting an alleged victim; and

Interacting with an alleged perpetrator;

Is trained in the child abuse prevention and reporting program required in §B of this regulation;

Demonstrates knowledge of the child abuse prevention and reporting procedures; and

Is provided with the opportunity to discuss the procedures and have any questions answered by a supervisor; and

Adequate;

Easily accessible to the campers; and

Of a safe and sanitary quality.

The camp's water supply is:

An individual water supply system:

Pumping and disinfection equipment is housed in a structure that is inaccessible to unauthorized persons; and

Hose bibs with threads are equipped with nonremovable back siphonage prevention devices.

Owned by the State or a local government and used by the public for more than 170 calendar days per year; or

Owned and operated as a nonpublic school and used as a school for more than 170 calendar days per year.

Filtered and disinfected; and

Free from impurities in amounts sufficient to cause disease or harmful physiological effects.

A facility for sewage disposal is maintained in good working order and is:

As evidenced by written documentation from the local or State plumbing inspector or a master plumber licensed by the State, waste plumbing connections and fixtures are installed and maintained in accordance with:

The disposal of wastewater from under taps and fountains is by a method that:

Is constructed and maintained so that it:

Is maintained in good working order;

Is not located closer than 100 feet to a housing unit or a facility where food is prepared or served;

Has natural ventilation or a mechanically exhausted vent stack adequate to remove fumes and odors from the vault;

Is treated with calcium oxide, also known as lime, to reduce odors and eliminate a fly infestation; and

Is emptied:

Owned by the State or a local government and used by the public more than 170 calendar days per year; or

Owned and operated as a nonpublic school and used as a school for more than 170 calendar days per year.

Does not pollute the environment;

Does not create a nuisance or public health hazard; and

Complies with applicable federal, State, and local statutes, regulations, and ordinances.

Toilet facilities are constructed, located, and maintained to prevent a:

For residential camps, one toilet is provided for each 15 campers or fraction of 15 campers;

For day camps, one toilet is provided for each 35 campers or fraction of 35 campers;

If separate toilet facilities for boys and girls are in the same building, the facilities:

If separate toilet facilities are provided for boys and girls, they are distinctly marked “boys” and “girls” in:

Toilet tissue on a holder is furnished adjacent to a toilet;

A toilet facility has adequate:

A toilet facility is located within 300 feet of each housing unit.

Hand washing facilities are located:

Except when a camper provides the camper's own soap and towel, a hand washing unit is equipped with:

For a residential camp, one hand washing unit is provided for every 25 campers or fraction of 25 campers;

For a day camp, one hand washing unit is provided for every 35 campers or fraction of 35 campers;

A trash container is provided in a lavatory area;

For a residential camp, one showerhead is provided for every 15 campers or fraction of 15 campers;

Whenever a shower is provided:

Whenever hot water is supplied:

Are sanitary and promote personal hygiene;

Do not create a nuisance or public health hazard;

Do not pollute the environment; and

Comply with applicable federal, State, and local statutes, regulations, and ordinances.

Is provided with a sleeping bag; or

Brings the individual's own sleeping bag;

Clear space above the top of the lower bedding and below the bottom of the upper bunk is a minimum of 27 inches; and

Distance from the top of the upper mattress to the ceiling is a minimum of 36 inches; and

Is made of fire retardant material;

Bears a permanent label which states conspicuously, “WARNING: NO OPEN FLAMES IN OR NEAR THIS TENT OR FABRIC SHELTER”; and

Is located at least 10 feet away from a campfire or open flame.

Except as provided in §B of this regulation, a camp complies with all applicable food service statutes and regulations as set forth in Health-General Article, Title 21, Annotated Code of Maryland, and COMAR 10.15.03;

A parent or guardian is notified in writing of the camp’s policy on storage of a lunch brought from home; and

If a camp permits potentially hazardous food, as defined in COMAR 10.15.03, in a lunch brought from home, the lunch is kept refrigerated at a temperature of 41°F or below.

Food served is:

Transportation, storage, preparation, cooking, and service procedures are implemented to:

Equipment is provided to transport, store, prepare, cook, and serve food safely;

A food-contact surface of equipment used to prepare, store, or serve a potentially hazardous food is cleaned and sanitized:

Hand washing materials are provided;

A food handler maintains personal cleanliness during work, including:

A food handler uses safe food handling practices during work, including:

Food storage is provided that:

If cold food exceeds 50°F before serving, the food is discarded as garbage; and

Hot food is:

Collected as often as necessary to prevent the containers from overflowing; and

Disposed of by a system in accordance with State and local laws, regulations, and ordinances; and

Have tight-fitting lids; and

Are leak-proof, fly-proof, and rodent-proof.

A camp is:

Buildings within the camp are constructed and maintained in accordance with State and local fire and safety codes; and

An electrical system at a camp is:

Owned by the State or a local government and used by the public for more than 170 calendar days per year; or

Owned and operated as a nonpublic school and used as a school for more than 170 calendar days per year.

Pesticide, toxic chemical, or hazardous material is:

Camp staff member is trained to use a hazardous material safely before the staff member handles a hazardous material at the camp;

Material safety data sheet for a potentially hazardous chemical is available to the camp staff members; and

Chemical is handled, used, stored, and disposed of according to the material safety data sheet and all applicable federal, State, and local codes.

Ensure that a camp is maintained to eliminate or minimize a safety hazard such as:

Provide warning signs or a barrier around a hazard that cannot be eliminated due to a natural condition at the camp.

During the aquatic activity, a director is present at the camp or, when the activity occurs off the camp premises, at the activity site;

A safety plan is developed and implemented:

Post in a conspicuous place, or for a primitive camp have available, a list of emergency procedures and, if a phone is provided, a list of emergency telephone numbers; and

Provide first aid and rescue equipment.

When swimming instruction is given, an instructor is present and supervising the activity;

One lifeguard, with lifeguard certification appropriate for the swimming site, is on duty for each group of 50 campers or fraction of 50 campers in the water;

A watcher, who is a staff member or volunteer who is 16 years old or older and is not the individual required in §C(1) or (2) of this regulation, is on duty at pool side observing the campers for each group of 25 campers or a fraction of 25 campers in the water;

Two individuals certified in first aid and CPR are on duty at the activity;

An additional instructor, lifeguard, counselor, or assistant counselor is on duty if any condition exists that compromises the ability of the staff member to perform the staff member's job duty; and

One adult staff member, adult volunteer, counselor, or assistant counselor is on duty and supervising the campers for each group of ten campers or fraction of ten campers participating in the swimming activity;

Complies with the requirements of COMAR 10.17.01; and

Are maintained in good condition.

Comply with the requirements of COMAR 26.08.09; and

Ensure that:

A watercraft is equipped with U.S. Coast Guard approved personal flotation devices of Types I, II, or III, as prescribed for the specific type of craft and number and age of occupants;

A water skier wears a personal flotation device approved by the U.S. Coast Guard for that particular activity;

A watercraft towing a water skier has an observer on board in addition to the driver;

An occupant of a watercraft wears a U.S. Coast Guard approved personal flotation device;

An individual using a watercraft has been given training in boarding, debarking, and safety procedures for the craft;

Except on a river trip when the instructor's supervision is described in a written safety plan, an instructor is within sight and hearing of the watercraft activity;

An individual holding certification in first aid and CPR is present at each watercraft activity;

One lifeguard or water safety rescuer who has lifeguard or rescuer certification appropriate for the watercraft site and activity is present at each watercraft activity; and

One adult staff member, adult volunteer, counselor, or assistant counselor is on duty and supervising the campers for each group of ten campers or fraction of ten campers participating in the watercraft activity.

The rifle range is located where a camper will not wander into the field of fire while engaged in other camp activities;

If possible, the direction of fire is to the north to minimize a shooter being blinded by the sun;

A blind approach to the field of fire is fenced, with warning signs posted;

The firing line is level from one flank to the other with a minimum of 5 feet between firing points;

A ready line is established 10 feet to the rear of the firing points;

The rifle range is free of an object that might cause a bounce back or a ricochet; and

Except when visibility extends downrange for at least 3,000 feet beyond the targets, a backstop is present that is:

Complies with all requirements of §A(1) — (6) of this regulation; and

Except when the entire safety fan area of the air gun range is unoccupied, has a backstop that meets all requirements of §A(7) of this regulation or has a backstop that:

A camper is instructed in safe firing range procedures before the camper participates in the activity;

Red firing flags are conspicuously displayed when the range is in use;

Only an individual ready to fire is on the firing line and anyone waiting to fire remains behind the ready line;

An individual stays behind the firing line at all times, except when ordered by the instructor to retrieve targets; and

Guns and ammunition are stored separately in a locked storage area.

An operator shall ensure that:

An instructor shall ensure that:

According to Regulation .52 of this chapter; and

That includes procedures for meeting the requirements of §§A — D of this regulation.

An archery range is located where a camper will not wander into the danger area while engaged in other camp activities;

An archery range is clearly marked to warn individuals away from the danger area;

When possible, the shooting direction is to the north to minimize an archer being blinded by the sun;

The shooting area has at least 50 yards of clearance or an archery net behind each target; and

When different archer-to-target distances are required for a group that is shooting at the same time on the same field:

Archers fire from a common firing line with a ready line marked behind it;

Only an archer ready to shoot is on the firing line and anyone waiting to shoot remains behind the ready line;

An individual stays behind the firing line at all times except when ordered by the instructor to retrieve a target or an arrow; and

Bows and arrows are stored in a locked enclosure.

During the archery activity, a director is present at the camp or, when the activity occurs off the camp premises, the activity site;

An instructor and at least one counselor or assistant counselor to assist are on the range at all times during a firing session; and

One adult staff member, adult volunteer, counselor, or assistant counselor is on duty and supervising the campers for each group of ten campers or fraction of ten campers on the firing line.

According to Regulation .52 of this chapter; and

That includes procedures for meeting the requirements of §§A — C of this regulation.

A riding instructor determines a camper's riding experience and level of skill before assigning a horse and deciding whether the camper rides in a ring or on a trail;

A rider wears:

All horses are healthy and well cared for; and

A horse riding stable meets the requirements of COMAR 15.16.01 and is maintained in good condition.

During the horseback riding activity, a director is present at the camp or, when the activity occurs off the camp premises, at the activity site;

An instructor is present at each:

One adult staff member, adult volunteer, counselor, or assistant counselor is on duty and supervising the campers for each group of ten riders or a fraction of ten riders at each:

According to Regulation .52 of this chapter; and

That includes procedures for meeting the requirements of §§A and B of this regulation.

Firearms control;

Adventure camping;

Artistic gymnastics;

Hang gliding;

Road cycling;

Skiing;

Rock climbing;

Spelunking;

Motorized vehicle activities;

Rappelling; or

High ropes.

A director is present at the camp or, when the activity occurs off the camp premises, the activity site;

An instructor is present at the specialized activity; and

One adult staff member, adult volunteer, counselor, or assistant counselor is on duty and supervising the campers for each group of ten campers or fraction of ten campers.

According to Regulation .52 of this chapter; and

That includes procedures for meeting the requirements of §B of this regulation.

Is prepared for each specialized activity, specialized activity location, and trip before a camper participates in a specialized activity or embarks on a trip;

Defines and addresses the potential health and safety risks for each specialized activity and trip;

Identifies camp staff members' qualifications and responsibilities for each specialized activity and trip;

Includes operating procedures for:

When an activity occurs off the camp premises, includes procedures for:

Staff Members. An operator shall ensure that on a camp trip:

An operator shall ensure that the camp's contact person maintains trip information including:

Not more than 30 calendar days before working at the camp's specialized activity or participating in a trip, each staff member or volunteer:

Documentation is kept on file that each staff member or volunteer received the training required in §C(1) of this regulation.

A camper is instructed in safety procedures and the use of protective equipment;

A camper, staff member, or volunteer is provided with and uses safety equipment suitable to the specialized activity or camp trip; and

The specialized activity or trip is conducted according to the safety plan.

Transportation is provided according to applicable State law;

A transportation safety plan is developed and implemented that includes:

Not more than 30 calendar days before the camp uses transportation, each staff member or volunteer involved in the transportation and each transportation service provider or driver:

Documentation is kept on file that each staff member or volunteer received the training required in §A(3) of this regulation;

A camper, staff member, or volunteer is provided with and uses transportation safety equipment;

The driver of a vehicle is:

The number of occupants in a vehicle does not exceed the vehicle manufacturer's seating capacity;

Before a camper is transported, written authorization from a camper's parent or guardian is obtained; and

Vehicular traffic is controlled on the campsite.

Ensure that a director is available for consultation;

Provide written information to the camper's parent or guardian that includes the:

Obtain a written agreement from the camper's parent or guardian concerning the parent's or guardian's responsibility for supervising a camper before the camper is picked up and after the camper is dropped off; and

In addition to the driver, ensure that one assistant counselor or adult is on duty and supervising the campers when there are ten or more campers in a vehicle.

Non-passenger vehicle; or

An individual's car without obtaining written authorization from the:

When there are one to eight campers, one adult is on duty and supervising the camper or campers;

When there are nine to 16 campers, on duty and supervising the campers are:

When there are 17 to 24 campers, on duty and supervising the campers are:

A group does not exceed 24 campers;

When there are one to 15 campers, one adult is on duty and supervising the campers;

When there are 16 to 30 campers, on duty and supervising the campers are:

A group does not exceed 30 campers;

When there are one to 15 campers, one adult is on duty and supervising the campers;

When there are 16 to 30 campers, on duty and supervising the campers are:

When there are 31 to 40 campers, on duty and supervising the campers are:

A group does not exceed 40 campers;

“Acute illness” means an abnormal condition of the body with rapid onset associated with recognizable symptoms and signs, such as chicken pox, gastroenteritis, influenza, or streptococcal sore throat, which has a short course of duration, as opposed to a chronic illness of long duration lasting 30 calendar days or more.

Administer Medication.

“Adult” has the meaning stated in COMAR 10.16.06.02.

“Agent” means an individual who:

“Anaphylaxis” means a sudden, severe, and potentially life-threatening allergic reaction that occurs when an individual is exposed to an allergen.

“Applicant” means an individual applying for a Certificate for Emergency Epinephrine.

“Camp” means a youth camp as defined in COMAR 10.16.06.02.

“Camper” has the meaning stated in COMAR 10.16.06.02.

“Certificate” means a document showing the authority to operate a youth camp, issued by the Maryland Department of Health pursuant to COMAR 10.16.06 and Health-General Article, §14-403, Annotated Code of Maryland, which displays the name of the person granted the authority.

“Certificate for emergency epinephrine” means a certificate or an endorsement on the operating certificate of a youth camp issued by the Maryland Department of Health to an individual who operates a youth camp under COMAR 10.16.06 to obtain, store, and administer emergency use epinephrine.

“Certificate for emergency epinephrine holder” means an individual who is authorized by the Maryland Department of Health to obtain, store, and administer emergency use epinephrine to be used in an emergency situation.

“Day” has the meaning stated in COMAR 10.16.06.02.

“Department” has the meaning stated in COMAR 10.16.06.02.

“Director” has the meaning stated in COMAR 10.16.06.02.

“Emergency medication” means a medication, identified by a camper’s plan of action for use in case of a medical emergency, for a camper with an identified medical problem.

“Emergency use epinephrine” means a portable, disposable drug delivery device or product approved by the federal Food and Drug Administration that contains a premeasured single dose of epinephrine that is used to treat anaphylaxis in an emergency situation.

“Health supervisor” means an individual who:

Identified Medical Problem.

“Medication” means any nonprescription or prescription medication present at camp.

“Operate” means to supervise, control, conduct, or manage a youth camp as:

“Operator” has the meaning stated in COMAR 10.16.06.02.

“Person” has the meaning stated in COMAR 10.16.06.02.

“Secretary” has the meaning stated in COMAR 10.16.06.02.

“Self-administer medication” means the act of an individual’s ingesting, injecting, or applying the individual’s own medication when the individual:

“Successfully completed” means to pass a written examination with a grade of 75 percent or higher.

Is approved annually, in writing, by a physician, certified nurse practitioner, or registered nurse licensed to practice in the State;

Is on file in the headquarters or office of the camp and is available to the camp staff members;

Includes the name, title, and license number of the health supervisor;

Includes procedures for the camp staff members to:

Includes procedures for handling medication at camp in accordance with Regulation .14 of this chapter; and

If using electronic records, includes procedures for, in the event that a power or server outage prevents access to the electronic record:

Is trained in the health program;

Demonstrates knowledge of the health program procedures; and

Is provided with the opportunity to discuss the procedures and have any questions answered by a supervisor.

Available for consultation at all times when campers are present at a camp; and

On site at all times when campers are present in a camp where 50 percent or more of the campers have identified medical problems;

With the trip; and

At the camp;

With the trip; and

At the camp.

Date;

Name of individual;

Ailment;

Treatment prescribed; and

Name of the individual administering care or initials of the individual administering care if a list of names and initials is provided at the front of the health log;

Written on lined paper;

Maintained in a confidential manner;

Stored in a locked compartment;

Available at all times for review by the Department; and

Retained for a period of 3 years;

Recorded in ink and no lines are skipped, providing a permanent record that is not easily modified; and

Legibly signed by the individual administering care at the camp; and

Bound volume, such as a composition notebook;

Spiral book with sequentially numbered pages; or

Dedicated paper record per individual.

Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian;

Verbally to the Department within 24 hours; and

To the Department within 1 week of the incident, on a form that meets the requirements of Regulation .07 of this chapter;

Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian; and

To the Department within 4 weeks of the end of camp on a form that meets the requirements of Regulation .07 of this chapter;

An illness or injury that is not included in §A or B of this regulation; or

An accident with no apparent injury, such as:

Immediately to the health supervisor and in the case of a minor, to the minor’s parent or guardian;

Verbally to the Department within 24 hours; and

To the Department within 1 week of the incident on a form that meets the requirements of Regulation .07 of this chapter;

Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian; and

To the Department within 4 weeks of the end of camp on a form that meets the requirements of Regulation .07 of this chapter; and

Annually review all health log records and identify opportunities to reduce incidents, accidents, injuries, and medication errors; and

Make available to the Department for review written documentation of the findings of the review of health log records.

Completed in duplicate; and

Signed and dated by the person completing the form;

Within the United States, a United States territory, or the District of Columbia, documentation of:

Outside the United States, a United States territory, or the District of Columbia, documentation of:

Within the United States, a United States territory, or the District of Columbia, documentation of:

Outside the United States, a United States territory, or the District of Columbia, documentation of:

A health log;

A camper health record;

A staff or volunteer health record;

A Medication Administration Authorization Form;

A Medication Administration Form;

A Medication Final Disposition Form; or

When an operator uses standing orders for medication administration, a parent or guardian consent form.

Capturing the same required information as the paper record being replaced;

Password protected;

Accessed only by authorized staff members;

Permanent and will not be deleted;

Capable of tracking staff member use of the system and producing an auditable record;

Maintained in a confidential manner;

Available at all times for review by the Department upon request; and

Retained for a period of 3 years.

Provide a paper health log that meets the requirements of Regulation .05 of this chapter;

Record all injuries, illnesses, medication errors, and reportable diseases and conditions as defined in COMAR 10.06.01 in the paper health log until access to the electronic record is restored;

Transcribe all information recorded in the paper health log into the electronic record once access to the electronic record is restored;

Annotate the paper health log to indicate that transcription has occurred;

Retain the paper health log according to the time frame specified in Regulation .05 of this chapter; and

Provide an alternative means to access the electronic record.

Monitor a camper for signs and symptoms of acute illness such as vomiting, diarrhea, or a fever;

Arrange for first aid or medical treatment upon observing a sign or symptom of acute illness;

Restrict an affected camper from participating in camp activities so that the camper’s illness is not communicated to another individual;

Provide supervision for an affected camper so that the camper is within sight and hearing of the supervising staff member; and

Upon observing a sign or symptom of acute illness:

Provide medical consultation or treatment; and

Report the situation to the local health department in accordance with COMAR 10.06.01.

Admit an individual to a camp; or

Except for a residential camp as defined in COMAR 10.16.06.02, allow a camper to remain in a camp.

The individual is under the care of a licensed health care practitioner; and

A licensed health care practitioner or local health officer as applicable approves, in writing, the individual’s attendance.

Is maintained within the camp for the temporary isolation and treatment of sick or injured campers;

Affords privacy, quiet, continual supervision, and protection from the elements;

Is equipped with:

In the case of a residential camp as defined in COMAR 10.16.06.02, except for a primitive camp as defined in COMAR 10.16.06.02, provides:

Except for medication covered by standing orders as described in §I of this regulation, before administration of a medication, written authorization is provided on a Medication Administration Authorization Form meeting the requirements of §F of this regulation;

Except for a primitive camp as defined in COMAR 10.16.06.02, emergency medication, or while a medication is being administered, medication is kept in a locked storage compartment;

A prescription medication is kept in the original container bearing a pharmacy label that includes the:

A nonprescription medication is kept in the original container that includes the directions for use;

Medication is given to the camper from the original container;

The directions provided in the prescriptive order for the medication found on the Medication Administration Authorization Form or the standing order is followed;

The staff member or designated volunteer administering the medication or supervising a camper who is self-administering medication knows the side effects and toxic effects of the medication;

Medication is kept in a secure manner;

Emergency medications are handled according to §D of this regulation;

Medication is stored according to the manufacturer’s directions;

A staff member or designated volunteer documents medication administration on a Medication Administration Form meeting the requirements of §G of this regulation;

A staff member or designated volunteer documents the final disposition of the medication on a Medication Final Disposition Form meeting the requirements of §H of this regulation;

Except as allowed in §A(14) of this regulation, within 2 weeks after the end of the camping session or when the medication is discontinued, medication is:

If authorized by the parent or guardian, a camper may take their medication with them at the end of the camping session.

A licensed or certified professional:

An adult staff member or a volunteer who:

Who is authorized to practice in Maryland; and

Whose scope of practice includes medication administration.

Except as allowed in Regulation .15 of this chapter, an operator shall ensure that:

An operator may allow a camper to self-carry an emergency medication if both the parent or guardian and a licensed or authorized prescriber have provided written consent for the camper to self-carry the emergency medication.

Both the parent or guardian and a licensed or authorized prescriber have provided written consent for the camper to self-administer the medication;

The health supervisor has designated an adult staff member or volunteer to supervise the camper while the camper is self-administering medication; and

The designated adult staff member or volunteer supervises the camper while the camper is self-administering medication.

The written prescriptive order for the medication that includes:

The following statement: “I request the authorized youth camp operator, staff member or volunteer to administer the medication or to supervise the camper in self-administration as prescribed by the above authorized prescriber. I certify that I have legal authority to consent to medical treatment for the child named above, including the administration of medication at the facility. I understand that at the end of the authorized period an authorized individual must pick up the medication; otherwise, it will be discarded. I authorize camp personnel and the authorized prescriber indicated on this form to communicate in compliance with HIPAA”;

The parent’s or guardian’s signature;

The date the parent or guardian signed the form;

The parent’s or guardian’s primary phone number;

The parent’s or guardian’s alternative phone number;

If a camp allows a camper to self-administer medication, authorization to self-administer medication that includes:

If a camp allows a camper to self-carry emergency medication, authorization to self-carry emergency medication that includes whether the:

Child’s name;

Child’s date of birth;

Name of the medication;

Dose of the medication;

Route of administration for the medication;

Time or frequency of administration for the medication;

Amount of medication administered;

Date and time of administration; and

Name of the individual who:

The child’s name;

The child’s date of birth;

The name of the medication;

The final disposition of the medication;

Documentation that the medication is returned to the parent or guardian, or authorized individual, including the:

A section for documenting that the medication was destroyed that includes the:

Written permission is obtained from the child’s parent or guardian to administer the medication; and

The medication is administered by a staff member or volunteer who meets the requirements in §B of this regulation.