SOUTH SHORE YMCA EMILSON BRANCH CAMP GORDON CLARK BOARD OF HEALTH POLICIES AND PROCEDURES - 2020 CAMP DIRECTOR: Christopher Crossen-Sills, M, Ed.

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SOUTH SHORE YMCA EMILSON BRANCH
     CAMP GORDON CLARK

       BOARD OF HEALTH
    POLICIES AND PROCEDURES

             2020

 CAMP DIRECTOR: Christopher
     Crossen-Sills, M, Ed.
PROCEDURES FOR THE BACKGROUND REVIEW OF STAFF

South Shore YMCA is certified for access to CORI.

Each staff person will fill out a CORI check form issued by the CHSB, which will have a unique
association identification number on it. Each staff person will sign the form.
The YMCA will send the CORI request to the CHSB along with a $10.00 payment.

Each staff person who can have unsupervised contact with the campers must have a background
free of conduct which bears adversely upon his/her ability to provide for the safety and well
being of the campers.

At minimum the South Shore YMCA shall require for each camping season, the following from
each person who may have unsupervised contact with a camper:
ï Prior work history, including address and phone numbers of a contact person
ï Three reference checks from individuals not related to the staff person, but not limited to
   employers or school administrators
ï Obtain CORI/Juvenile Report from the CHSB
ï SORI check from the MA Sex Offender Registry Board
ï Any break in employment service at any time during the year requires a new CORI & SORI
   for the staff person
ï The South Shore YMCA will maintain written documentation verifying background and
   character for each staff member for three years
ï Until requirements are met, the South Shore YMCA shall ensure that staff members shall not
   have unsupervised contact with campers, unless a staff person member whose background
   check is approved is also present.

ALL CORI & SORI CHECKS ARE ON FILE WITH THE HUMAN RESOURCES DEPARTMENT AT THE
SOUTH SHORE YMCA, 91 LONGWATER CIRCLE, NORWELL, MA 02061

                               PARENTS RIGHT TO REVIEW

Upon registering for camp, families may request copies of background checks, health care &
discipline policies, in addition to procedures for filing grievances.

All information is located within the parent handbook; however, leadership staff may assist
families in acquiring the information on these subjects.
PROCECURES FOR ORIENTATION OF STAFF AND VOLUNTEERS

 All staff will receive a minimum of 15 hours of training prior to the beginning of camp. Staff will
 receive training on a range topics including, bun not limited to:

                         ï   OSHA regulations
                         ï   Child Abuse Prevention
                         ï   YMCA Policies & Procedures
                         ï   Behavior Management
                         ï   Emergency Procedures
                         ï   Pool Safety

 In addition each staff member will receive training within their unit as to their individual duties
 with regards to all aspects of the running of camp.

   STAFF                                        COVID ADDITION 2020
Training          All staff training on new standards and expectations completed before first day of camp.
                  Also, to include trauma informed care around COVID-19.
                  1. Covid19 Training and Signs/Symptoms
                  2. Cleaning
                  3. Social Distancing
                  4. Proper Discussion points with Campers / Mental health (EMPATHY COVID)- 15
                       minute Y USA approved training
                  5. Trauma Informed Care- staff working with children/families
                  6. Trauma Informed Care- Supervisors to support staff
                  7. American Red Cross Link

                  Virtual online trainings when possible. Recommend Redwoods FREE Online Training.
                  All other training should be done in cohorts to avoid large groups until necessary.

                  Staff will be trained on how to properly disinfect and sanitize areas their cohorts use.

Covid-19          Use local Board of Health guidelines to develop exposure notification plan to
Exposure          communicate with staff and members. Include:
                    Isolation, containment and contact tracking procedures
                    Stay at home requirements

Staff Unable to   Determine how to handle employees who are unable or unwilling to return to work
Work              (fearful, family obligations, high risk category).
PROCEDURES FOR REPORTING SUSPECTED CHILD ABUSE OR NEGLECT

 When child abuse is suspected or disclosed by a child it is imperative that the staff/volunteer
 protect the child’s right to privacy.

             ï   Find a private place to talk—always maintain the “opportunity to be viewed”
             ï   Be a good listener/observer—respond calmly, establish a good rapport
             ï   Minimize the need for questioning—two to three open ended, clarifying questions
                 are best
             ï   Reassure the child—however do not make promises

 Mandated Reporting - All SSYMCA staff fall under the MA guidelines of Mandated Reporting
 and are mandated by law to report all incidents of suspected abuse and/or neglect of children
 under the age of 18 to the Department of Children and Families via 51A Report. According to MA
 General Laws to Protect Children Section 51A-F no staff will ever be “discriminated or retaliated
 against” for making a report of suspected abuse.

 All staff will report to their supervisor any indication of or warning signs concerning abuse and or
 neglect involving a child, inappropriate behavior by a staff member/volunteer AND any instances
 of staff violating this Code of Conduct and Child Protection Policy SSYMCA staff who identify
 concerning behavior or a violation of policy by a fellow staff person must report the event to
 their supervisor or next /lateral chain of command and /or to the VP of Human Resources
 immediately.

 Overview of Reporting Procedure
    1. Any form of child abuse (a child who is harmed or threatened with physical or emotional
       harm by the acts or lack of action /deliberately or through negligence or inability/of a
       caretaker) including physical, emotional, sexual or neglect if suspected, is to be reported
       to your supervisor immediately.
    2. At that time both you and your supervisor (or next/lateral in chain of command) will
       report the abuse or neglect to the MA Department of Children and Families (DCF).
    3. The Executive Director or designee and Program Director in consultation with DCF may
       jointly decide if, when, and/or how the parents/guardians should be advised that the
       SSYMCA has filed a 51A report.
    4. Once the suspected abuse or neglect has been orally reported to DCF, a written report
       (51A) must be submitted within 48 hours. Please note that any mandated reporter who
       fails to make the required reports may be fined up to $5000 and /or 2 1/2 years in jail.
       (Chapter 119 sections 51A-E).
    5. If the alleged abuse involves a SSYMCA staff or volunteer, they will immediately be
       suspended from work and will remain suspended until a full investigation is completed.
       Reinstatement of a staff or volunteer will occur only after all allegations have been cleared
       to the satisfaction of SSYMCA CEO Paul Gorman.

 The Hanover Department of Health will be notified when 51A reports are filed for a camper who
 attends the Camp Gordon Clark.

Child               Training should include all NEW COVID-19 protection procedures for campers
Protection          as well as all the required child abuse, child sexual abuse and neglect
                    preventions. With modified ratios and new bathroom/changing stall
                    procedures it is imperative camp leadership reevaluate their child protection
                    protocols to ensure they align with new standard operating procedures under
                    COVID-19. Praesidium Guidelines
HEALTH CARE POLICY

HEALTH CARE CONSULTANT
Name:      David Irons
Address:   191 Independence Ave
           Quincy, MA 02169
Telephone: 617-773-5070

HEALTH CARE SUPERVISOR(s)
    1.     Katherine Hartford, RN – Camp Nurse (Registered Nurse)
    2.     Christopher Crossen-Sills – Camp Director
    3.     Kelly Fisher, COVID Spokesman/RNA
    4.     Lauren Picard, RNA

EMERGENCY TELEPHONE NUMBERS:
Fire:                     911
Police:                   911
Rescue/Ambulance:         911
Poison Control Center:    1-800-222-1222

HOSPITAL(s) utilized for EMERGENCIES
Name: South Shore Hospital
Address: 55 Fogg Road
            Weymouth, MA 02190
Telephone: 781-340-8000

EMERGENCY PROCEDURES (transportation method & notification of parent)
Administer immediate first aid. Contact parent or emergency contact if applicable.
Transport camper via ambulance with staff person. Child’s information sheet and physical form
should accompany the child.

EMERGENCY PROCEDURES (if parents cannot be contacted)
Continue trying to contact parent or emergency contact.

EMERGENCY PROCEDURES (when off premises)
All children’s information sheets and physical forms along with any medication are taken on the
trip. Staff are made aware of the nearest phone, in addition to the cell phone each director has.
Staff will also designate an area that will be considered our home base for the day – campers
will be made aware of this area in case someone gets lost.

PROCEDURES FOR UTILIZING FIRST AID EQUIPMENT
ï   Location of first aid kits: Camp Nurses Office, one with each group
ï   Location of first aid manual: First Aid Kit
ï   First aid is administered by: Katherine Hartford, RN (Camp Nurse)
ï   First aid kits are maintained by: Katherine Hartford, RN (Camp Nurse)
ï   Contents of first aid kit: sterile gauze squares, compresses, 4 inch roll-flexible gauze
    bandage, 2 inch roll- flexible gauze bandage, 1 inch roll-bandage tape, 1 triangular muslin
    bandage, scissors, tweezers, barrier protection gloves-non-latex, instant cool pack/plastic
    bag for ice cubes, non-perfumed soap, mask- 1-way valve
PLAN FOR INJURY PREVENTION AND MANAGEMENT (monitoring the environment)
Each specialist/unit director will be responsible for inspecting his/her program area for safety
hazards and/or equipment that is in need of repair. Hazards will be removed or fixed or the
campers will be moved to a safer area. Camp Nurse and Camp Director will be notified
immediately of all concerns.

PROCEDURES FOR REPORTING SERIOUS INJURY/IN-PATIENT HOSPITALIZATION/DEATH OF A CAMPER OR
STAFF PERSON TO THE DEPARTMENT OF PUBLIC HEALTH
A report (prescribed by the Health Department) will be completed for each serious injury or
fatality resulting in a camper/staff being sent home or transported to the hospital/physician
where a positive diagnosis is made. This report will be sent to the Health Department
accompanied with a phone call concerning this matter.

PROCEDURES FOR INFORMING PARENTS WHEN FIRST AID IS ADMINISTERED TO THEIR CHILDREN,
INCLUDING TIME FRAME AND DOCUMENTATION.
Any and all serious injuries that occur at camp (including all injuries that occur from the neck
up), will result in immediate phone calls to parents from the Camp Nurse.

PLAN FOR INFECTION CONTROL & MONITORING
Parents are aware that they must notify the camp director if their child has a communicable
disease. When this is done the director will send a notice home informing all other campers that
such a situation does exist. This will be immediately reported to the local board of health and the
child will not be admitted back into camp unless accompanied by a doctor’s note stating that the
child is no longer contagious.

PROCEDURES FOR THE CLEAN UP OF BLOOD SPILLS
All staff have attended an OSHA training regarding blood and exposure. Blood will be cleaned up
using rubber gloves and disposed of in the proper hazardous waste bags. The area will be
cleaned with the appropriate cleaning solutions.

EMERGENCY PLAN FOR THE EVACUATION OF THE PROGRAM OR FACILITY
1. Each door in every room we use has the evacuation plans posted where the campers can
   read them
2. Children will be lead out of the building by their counselor
3. The Camp Director or Assistant Director will be responsible for checking all rooms after
   evacuation
4. The director will meet all the children & counselors at a predetermined location where the
   director will account for all the children in camp
5. Evacuation drills will take place once every session
6. The director will document date, time and effectiveness of each drill

PLAN FOR ADMINISTERING MEDICATION
Dr. David Irons, our Health Care Consultant will be available at all times for consultation. He will
oversee a written policy for the administration and storage of all medications.

Health Supervisor: Katherine Hartford, RN
These people: Are over the age of 18
                 Are Certified in First aid & CPR
                 Can safely handle and administer medication properly
                 Can keep proper records
                 Demonstrates accurate notations on the record
                 Will contact Health Consultant with any questions
Can utilize the “911” emergency system
                  Will assure confidentiality

All medication prescribed for campers shall be kept in its original container with a current date,
the name of medication, patient’s name, doctor’s name and the name of the pharmacy &
pharmacist. All medication will be kept in a locked storage cabinet in the Nurse’s Office and will
only be opened to administer the medication. This medication will be administered by the Health
Supervisor. Exception: Campers may be allowed to self-medicate themselves using a
prescribed Epi-pen or inhaler and the parent/guardian and camp health care
consultant can give written approval for their Camp Counselor to carry these
medications with them in the group’s First Aid Kit which will remain with the counselor
throughout the day. At the end of each day, these first aid kits will be locked in the
camp office and counselors will pick them up each morning. Our Health Consultant, Dr.
David Irons will sign off on this medication given out at camp. Parents will also have to sign an
authorization form before medication will be distributed at camp. The Health Supervisor will keep
accurate record of all medication that is dispensed daily.

PLAN FOR RETURN OR DESTROYING UNUSED MEDICATION AT CAMP
When medication is no longer needed and cannot be returned, the Health Care Consultant, with
a witness present, will destroy any medication and make a record of this action in their medical
log.

PLAN FOR THE CARE OF MILDLY ILL CAMPERS
The child will be removed from the group and brought to the Nurse’s Office where she/he can
rest quietly on a cot with a pillow. Parent will be contacted and the parent may be asked to
pick-up child from camp. Camp Nurse will document this in the medical log.

PROCEDURE FOR IDENTIFYING AND PROTECTING CHILDREN WITH ALLERGIES AND/ OR OTHER EMERGENCY
MEDICAL INFORMATION
Camp Nurses will be responsible for reviewing all physical forms which will indicate allergies and
any other conditions relative to the safety of the child at camp. Once identified, special
consideration lists will be distributed to the appropriate staff in charge of dealing with the
identified child.

PROCEDURE FOR HANDLING SERIOUS INJURY
If the YMCA staff is unable to treat a camper, an ambulance will be called to transport the
camper to the nearest hospital. The parent will be called and will be advised to meet the
ambulance at the hospital. A staff member along with a copy of the child’s medical form will
accompany the child to the hospital.
DISCIPLINE POLICY

Should a discipline problem arise, we follow a three step process, and each step will be
documented in writing along the way. We will communicate with the camper each step along
the way to help them understand why they have been disciplined.
                                   1st Offense – Verbal Warning
                   nd
                  2 Offense – 5 minute Time-Out/Conference with Unit Director
               rd
              3 Offense – Time-Out/Conference with Camp Director/Asst. Director

A repeat visit to the Camp Office will result in a phone call to the parent about the behavior, and
a meeting may be scheduled. Suspensions will be issued for violent or inappropriate behavior,
or repeated visits to the Camp Office for 3rd Offenses. Expulsions from camp occur when a
camper’s behavior puts anyone at risk (including themselves), or the camper has already
received one suspension.

In addition to the procedures outlined above, the following discipline policies are in effect at
camp.

   1. Corporal punishment including spanking is prohibited

   2. No camper shall be subjected to crude or severe punishment

   3. No camper shall be denied food or shelter

   4. No camper shall be punished for soiling, wetting or not using the toilet

   5. Records shall be kept regarding a camper’s behavior which will include the date, time and
      the camper & staff person involved in the incident.
FIRE EVACUATION PLAN
                                 South Shore YMCA Camp Gordon Clark

Directions for leaving facility: please see plans for each room in the YMCA.

A fire drill will take place on the second day of each session.

A roster of all campers for that session will be available for the director along with a list of staff
present each day. Each Area Specialist will be responsible for their activity area. If there is not
a Specialist than the counselor of each group will be responsible. Staff at no time will ever leave
a camper unsupervised.

All doors will have escape route posted so campers and staff can read (picture & words).

An alarm will sound in the case of a real fire signaling an evacuation.

Camp Director will contact 911 by office phone or cell phone, as well as contacting the YMCA
Associate Executive Director and Senior Program Director.

Designated area to meet that is far away from South Shore YMCA is the YMCA field near the Flag
Pole.

At this location counselors will take attendance and the director will do group and staff checks.

Occupant Response to a Fire

All staff not assigned to a group of campers should notify anyone in the area of the danger. If
there is time they should close all doors but keep unlocked. Fire alarm will be activated by the
nearest staff person. All staff are aware of who and what they are responsible for during the
evacuation. The director should call 911 stating the name of the building and its address along
with the nearest cross road, location of the fire in the building, any info about the fire and
contact phone number. The staff person will not hang up until the emergency services person
does so.

All fire drills will be dated and documented.

signature                                                     Fire Dept
DISASTER PLAN

GENERAL
In the case of any type of disaster/emergency advisory by the local authorities, all campers will
be evacuated to a safer area. All Directors/Specialty Staff will go to each program area and
blow whistle, signifying an emergency and all campers need to report to the designated area.

TORNADO or HIGH WINDS
In the case of a tornado campers will be moved inside in the gym of the YMCA. They will be
kept away from any/all glass windows.

Camper should crouch down on floor with hands covering back of head and neck.

If any groups cannot make it to a suitable indoor structure, they should lie flat in the nearest
ditch or depression and use hands to cover their heads.

FLASH FLOOD
Camp Director will be responsible for evacuating all low-lying areas and move to higher ground
avoiding small rivers and streams.

Staff & campers should not walk through flowing water more than ankle deep.

LIGHTNING
When campers are outside they will be moved inside to the YMCA facility. If anyone feels their
hair standing on end, should squat down with head between knees (not lying flat).

Everyone should avoid isolated trees or other tall objects, bodies of water, sheds or fences.

CHEMICAL SPILL
In the event of a chemical spill campers will be evacuated to the parking lot of the Hanover Mall,
across Mill Street.

WILDFIRE
Camp Director will be responsible for listening to local TV or radio broadcasts for updated
emergency information. Staff will follow the advice of local officials regarding best escape
routes, considering that wildfire can change direction quickly.

Anyone trapped
ï should crouch in a pond or river
ï lie flat and cover body with wet clothes or soil
ï if no water, look for shelter in a cleared area or among a bed of rocks
ï breathe the air close to the ground through a wet cloth to avoid scorching lungs or inhaling
   smoke
LOST CAMPER PLAN

In the case of a lost camper all camp groups need to report to designated area to be accounted
for by Head Counselors and camp leadership staff.

DESIGNATED AREA: Flag Pole, YMCA field.

The camper’s name and age should be reported to the Camp Director/Asst. Director, as well as
where the camper was last seen, what camper was wearing and any other information that
would be helpful. Associate Executive Director of the YMCA will be informed.

Each counselor will count their campers and be responsible for their group and report to their
coordinator the attendance of the group.

Office attendance records should be checked to make sure camper was not picked up.

Notify emergency 911 if camper is still missing and relay all pertinent information to the
dispatcher.
LOST SWIMMER PLAN

 In the case of a lost camper at the pool area, the lifeguard will blow the whistle and clear the
 pool and call for a buddy check and a group check. At this time all campers will find their buddy
 and sit with him/her. Counselors will also count their campers in their own group. Counselors
 are always responsible for the whereabouts of the campers in their group.

 Local emergency personnel will be contacted if necessary. 911 will be called. YMCA Associate
 Executive Director will be informed.

 Lifeguards will be responsible for searching every inch of the swimming pool. Lifeguard staff will
 be responsible for checking bathrooms/locker rooms. All swimmers will be moved by their
 counselor back to the drop-off/pick-up area of camp.

 Aquatics Supervisor & Camp Director would be responsible for interviewing any witnesses to
 confirm last seen location.

 Aquatics                                     COVID ADDITION 2020

Bathing        Bathing load are based on the camps ability to maintain social distancing. Camps
Loads?         should investigate how much space is needed for campers of different swimming
               abilities to ensure social distancing. Awaiting Clarification from DPH
Free Swim       Cohorts may swim together. Cohorts must maintain social distancing when using the
                pool area together. Suggest lane markers and other barriers be used to ensure groups
                do not mix.
Swim           Suggest non-contact lessons. Instructors teaching from deck and maintaining 6 feet while
Lessons        students in pool. Classes no more than 9 with instructor. Instructors can teach multiple
               cohorts but should ensure all proper precautions with handwashing in between groups and
               keep social distancing during lessons.

Lifejackets    Good practice: Limit the amount of shared supplies and equipment per activity. Hand wash
               life jackets in hot soapy water. Allow to air dry and spray lifejackets with alcohol-based
               disinfectant spray.

               Better practice: Hand wash life jackets in hot soapy water. Use a dryer to ensure complete
               drying with a temperature set point not to exceed 140 °F. Spray lifejackets with alcohol-
               based disinfectant spray before use

               Best practice: Designate certain equipment (e.g., lifejackets) to individuals for the duration
               of camp, to decrease the quantity of shared items.

               If you think your product has been exposed to a virus, clean as recommended by the
               manufacturer and then let dry in a warm, low humidity environment for at least 72 hours
               before reuse.

               Avoid spraying inflatables with specific disinfectants that are detrimental to the fabric. e.g.
               bleach-based products. Do not machine launder life jackets. Life jackets should be hand-
               washed with gloved hands – wash as hot as possible (
Changing     Recommend assigned changing areas for each cohort. If that cannot be accomplished
Stalls and   camps should clean stalls after each use and document that cleaning was done.
Lockers
             Only one cohort at a time should utilize indoor locker room space at one time.

             Camper’s belongings should be individually stored in lockers, cubbies, or in some fashion
             to ensure there is no mixing of belongings.
TRAFFIC CONTROL PLAN
                                     AND CAMPER RELEASE POLICY

 Traffic will be coordinated by the Camp Director with assistance of other YMCA directors as well
 as area specialists.

                                                   Drop Off
 In the morning parents will need to park in a designated spot in the YMCA parking lot. They will
 then be required to accompany their camper to their unit tent where they will be signed in by a
 counselor.

                                                   Pick Up
 Parents, or individuals previously authorized in writing to pick campers up, will be directed to
 one of two designated pick up areas according to their camper’s unit tent. YMCA Directors, the
 Camp Director and area specialists will assist in traffic flow. Once in their designated pick up
 area parents/authorized individuals will stay in their car and tell an area specialist their camper’s
 name and unit. Campers will be accompanied to the car by their counselor and will be signed
 out by parents/authorized individuals only after the counselor has checked their proper
 identification to make sure that they are authorized to pick the camper up. In the event that an
 individual who is not authorized attempts to pick up a camper, the Camp Director/Asst. Director
 will call the parents to obtain temporary authorization.

Pick Up and      Only staff and campers are allowed on camp grounds. Drop off should be done
Drop Off         in specific areas with designation. Camps may only check in groups of 10
Procedures       campers at one time. Suggested staggered and separate ways for groups to
                 check in together.

                 After answering questions and temp screen, and remote check in, campers
                 should proceed to handwashing station. Suggest automated digital check in
                 process.

                  Beginning of Camp day:
                    • Staff member will meet at car with gloves and mask on to take camper’s
                        temperature and complete a symptom check. *If a camper has a temperature
                        greater than 100 or shows symptoms, they will not be allowed into camp that
                        day. Campers can return after being 24 hours without a fever and symptoms.
                    • Parents are to remain in vehicle during check in procedure.
                    • Parents roll down their passenger side window. Parents will be required to use
                        their own hand sanitizer and pen before being handed the check in book to sign
                        in their camper.
                    • MEDICATIONS: parents bring in medications with ‘Permission to Administer’
                        paperwork to give staff.
                    • Camper will then proceed to wash their hands at handwashing station before
                        proceeding to their group to begin their camp experience!!

                 End of   Camp Day:
                    •     Staff member will meet at car with gloves and mask.
                    •     Parent will roll down passenger’s side window, Staff will verify ID
                    •     Parents will be required to use their own hand sanitizer and pen.
                    •     Staff will hand parent sign out book
                    •     Staff can release camper to parent.
CONTINGENCY PLANS

                                  Registered campers who fail to arrive
 Each morning campers will be checked in on the attendance sheets when they arrive at camp.
 Parents are asked to inform the Camp Office by phone of any absences. Any camper who does
 not arrive after two days will be called on the telephone to confirm their whereabouts.

                              Campers who appear who are not registered
 All parents will be required to check in upon arrival to camp. On the first day of each session,
 campers/parents will check in at the registration area. Full time YMCA staff will be on hand to
 properly staff the registration area. If a camper / parent arrive and are not registered, they will
 be turned away. If during the day, a child appears who is not a registered camper, the child will
 be kept in the office and an attempt will be made to contact parents/guardians. If
 parents/guardians cannot be contacted after an adequate period of time, the police will be
 contacted.

                           Campers who fail to arrive at end of day at pick-up
 Counselor would notify the director if a camper was missing and we would begin the Search &
 Rescue procedure outlined in the ‘Lost Camper Plan’ section. The Camp Director will double
 check with the YMCA to confirm roster for that session.

                          Campers who are not picked up at the end of the day
 If a camper is not picked up at the end of the day (4:00 for campers not enrolled in extended
 day and 6:00 for campers enrolled in extended day), the child will stay with the Director on duty
 and a call will be placed to the parents/guardians. If parents/guardians cannot be contacted
 after an adequate period of time, the police will be contacted.

                      Campers who arrive at camp, but are not registered for camp
 If a camper arrives at camp with their family, but are not registered for camp they will be asked
 to report to the camp office before being signed in. The family will need to register with our
 camp registrar to ensure we have all pertinent information in regards to emergency contacts,
 etc. If there is no room in camps that the family is trying to register for, the family will not be
 able to register for camp for the given week.

 CAMPERS                                     COVID ADDITION 2020

FIELD GUIDE      Some information provided below is available in the Field Guide on Implementation of
                 CDC Guidance: ACA YUSA FIELD GUIDE FOR CAMP

MA EEC           All materials supplied below are derived from the EEC MASSACHUSETTS CHILD AND
GUIDELINES       YOUTH SERVING PROGRAMS REOPEN APPROACH
                 Minimum Requirements for Health and Safety
ENTRY       Daily Screening: Programs must screen all staff and children before they are permitted
SCREENING   to enter the camp space following the requirements below.

            (1) Establish a single point of entry to the program to ensure that no individual is
            allowed to enter the building until they successfully pass the screening.
            (2) Designate specific program staff to conduct all screening activities and thermometer
            checks, and establish a designated screening area (e.g., a side room or enclosed area
            close to the point of entry) that will allow for more privacy in order to ask questions
            confidentially or conduct a temperature check. Unless a physical barrier, such as a
            plexiglass screen, is used, the space used for screening must allow
            for social distancing of childcare staff from child/family while screening is being
            conducted (i.e. at least 6 feet of separation).
            (3) Health check responses and individual temperature check results must be recorded
            and maintained on file.
            (4) Verbally screen children and parents asking the following questions. If any of the
            below are yes, the child must not be allowed to enter the building. The child must
            return home with their parent or caregiver.
              (a) Today or in the past 24 hours, have you or any household members had any of
              the following symptoms?
              • Fever (temperature of 100.0°F or above), felt feverish, or had chills?
              • Cough?
              • Sore throat?
              • Difficulty breathing?
              • Gastrointestinal symptoms (diarrhea, nausea, vomiting)?
              • Abdominal pain?
              • Unexplained Rash?
              • Fatigue?
              • Headache?
              • New loss of smell/taste?
              • New muscle aches?
              • Any other signs of illness?
              (b) In the past 14 days, have you had close contact with a person known to be
              infected with the novel coronavirus (COVID-19)?
            (5) Staff must make a visual inspection of each child for signs of illness, which could
            include flushed cheeks, rapid breathing or difficulty breathing (without recent physical
            activity), fatigue, or extreme fussiness. Confirm that the child is not experiencing
            coughing or shortness of breath. In the event a child is experiencing shortness of
            breath or extreme difficulty breathing, call emergency medical services immediately.
            (6) Camps must include non-contact temperature checks (using a scanning or temporal
            thermometer), conducted by designated staff, as part of their screening protocols. To
            ensure that staff conducting
            temperature checks are able to do so safely, the following protocol must be followed:
              (a) Perform hand hygiene.
              (b) If social distancing or barrier/partition controls cannot be implemented during
              screening, personal protective equipment (PPE) including eye protection (goggles or
              disposable face shield) that fully covers the front and sides of the face, in addition to
              mask and gloves, should be used when within 6 feet of a child. However, reliance on
              PPE alone is a less effective control than maintaining social distancing during
              screening.
              (c) Check individual’s temperature using a non-contact or temporal thermometer. If
              performing a temperature check on multiple individuals, ensure that a clean pair of
              gloves is used for each individual and that the thermometer has been thoroughly
              cleaned in between each check, in accordance with CDC recommendations for
              infection control.
              (d) Remove and discard gloves and other PPE, in accordance with CDC guidance. To
              reduce the risks of contamination when using PPE, staff must be adequately trained
              on appropriate donning and doffing of required PPE. Programs must have adequate
              space to safely don/doff PPE, designated space for clean PPE supply that is separate
              from dirty/contaminated/disposed PPE, and consideration should be given for ongoing
              shortages and unreliable supply of PPE nationally.
(7) All staff, parents, children, and any individuals seeking entry into the program
            space must be directed to self-screen at home, prior to coming to the program for the
            day. If the program is a family child care program, all household members must self-
            screen before coming into the child care space.
            (a) Self-screening shall include checking temperature (temperature of 100.0°F or
            above is considered a fever), and checking for symptoms included fever, cough,
            shortness of breath, gastrointestinal symptoms, abdominal pain, unexplained rash, new
            loss of 5 Close contact is defined as being within 6 feet of an individual who has tested
            positive for COVID-19 for more than 10 minutes while that person was symptomatic,
            starting 48 hours before their symptoms began until their isolation period ends.
            taste/smell, muscle aches, or any other symptoms that feel like a cold. Anyone with a
            fever of 100.0°F or above or any other signs of illness must not be permitted to enter
            the program.
            (b) Parents and staff must sign written attestations daily regarding any household
            contacts with COVID-19, symptoms (e.g., fever, sore throat, cough, shortness of
            breath, loss of smell or taste, or diarrhea), or if they have given children medicine to
            lower a fever.
            (c) Individuals who decline to complete the screening questionnaire or have
            temperature checked will not be permitted to enter the program space.
            RECOMMENDATIONS: Camps should consider how to ensure check-in still “feels like
            camp.” Look at investing in a fun booth or decorations to make the temp check and
            the question part still seem as fun as possible.

            Camps should investigate portable handwashing stations that can be installed at the
            entry area.

            Talk with your board of health to see if Temp Screening can be done through a car
            window. Could campers be screened before they get out of their car to streamline the
            drop off procedures?

Suspected   Planning for Isolation and Discharge: Camps must take the following actions to prepare
Cases       for a potential exposure.

            (1) Designate a separate space to isolate children or staff who may become sick, with
            the door closed (or a solid barrier) if possible. Isolated children must be supervised at
            all times. A private or separate bathroom must be made available for use by sick
            individuals only. Others must not enter isolation room/space without PPE appropriate to
            the care setting. A location with an open window and/or good air circulation is optimal.
            In family child care settings with one adult, staff should isolate children who may
            become sick using a barrier to maintain adequate supervision of all children.
            (2) If your facility does not have designated isolation rooms/spaces, determine a pre-
            specified location/facility to which you will be sending patients presenting with COVID-
            19 symptoms.
            (3) Have an emergency back-up plan for staff coverage in case a child or staff becomes
            sick.
            (4) Know the contact information for the local board of health in the city or town in
            which the program is located.
            (5) Have masks other cloth face coverings available for use by children and staff who
            become symptomatic, until they have left the premises of the program.
            (6) Designate a separate exit from the exit used to regularly exit for those being
            discharged due to suspected infection.

            RECOMMENDATION: camps could put up portable tents with sides that could be erected
            near the nurse’s station or bathrooms. Tent could be retrofitted with PPE and
            designated a space for quarantine. Multiple tents could be used if needed.
If a Child Becomes Symptomatic: If a child becomes symptomatic, programs must
CONTRACTED   follow the protocols below:
CASES
             (1) Immediately isolate from other children and minimize exposure to staff.
             (2) Whenever possible, cover children’s (age 2 and older) noses and mouths with a
             mask or cloth face covering.
             (3) Contact the child’s parents and send home as soon as possible.
             (4) Follow the program’s plan for the transportation of a child who has developed
             symptoms and who relies on program transportation.
             If a Child or Staff Contracts COVID-19: Sick children or employees who are COVID-19
             positive or symptomatic and presumed to have COVID-19 must not return until they
             have met the criteria for discontinuing home isolation and have consulted with a health
             care provider. Determine the date of symptom onset for the child/staff. Determine if
             the child/staff attended/worked at the program while symptomatic or during the two
             days before symptoms began. Identify what days the child/staff attended/worked
             during that time. Determine who had close contact with the child/staff at the program
             during those days (staff and other children).

             (1) If the individual tests positive for COVID-19 but is asymptomatic, isolation may be
             discontinued when at least 10 days have passed from the date of the positive test, as
             long as the individual remains asymptomatic. For example, if the individual was tested
             on April 1, isolation may be discontinued on or after April 11.

             In the event that a program experiences an exposure, programs must notify the
             following parties.

             (1) Employees and families about exposure but maintain confidentiality.
             (2) Local board of health if a child or staff is COVID-19 positive.
             (3) Funding and licensing agencies if a child or staff member has tested positive.

Exposures    If a child or staff has been exposed to COVID-19, regardless of whether the individual
             has symptoms or not, the child or staff must not be permitted to enter the program
             space and must be sent home.

             (1) Exposed individuals must be directed to stay home for at least 14 days after the last
             day of contact with the person who is sick. The program must consult the local board of
             health for guidance on quarantine for other children and staff and what additional
             precautions will be needed to ensure the program space is safe for continued child care
             services.
             (2) If an exposed child or staff subsequently tests positive or their doctor says they
             have confirmed or
             probable COVID-19, they must be directed to stay home for a minimum of 10 days from
             the 1st day of symptoms appearing AND be fever-free for 72 hours without fever
             reducing medications AND experience significant improvements in symptoms. Release
             from isolation is under the jurisdiction of the local board of health where the individual
             resides.
             (3) If a child’s or staff’s household member tests positive for COVID-19, the child or
             staff must self-quarantine for 14 days after the last time they could have been exposed.

             If an Exposed Child or Staff Remains Asymptomatic and/or Tests Negative for COVID-
             19: If the exposed individual remains asymptomatic and/or tests negative for COVID-
             19, they must remain in quarantine and
             continue to monitor for the full 14 days
Pick Up and     Only staff and campers are allowed on camp grounds. Drop off should be done in
Drop Off        specific areas with designation for each group. Camps may only check in groups of 10
Procedures      campers at one time. Suggested staggered and separate ways for groups to check in
                together.

                After answering questions and temp screen, and remote check in, campers should
                proceed to handwashing station. Suggest automated digital check in process.
                End of Camp Day:
                    • Staff member will meet at car with gloves and mask.
                    • Parent will roll down passenger’s side window, Staff will verify ID
                    • Parents will be required to use their own hand sanitizer and pen.
                    • Staff will hand parent sign out book
                    • Staff can release camper to parent.

Limit           Groups of 10 campers or less with same counselors every day. Cohorts of campers and
Groupings       staff not to exceed 12 individuals at one time.

Ratios and      Camps operate at a capacity that can maintain social distancing all of campers and
Group Ops       groups when indoors. Camps must maintain 30 square feet for all campers indoors and
                ensure groups are kept separate.
Masks           Masks do not need to be worn while engaging in active outdoor play, if children are able
                to keep physical distance from others. Campers must wear a mask when they cannot
                socially distancing or in the building when they cannot socially distance.

Personal        Camps should provide a personal storage space (i.e., cubby, footlocker, etc.) for
Belongings      camper’s personal belongings. If that is not possible, individual areas should be
                designated for groups to store belongings if needed.

                Camps should provide a list to parents prior to camp about what is appropriation to
                bring to camp. Only essential items should be allowed into camp. Shareable items
                (playing cards, Pokemon Cards, Electronics, etc) should not be allowed unless they are
                necessary or approved by the Y staff.

Bathrooms and   Create a staggered bathing schedule and limit the number of people using the facilities
Changing        at one time.
Areas
                Assign changing room stalls to campers/staff to create consistency in the spaces and
                limit how many shared spaces there are.

                Build disinfecting procedures into the schedule for the day after pool times to ensure
                sanitation for the next group.

NEW Campers     Camps should make every effort to ensure groups and cohorts do no change week to
Procedure       week. Camps should prioritize campers that are attending for multiple weeks and
                recommend setting minimum weeks of enrollment (4+) New campers should be
                grouped together in their own cohorts whenever possible. Campers should stay in their
                groups and cohorts week to week without changes.

FACILITIES

Reduce          Reduce or eliminate the sharing of Pens, paper, and other items that may be passed
Sharing of      between individuals. This includes Digital Check In, Med Forms, Incident and
documents and   Accident Reports.
supplies
Bathrooms and    Create a staggered bathing schedule and limit the number of people using the
Changing         facilities at one time.
Areas

VENDORS          All vendors will be put through the same protocol as staff when entering the camp
                 grounds or facility. Questions, Temp Screen, hand washing, documentation, check
                 sheet.

                 Recommend no petting zoos, or presentations where items are shared/passed
                 around by the campers. All performers must stay a maximum of 10 feet from
                 camps and can only perform to cohorts that are socially distanced.

Assigned         Assigned Seating, Week by Week. Divided areas for children when social distancing
Spaces           is not possible.

PPE Sanitizers   Add additional sanitizers follow CDC guidelines
                 Field guide recommendations to order:
                     • Hand soap- 50% more than you would order for a typical camp season
                     • EPA approved sanitizers – order double amount
                     • Hand sanitizer – 0.5FL OZ per staff and child per day (ex: 50 fl oz per 100
                        people per day)
                     • Surface cleaners and wipes – double the amount that you typically order
                     • 50% more paper towels
                 *see field guide for medical staff order recommendations
Shared Items     Limit amount of shared materials. Anything that is shared must be disinfected
                 before use by another camper. Individual specific writing utensils, scissors, etc.

Rainy Days       Camp should attempt to limit Enrollment on rainy days – Communicate to campers
                 about not coming during rainy days or being picked up early when it does rain. Plan
                 for EAP. Groups must be kept spate and camps must provide 30 square feet per
                 camper, or 360 square feet per cohort of 12.
Fire Drills      Camps should consider alerting their fire drills and emergency action plans to ensure
EAP              social distancing during an emergency drill.

Lost and Found   Lost and Found should be collected by a staff member wearing gloves. All items
                 should be bag individually of kept separate from other items. If possible, return the
                 items to the proper camper. Do not mix items

PROGRAMS
 Activities
Ropes Course     Camps should determine feasibility of running ropes courses at their respective camps.
                 New regulations state “activities that require or may require direct staff support, close
                 contact, or rescue must not be conducted, except where necessary to support
                 participation for children with special needs.” So camps need to determine if their local
                 board of health will allow ropes course usage. Camps must maintain social distancing
                 and not have to perform a rescue.

                 If not running ropes: Update all marketing and communications to reflect ropes
                 courses not being offered for the summer.

                 If so: Camps to develop ropes course operations guide with COVID updates. Camps to
                 order PPE for staff, cleaning supplies to ensure all equipment can be washed safely per
                 manufacturers recommendations (i.e. no disinfectant), and enough equipment to use
                 rotation schedule for all pieces.
For best practices on operating a challenge course with social distancing and
               disinfectant guidelines visit: COVID-19 REOPENING & OPERATION STRATEGIES FOR
               CHALLENGE COURSES & AERIAL ATTRACTIONS

               Upon opening: Equipment rotation & cleaning log to be completed daily by course
               manager or specialist.

               Each piece of equipment is to be on a 48 hour rotation windows with pieces to be used
               only by one individual (staff or camper) daily.

               All logs must be audited bi-weekly by course manager accompanied camp director.

               Course observations to be completed weekly and documented.

               Element that’s can be cleaned between groups must be, while those that can’t must
               enter 48 rotation schedule.

Archery        Camps to determine feasibility of running archery courses at their respective camps.

               If not: Update all marketing and communications to reflect archery courses not being
               offered for the summer.

               If so: Camp to create cleaning guidelines for all pieces of equipment. Bows and arrows
               are to be used by only one camper per group per block. All used equipment to be
               cleaned and disinfected in between groups.

               Additional equipment to be purchased to supply one bow per camper for each group.

Free Play      Refrain from games and activities that encourage physical contact or
               proximity of less than 6 feet, like
               tag or circle time

Playgrounds    Camp specific playgrounds may be used, while maintaining social distancing.
               In accordance with CDC guidance, outdoor areas, like playgrounds and
               outdoor fitness areas, generally require normal routine cleaning, but do not
               require disinfection. High touch surfaces made of plastic or metal, including
               grab bars and railings, tables and benches, should be frequently cleaned.
               Cleaning and disinfection of wooden surfaces or groundcovers (mulch, sand)
               is not recommended. Communal parks and playgrounds must not be utilized.
               This includes public offsite playgrounds as well as playgrounds shared by
               multiple programs or houses. Playgrounds shared by multiple programs and
               houses may be used provided there is a plan for proper cleaning and
               disinfection between each group’s use. Camps should determine the
               feasibility of proper cleaning and distancing before using a play structure. If
               deemed feasible use of playgrounds should be limited to groups of ten and
               by cohorts. If there is a change in cohorts, play structure must be
               disinfected prior to another group using. If participants are not able to social
               distance, masks are recommended
Visitors and
  Vendors
Non-Camp Y        1. All special guests/vendors will be contacted the week prior to their
Staff and            arrival and the following will be reviewed:
Vendors                  a. Health screening questions will be asked
b. Reminder of where to park upon arrival, and the time that
                               they should arrive
                            c. Reminder that upon arrival we will do a temperature check
                            d. Explanation of how the groups will be situated
                                    i. Each group will be together (group of 9 kids) w/ a
                                       minimum of 6-8 feet between groups
                            e. Reminder that the vendor must remain at least 10 feet away
                               from all children and staff
                            f. Reminder that the vendor must have a face covering
                   2.   Upon arrival at the facility the following will occur:
                            a. Health care screening questions will be asked again
                            b. Temperature check will be taken
                   3.   If vendor passes both the screening questions and temperature
                        check then they will proceed to their location for set up.
                   4.   Once at their final destination, staff will review w/ the vendor the
                        following:
                            a. Must have face covering on at all times
                            b. Must be at least 10 feet from any camper or staff
                            c. Cannot use props that are touched by more than one child
                               during the program
                            d. All equipment must be cleaned between shows
                   5.   Once the program is over, the vendor will break down his/her
                        equipment and exit the grounds immediately

Traveling
“field trips”   Recommend no traveling field trips. If transportation is needed the recommendation
                are as follows: 1 camper will occupy each seat. The positioning of each camper with be
                staggered between window and aisle in every other row. If possible, all the campers
                that traveled on the bus will be become a cohort.
Ceremonies      Large celebrations or ceremonies are not recommended. If a camp determines that
and             gatherings are feasible. The following is recommended. Have cohorts stay together and
Celebrations    distance from other groups.

                Seek out creative ways to make these happen such as a camp wide loud speaker
                system or broadcast of a walkie talkie that all cohorts have.

Social          The ACA has developed a list of games that can be played while social distancing.
Distance        Camps should make every effort to ensure campers are not sharing equipment and
games           direct contact with other campers is limited. Also click here for a list of camp from
                asphalt green Games
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