<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.16.07.12" title_num="10" subtitle_num="16" chapter_num="07" heading="Exclusion for Acute Illness and Communicable Disease.">
  <paragraph num="A.">
    <text>An operator shall ensure that camp staff members:</text>
    <paragraph num="(1)">
      <text>Monitor a camper for signs and symptoms of acute illness such as vomiting, diarrhea, or a fever;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Arrange for first aid or medical treatment upon observing a sign or symptom of acute illness;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Restrict an affected camper from participating in camp activities so that the camper’s illness is not communicated to another individual;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide supervision for an affected camper so that the camper is within sight and hearing of the supervising staff member; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Upon observing a sign or symptom of acute illness:</text>
      <paragraph num="(a)">
        <text>Report an illness in accordance with Regulation .06E of this chapter; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Except for a residential camp as defined in COMAR 10.16.06.02, notify the camper’s parent, guardian, or other designated person that the camper may not remain at camp.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>When an acute illness is reported to the health supervisor, the health supervisor shall:</text>
    <paragraph num="(1)">
      <text>Provide medical consultation or treatment; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Report the situation to the local health department in accordance with COMAR 10.06.01.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If a camper is exhibiting a symptom of acute illness, an operator may not:</text>
    <paragraph num="(1)">
      <text>Admit an individual to a camp; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Except for a residential camp as defined in COMAR 10.16.06.02, allow a camper to remain in a camp.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>An operator may not knowingly allow an individual to participate, work, or volunteer at camp during the period of communicability of a disease or condition listed in COMAR 10.06.01, unless:</text>
    <paragraph num="(1)">
      <text>The individual is under the care of a licensed health care practitioner; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A licensed health care practitioner or local health officer as applicable approves, in writing, the individual’s attendance.</text>
    </paragraph>
  </paragraph>
</regulation>