DEPARTMENT OF EDUCATION

Office of the Secretary

FINAL

REGULATORY IMPLEMENTING ORDER

938 Regulations for Youth Camps

I. SUMMARY OF THE EVIDENCE AND INFORMATION SUBMITTED

Pursuant to 29 Del.C. §9003(a)(7) and 14 Del.C. §§3001A-3005A, the Secretary of Education wishes to add 14 DE Admin. Code 938 Regulations for Youth Camps. This regulation was created to comply with the Child Care and Development Block Grant Act (CCDBG) by requiring camps who accept Purchase of Care to become licensed. Currently, the Division of Public Health issues permits for camps after they receive an exemption letter from the Office of Child Care Licensing. This permitting process alone does not meet the requirements of CCDBG because it does not include health and safety training and comprehensive background checks for staff members, an unannounced monitoring visit, complaint investigations, and full inspection reports posted publically online. These new regulations include the permitting process as well as the additional requirements of CCDBG. The creation of this regulation will allow youth camps to apply for and receive Purchase of Care funding from the Department of Health and Social Services (DHSS) for eligible children.

Notice of the proposed regulation was published in the Delaware Register of Regulations on June 1, 2021. In addition, notice was published in The News Journal and the Delaware State News on June 1, 2021, in the form hereto attached as Exhibit "A". No comments were received. However, upon further review, the Department did make several minor grammatical edits as required per the Delaware Administrative Code Drafting and Style Manual.

II. FINDINGS OF FACTS

The Secretary finds that it is appropriate to create 14 DE Admin. Code 938 Regulations for Youth Camps in order to comply with the Child Care and Development Block Grant Act (CCDBG) by requiring camps who accept Purchase of Care to become licensed. Currently, the Division of Public Health issues permits for camps after they receive an exemption letter from the Office of Child Care Licensing. This permitting process alone does not meet the requirements of CCDBG because it does not include health and safety training and comprehensive background checks for staff members, an unannounced monitoring visit, complaint investigations, and full inspection reports posted publically online. These new regulations include the permitting process as well as the additional requirements of CCDBG. The creation of this regulation will allow youth camps to apply for and receive Purchase of Care funding from the Department of Health and Social Services (DHSS) for eligible children.

III. DECISION TO AMEND THE REGULATION

For the foregoing reasons, the Secretary concludes that it is appropriate to create 14 DE Admin. Code 938 Regulations for Youth Camps. Therefore, pursuant to 14 Del.C. §122, 14 DE Admin. Code 938 Regulations for Youth Camps attached hereto as Exhibit "B" is hereby created. Pursuant to the provision of 14 Del.C. §122(e), 14 DE Admin. Code 938 Regulations for Youth Camps hereby created shall be in effect for a period of five years from the effective date of this order as set forth in Section V. below.

IV. TEXT AND CITATION

The text of 14 DE Admin. Code 938 Regulations for Youth Camps created hereby shall be in the form attached hereto as Exhibit "B", and said regulation shall be cited as 14 DE Admin. Code 938 Regulations for Youth Camps in the Administrative Code of Regulations for the Department of Education.

V. EFFECTIVE DATE OF ORDER

The actions hereinabove referred to were taken by the Secretary pursuant to 14 Del.C. §122 on July 12, 2021. The effective date of this Order shall be ten (10) days from the date this Order is published in the Delaware Register of Regulations.

IT IS SO ORDERED the 12th day of July 2021.

Department of Education

Susan S. Bunting, Ed.D., Secretary of Education

Approved this 12th day of July 2021

938 Regulations for Youth Camps

The legal base for these licensing regulations is in 14 Del.C. §§3001A-3005A.

The purpose of these regulations is to protect and support the health, safety, and well-being of children who receive care in youth camps. These regulations establish minimum standards that licensed youth camps are required to follow.

PART I GENERAL PROVISIONS

The following words and terms when used in these regulations have the following meaning unless the context clearly indicates otherwise:

"Administration of medication certificate" means a document issued by OCCL that gives permission for a staff member to administer medication to children in care.

"Adult" means a staff person or volunteer who is at least 18 years old.

"Agreement of Understanding" means a document that is part of a corrective action plan or used when necessary to ensure regulation compliance. This document contains requirements the licensee must follow to maintain licensure.

"Applicant" means the individual or entity, such as a company, corporation, business, school district, or agency, seeking a license to operate a youth camp.

"Business day" means a weekday Monday through Friday not including State of Delaware legal holidays.

"Camp counselor" means a staff member who performs direct child care duties. This person works under the supervision of the camp director. This person implements the daily activities for a group of children.

"Camp director" means a staff member with direct responsibility for the youth camp's total program including health matters, food, staff supervision, the administration of program operations, recreation, and transportation. This person supervises all staff members and volunteers, may perform direct child care duties, and meets the qualifications listed in these regulations.

"Child" means a person who has not reached the age of 18 years.

"Child abuse" means to cause or inflict sexual abuse on a child; or an act by a person that has care, custody, or control of a child that causes or inflicts physical injury through unjustified force, emotional abuse, torture, exploitation, maltreatment, or mistreatment as defined in 10 Del.C. §901.

"Child neglect" means the failure to provide, by those responsible for the care, custody, and control of the child, the proper or necessary education as required by law; nutrition; or medical, surgical or any other care necessary for the child's well-being as defined in 10 Del.C. §901.

"Child with disabilities" means a child diagnosed by a qualified professional as having a physical, intellectual, emotional, or developmental disability, or chronic medical condition.

"Complaint investigation" means the process followed by OCCL to investigate accusations that a licensee is not complying with these regulations or applicable laws.

"Comprehensive background check" means a State of Delaware and federal (national) fingerprinted report of a person's entire criminal history including a search of the National Crime Information Center's National Sex Offender Registry; and a search of state criminal, sex offender, and child abuse and neglect registries, repositories, or databases in the state where the person resides, and in each state in which the person resided during the past five years.

"Conference" means a meeting between OCCL and a licensee to discuss serious non-compliance as defined in these regulations or to discuss the denial of a variance request.

"Corrective action plan" means a document listing non-compliance that a licensee must correct, how to correct it, and the date OCCL requires the corrections to be completed. This document serves as written notice of non-compliance with these regulations.

"Denial" means the process of refusing to grant a license after OCCL receives an application. This constitutes refusal of permission to operate.

"Department" means the Delaware Department of Education.

"Designated representative" means the person assigned by the applicant, licensee, organization, corporation, entity, LLC, school district, or State agency to act on the applicant, licensee, organization, corporation, entity, LLC, school district, or State agency's behalf. The applicant or licensee granted this person authority over program operations and to represent the licensee, organization, corporation, entity, LLC, school district, or State agency in dealings with OCCL. This person may sign the application with written authorization from the applicant or licensee.

"DPH" means the Delaware Division of Public Health.

"Enforcement action" means an action taken by OCCL to promote compliance such as suspension, revocation, or denial.

"Field trip" means a trip or program activity off the licensed site.

"Group size” or “maximum group size" means the number of children permitted by these regulations to be assigned to a specific staff member or group of staff members, occupying an individual room or well-defined physical space within a large room or other area.

"Hazardous material" means any item or agent (biological, chemical, radiological, or physical), that has the potential to cause harm to humans, animals, or the environment, by itself or through interaction with other factors.

"Health care provider" means a professional who practices medicine with or without supervision and is sanctioned by an established licensing body. The most common types of health care providers include physicians, advanced practice nurses or nurse practitioners, and physician assistants.

"Hearing" means the hearing provided to a licensee or applicant when requesting an appeal of OCCL's decision to place the facility on an enforcement action such as suspension, revocation, or denial. A licensee or applicant may provide evidence to contest the action.

"Individualized educational program" or "IEP" means a document written at least yearly which describes the services and supports needed for a child identified for special education usually for a child age three years and older.

"License" means the document issued by OCCL granting authority to a licensee to operate a youth camp at a specific address under applicable State laws.

"Licensee" means the individual or entity, such as a company, corporation, organization, business, school district, or agency, legally responsible for a licensed youth camp.

"Licensing specialist" means an OCCL employee who is responsible for performing regulatory activities including monitoring child care facilities, investigating complaints, monitoring the need for enforcement actions, and making recommendations for licensure as set forth in Delaware Code and these regulations.

"Office of Child Care Licensing" or "OCCL" means the agency within the department authorized under 14 Del.C. §§3001A-3005A to promulgate and enforce regulations for child care, to license child care facilities, and to develop and implement policies and procedures.

"[Parent/guardian" Parent or Guardian"] means a birth or adoptive parent, legal guardian, or other person having responsibility for, or legal custody of, a child.

"Regulation" means the minimum standard established by OCCL that is required for a particular aspect of child care.

"Revocation" means the process of rescinding a license during the license's effective dates withdrawing permission to operate.

"School-age child" means a child who attends or has attended kindergarten or a higher grade.

"Secretary" means the Secretary of the Department of Education.

"Serious non-compliance" means an action or actions that violate the terms of a license and presents a significant risk to children. Serious non-compliance includes, but is not limited to the following: child abuse or neglect, excessive non-compliance, failing to admit authorized people into the camp; failing to cooperate with an investigation, failing to report abuse or neglect, improper discipline, improper release of children, improper staff-to-child ratios, inappropriate adult behavior, lack of supervision, medication errors, having no camp director, being over-capacity, participating in fraud or making false statements, being sanctioned by another agency, providing transportation in an unsafe manner, being under the influence of drugs or alcohol, leaving unqualified staff alone with children, failing to complete comprehensive background checks as required, having an unsafe building/environment, violating an agreement of understanding, or refusing to sign an agreement of understanding.

"Service Letters" as required by the Delaware Department of Labor, 19 Del.C. §708, are used to determine whether a person seeking employment was counseled, warned, reprimanded, suspended, or discharged as a result of a reasonably substantiated incident involving a person’s violent behavior or threat of violence in the workplace, or for abuse or negligence/neglect of patients/clients/residents/children.

"Staff member" means a full- or part-time employee of a youth camp.

"Supervision" means the correct number of staff members are physically present in the area or room, including outside, with children and staff members and volunteers who must be supervised. Supervision includes providing watchful oversight and timely attention to children, staff members, and volunteers' actions and needs.

"Suspension order" means a notice issued by OCCL directing a licensee to immediately cease operation of the youth camp and stop providing child care. While the license is suspended, a licensee may not provide child care.

"Variance" means OCCL's approval for a licensee to meet the intent of a specific licensing regulation in a different manner than the regulation specifies.

"Volunteer" means a person who is at least 16 years old who provides an unpaid service or support to a youth camp. Unless qualified to be alone with children as stated in these regulations, a camp counselor or the camp director must always visually supervise a volunteer.

Unless exempt from licensure per DELACARE: Regulations in Early Care and Education and School-Age Centers, a youth camp or camp means a child-serving entity having custody or control of one or more school-age children, unattended by parent or guardian, to provide a program of recreation, athletics, education, or religious instruction or guidance. This youth camp operates for up to 12 weeks, during the months of June through September, or during school in-service days, school holidays, or school vacations.

5.1 Applicants, licensees, staff members, and volunteers, if applicable, shall allow immediate access to the camp during the hours of operation to officials from OCCL and other State and local agencies, including agencies providing payment for child care services such as Purchase of Care (POC) and the Child and Adult Care Food Program (CACFP) to determine compliance with applicable codes, regulations, laws, or contracts. This includes access to information, files, documents, and video recordings needed to determine compliance.

5.2 Applicants, licensees, staff members, and volunteers, if applicable, shall allow and not hinder the interviewing of a licensee, staff member, child in care, or child's [parents/guardians parents or guardians] by officials from OCCL or other State and local agencies. Interviews will occur to determine compliance with these regulations and other applicable codes, regulations, laws, or contracts such as for POC and CACFP. A licensee shall cooperate and have staff members cooperate with investigations regarding allegations of child abuse or neglect conducted by the Department of Services for Children, Youth and Their Families.

6.1 A license remains the property of OCCL and is not transferable or subject to sale.

6.2 A licensee shall post the license where it is visible to the public.

6.3 A license is valid at the address shown on the license and at the site that OCCL approved for use during inclement weather if located at a different location.

6.4 A licensee shall submit a separate application for each camp's address.

6.5 When a camp closes for the season or relocates, or when OCCL suspends or revokes the license, the license immediately becomes void.

6.6 A licensee who owns or operates a child care center licensed by OCCL may also receive a camp license by following the licensing and approval process contained in these regulations. The licensed program must operate using the regulations assigned to that particular program.

6.7 A licensee shall not exceed the camp's licensed capacity.

6.8 OCCL may extend a camp's license in the event of a State of Emergency.

6.9 OCCL shall determine a camp's capacity using the information in the Capacity Calculations for Summer Camp Programs chart in addition to the number of toilets available to staff members and children.

PART II LICENSING PROCESS AND PROCEDURES

7.1 At least 60 days in advance of the proposed youth camp opening, an applicant shall have completed the following steps and submit the following information to OCCL when seeking a license:

7.1.1 Attend OCCL's information session to learn the application process and regulations (an applicant may send the designated representative).

7.1.2 Submit a completed Youth Camp License Application (see Appendix I), which includes:

7.1.2.1 Applicant's name, address, email, and phone numbers;

7.1.2.2 Applicant's references: for corporations contact information for officers; for LLCs contact information for managing member; for public and private schools contact information for the superintendent or equivalent officer, for agencies contact information for head of agency;

7.1.2.3 Previous licensure information, if applicable;

7.1.2.4 Program information (including ages of children to be served, anticipated number of children to be served, the specific address of the camp and for primarily outdoor camps an inclement weather site, and whether the camp operates overnight);

7.1.2.5 Staffing information (including names of proposed employees); and

7.1.2.6 Certifications that include:

7.1.2.6.1 Agreement to comply with federal and State laws and regulations;

7.1.2.6.2 Statement that information supplied is true and correct; and

7.1.2.6.3 Acknowledgment that OCCL is required to make a thorough investigation of the applicant.

7.1.3 Submit the following items to OCCL:

7.1.3.1 Day or recreational camp permit from the Division of Public Health (DPH) (Camps that have never been permitted and camps that are relocating must begin the pre-operational review at least 90 days in advance of submitting the application to OCCL);

7.1.3.2 Sample two-week menu, if providing meals or snacks. If using a catering service, a copy of the caterer's food establishment permit;

7.1.3.3 Deed, lease, or documentation showing a lease/sale will be entered into at a date prior to licensure of the camp, or written permission from the owner to use an area or room. A deed or lease is required before the pre-licensing visit is conducted;

7.1.3.4 Emergency plan;

7.1.3.5 Diagram of the buildings or structures to be used routinely or during inclement weather including the room dimensions, square footage, location of toilets, and handwashing sinks;

7.1.3.6 Documentation showing each building or structure's total occupancy capacity per the fire code, if applicable;

7.1.3.7 Proof of compliance with applicable State and local building, zoning, and plumbing codes, Department of Natural Resources and Environmental Control for septic systems, and Office of Drinking Water for well water;

7.1.3.8 Release of employment form that allows OCCL to collect service letters as per 19 Del.C. §708. The form will list the applicant's current or most recent employer and all health care and child care facilities where the applicant worked within the past five years. If an applicant has no former employer, the applicant shall provide information for two more references;

7.1.3.9 Comprehensive background check, as described in subsection 22.3 for the camp director;

7.1.3.10 If an applicant will be present at the camp, a health appraisal that includes a TB test or medical professional risk assessment that verifies the person does not pose a threat of transmitting tuberculosis to children or other staff that was conducted within one year before the application date. This form must confirm the individual's health and document medical or physical conditions that may limit the person's ability to perform child care or have access to children or others and any reasonable accommodations that may be required;

7.1.3.11 [Parent/guardian Parent or Guardian] handbook;

7.1.3.12 Prior to the pre-licensing visit, certificate of liability insurance and, if applicable, motor vehicle insurance; and

7.1.3.13 State business license, unless the camp is a nonprofit organization.

7.2 Upon receipt of the completed application and required information, a licensing specialist will:

7.2.1 Review the application and information, and inspect the premises to determine whether the applicant complies with these regulations;

7.2.2 Make a recommendation for licensure. If a license is granted, it will be valid during the time frame requested on the application; and

7.2.3 Notify the applicant as stated in subsection 10.3 of this regulation, if OCCL is seeking to deny a license to operate.

7.3 A licensing specialist shall conduct one or more unannounced visits to the camp when it is in operation to determine compliance with regulations including those not monitored at the pre-licensing visit.

8.1 An applicant or licensee shall comply with all regulations unless an applicant or licensee requests a variance from OCCL and receives approval.

8.2 The applicant or licensee shall describe on a written variance request form (see Appendix II) how the applicant or licensee will meet the intent of a specific regulation in a different manner.

8.2.1 The change may not endanger the health, safety, or well-being of children in care.

8.2.2 The licensee shall keep the variance approval and make it available on request. A variance is valid only for this licensee. If the licensee fails to comply with the variance, OCCL will cancel the variance and require the licensee to comply as the regulation states.

8.2.3 The licensee or applicant may appeal a variance denial by requesting a conference with an OCCL representative.

9.1 OCCL shall investigate complaints received regarding a possible violation of these regulations during the licensee's active operation or inactive period.

9.2 OCCL shall notify the licensee or a staff member of the complaint investigation at an unannounced visit or, in limited instances, via phone.

9.3 OCCL shall report the results of the investigation in writing.

9.4 If OCCL substantiates the complaint or finds other violations during the investigation, a licensee shall correct the violations and come into compliance with these regulations.

9.4.1 Within five days of receiving the complaint investigation report, a licensee may dispute citations or findings by contacting a licensing supervisor to request a conference or by discussing the citations over the phone.

9.4.2 A licensee may provide evidence to prove the citations are not valid.

9.4.3 After the conference or phone conversation, the supervisor will then discuss the information with the licensing specialist and determine whether to remove the non-compliance from the corrective action plan and whether to change the findings.

9.5 OCCL will refer or assist in the referral of complaints for investigation, relating specifically to laws, rules, or regulations of other governmental entities (including but not limited to the Americans with Disabilities Act and Delaware Equal Accommodations Law) to the appropriate entity, charged with enforcement authority, for investigation. At the time of the referral, OCCL shall request a report of the findings. OCCL may use these findings as the basis for an enforcement action.

9.6 The Department of Services for Children, Youth and Their Families' Institutional Abuse Unit will investigate complaints regarding the abuse or neglect of a child at the camp by a staff member.

10.1 To maintain licensure, a licensee shall follow these regulations and applicable federal, State, and local laws and regulations. Failure to do so will result in a corrective action plan or an enforcement action.

10.1.1 OCCL may initiate an enforcement action, such as suspension, revocation, or denial of a license application, if the health, safety, or well-being of children in care is in serious or imminent danger, or when a licensee fails to comply with a corrective action plan or agreement of understanding, or a specialist cited the camp for serious non-compliance.

10.1.2 A licensee may appeal an enforcement action by requesting a hearing in writing within three business days of notification of OCCL's decision to impose the action.

10.2 License Suspension

10.2.1 OCCL may immediately suspend a license if the health, safety, or well-being of children in care is in serious or imminent danger. Imminent hazards include, but are not limited to, the following:

10.2.1.1 An ongoing outbreak of an infectious, pathogenic, or toxic agent capable of being transmitted;

10.2.1.2 The absence of potable water, supplied under pressure, in a quantity capable of meeting the needs of the camp;

10.2.1.3 A backup of sewage into the camp or into equipment containing food or utensils;

10.2.1.4 An infestation of vermin to the extent that food and food-contact surfaces cannot be protected from contamination;

10.2.1.5 The absence of adequate toilet facilities; or

10.2.1.6 Insufficient qualified staff to operate the camp safely to meet staff-to-child ratios.

10.2.2 A suspension order requires the licensee to immediately cease operation of the youth camp and stop providing child care. Absent extenuating circumstances, a suspension order shall be in writing.

10.2.2.1 If OCCL issues a verbal suspension order, OCCL will hand-deliver a written suspension order by 11 AM the following business day unless a delay is approved by a licensing supervisor.

10.2.2.2 A written suspension order must state the reason or reasons for the enforcement action.

10.2.3 Within five business days of OCCL issuing the written order, the licensee may choose to close permanently, remain suspended until the licensee corrects the reason for the suspension and OCCL lifts the suspension, or remain suspended and request a hearing in writing. In cases where the licensee corrects the reason for suspension and OCCL lifts the suspension, OCCL may conduct increased monitoring for the duration of the license.

10.2.4 A hearing must be scheduled and held within 10 business days of the licensee's written request for a hearing.

10.2.4.1 The associate secretary of early childhood support assigns a hearing officer with no previous involvement in the matter.

10.2.4.2 The hearing officer may allow delays in the hearing only for good cause.

10.2.4.3 After a hearing officer makes a recommendation, the secretary determines whether to adopt the recommendation and issues a final decision.

10.2.4.4 The secretary will notify the licensee in writing of the decision. The decision will become final 10 business days after mailing or delivery to the licensee.

10.2.5 A licensee dissatisfied with the department's decision for suspension may file an appeal within 30 business days after the mailing or delivery of the decision notice.

10.2.5.1 A licensee appeals to the Delaware Superior Court in the county where the camp is located, by filing the appeal in the Office of the Prothonotary for the Superior Court.

10.2.5.2 A licensee shall supply a copy of the appeal to the department.

10.2.5.3 The licensee pays any appeal costs that Superior Court rules require the filing party to pay.

10.2.5.4 The final decision of the secretary will remain in place during the appeal process unless otherwise ordered by the court pursuant to 29 Del.C. §10144.

10.3 Denial of a License Application or Revocation

10.3.1 OCCL may deny a license application or revoke a license for good cause, including but not limited to the following:

10.3.1.1 Failure to comply with applicable provisions of federal, State, or local laws, governor's orders, or these regulations;

10.3.1.2 Violation of the terms or conditions of its license;

10.3.1.3 Fraud or misrepresentation in obtaining a license or in the subsequent operation of the camp;

10.3.1.4 Refusal to furnish OCCL with files, reports, or records as required by these regulations;

10.3.1.5 Refusal to permit an authorized representative of OCCL to gain admission to the camp during operating hours;

10.3.1.6 Engaging in any activity, policy, practice, or conduct by the licensee or staff member that adversely affects or is deemed by OCCL to be detrimental to the health, safety, or well-being of children; or

10.3.1.7 Conduct that otherwise demonstrates unfitness by the licensee or camp director to operate a camp.

10.3.2 OCCL shall notify the applicant or licensee in writing of the reasons it intends to deny a license application or revoke a license. This letter will describe how an applicant or licensee may appeal the decision by requesting a hearing to present information that the cited violations or reasons for the denial are not valid.

10.3.2.1 Within 10 business days of receiving the written notice, the applicant or licensee shall request a hearing in writing or accept the denial or revocation and close within the time stated in the notice.

10.3.2.2 If an applicant or licensee does not make a timely request for a hearing as stated in subsection 10.3.2.1, the denial or revocation will take effect 30 business days after receiving the written notice from OCCL.

10.3.3 The hearing officer will hold the hearing within 30 calendar days of the hearing request.

10.3.3.1 The department will assign a hearing officer with no previous involvement in the matter.

10.3.3.2 A hearing officer may allow delays in the hearing only for good cause.

10.3.4 If an applicant or licensee requests a hearing in a timely manner, its existing license will be valid until the department provides a written decision after the hearing. However, OCCL may suspend a license immediately whenever the health, safety, or well-being of children in care is in serious or imminent danger.

10.3.5 After a hearing officer makes a recommendation, the secretary determines whether to adopt the recommendation and issues a final decision. The secretary will notify the applicant or licensee in writing of the decision. The decision will become final 10 business days after mailing or delivery to the applicant or licensee.

10.3.6 An applicant or licensee who is dissatisfied with the department's decision regarding revocation or denial may file an appeal within 30 business days after the mailing or delivery of the decision notice.

10.3.6.1 The applicant or licensee appeals to the Delaware Superior Court in the county where the camp is located, by filing the appeal in the Office of the Prothonotary for the Superior Court.

10.3.6.2 The applicant or licensee shall supply a copy of the appeal to the department.

10.3.6.3 The applicant or licensee pays any appeal costs that Superior Court rules require the filing party to pay.

10.3.6.4 The final decision of the secretary will remain in place during the appeal process unless otherwise ordered by the court pursuant to 29 Del.C. §10144.

10.3.7 When OCCL revokes or denies an application, the licensee or applicant may not apply for any license from OCCL for two years from the date that the revocation or denial was upheld. OCCL will not issue any license to a camp's designated representative or another person in a leadership role during this two-year period.

PART III ADMINISTRATION AND ORGANIZATION

11.1 A licensee shall ensure a staff member calls OCCL and speaks to someone at OCCL (leaving a message is not acceptable) within one business day Monday-Friday from 8:00 AM to 4:30 PM in the event of:

11.1.1 A fire, flood, or other disaster causes damage that affects the camp's ability to operate safely;

11.1.2 Injury of a child while in the care of a camp, when the camp is informed the child required medical/dental treatment other than any first aid provided at the camp. A licensee shall follow this call with a written report within three business days;

11.1.3 Suspected abuse or neglect of a child while in care (after reporting the suspicion to the 24-Hour Child Abuse Report Line, currently listed as 1-800-292-9582);

11.1.4 A known arrest or conviction of a staff member, volunteer, or licensee;

11.1.5 A child had a reaction to medication requiring medical treatment or received medical treatment because of a medication error as described in subsection 38.6. The licensee shall follow this call with a written report within three business days;

11.1.6 The phone number of the camp changes (must also notify [parents/guardians parents or guardians] and staff members);

11.1.7 Changes in who provides the meals and snacks, the caterer, or method of storage used to prevent foods from spoiling;

11.1.8 A child is abducted from the camp or is missing while in the camp's care; or

11.1.9 An equipment breakdown that threatens the health and safety of children in care, including but not limited to lack of working toilets, interruption of running water, loss of phone service or power, failure of any fire protection system, and heating or air-conditioning failure.

11.2 The licensee shall immediately call the Department of Services for Children, Youth and Their Families' 24-Hour Child Abuse Report Line (currently listed as 1-800-292-9582) when a child in care dies. After this call, a licensee shall immediately notify OCCL.

11.3 A licensee shall ensure staff members or the licensee return telephone calls from OCCL requiring a response within two business days.

11.4 A licensee shall notify OCCL in writing at least four weeks before an expected change of location. A licensee may not operate a camp at a new location without OCCL issuing a license for the new address.

11.5 A licensee shall notify OCCL within two business days of the resignation, termination of employment, transfer, or hire of the camp director.

11.6 In the event of the licensee's death, the camp director or camp counselor shall inform OCCL within 10 business days. The license will no longer be valid 30 days after the licensee's death.

12.1 A licensee shall have an identifiable owner or governing body with responsibility for and authority over the operation of the camp. The owner or governing body shall designate a qualified person to function as the camp director.

12.2 A licensee or, if applicable, the governing body, and employees shall follow all applicable federal, State, and local laws and regulations, including, but not limited to, the Americans with Disabilities Act and Delaware Equal Accommodations Law.

12.3 A licensee shall have an organized system of business management and have sufficient staff, space, and equipment to fulfill, at a minimum, administrative, fiscal, clerical, cleaning, maintenance, food services, direct child care, and supervisory functions.

A licensee shall have documentation of comprehensive general liability insurance, motor vehicle insurance if transporting children in a vehicle owned or leased by the camp, and other insurance as required by State law.

14.1 A licensee shall ensure a camp has a working phone number and an on-site phone.

14.2 A licensee shall ensure this on-site phone has a feature that allows a caller to leave a voicemail message.

14.3 A licensee shall provide the new phone number to the [parent/guardian parent or guardian], staff, and OCCL within one business day if it changes.

15.1 A licensee shall develop, follow, and maintain on file written policies and procedures for handling an incident of suspected child abuse or neglect that occurs while a child is in or out of the camp's care to comply with applicable laws.

15.2 Allegations of Abuse or Neglect against a Staff Member

15.2.1 The licensee shall ensure staff members or volunteers do not abuse or neglect children.

15.2.2 If the abuse or neglect occurred at the camp by a staff member, the licensee shall eliminate those factors or circumstances that may have increased the risk of abuse or neglect.

15.2.3 A staff member alleged to have abused or neglected a child may not have direct contact with any child until the completion of the incident's investigation. However, at the licensee's discretion, the licensee may reassign the staff member to other duties that do not involve contact with children.

16.1 A licensee shall ensure that staff members use prevention strategies, appropriate redirection rather than restraint, and positive developmentally-appropriate methods of behavior guidance of children, which encourage self-control, self-direction, positive self-esteem, social responsibility, and cooperation.

16.1.1 Staff shall give directions and guidance in a clear, non-threatening manner.

16.1.2 Staff members shall:

16.1.2.1 Intervene quickly to ensure the safety of children and others;

16.1.2.2 Redirect children by suggesting other acceptable behaviors; [and]

16.1.2.3 Escort the child to a different setting when necessary and speak so children understand their feelings are important and acceptable, but their disruptive behavior is not.

16.2 A licensee shall ensure staff members teach by example by always being respectful and using appropriate language when speaking to children and others such as other staff and families while at the camp.

16.3 A licensee shall ensure that if staff members use "time-out", it is used only as necessary to help the child gain control of behavior and feelings. It must be used as a supplement to, not a substitute for, other developmentally-appropriate methods of behavior guidance.

16.3.1 "Time-out" must be limited to brief periods of no more than one minute for each year of a child's age.

16.3.2 Before using "time-out", the staff member shall discuss the reason for the "time-out" in language appropriate to the child's level of development and understanding.

16.3.3 A staff member must supervise a child removed from the group or room during a "time-out."

16.3.4 Before rejoining the group or at another time, a staff member must talk to the child in ways that encourages the child to make better decisions in the future.

16.4 A licensee shall ensure the following actions are prohibited:

16.4.1 Roughly handling a child or physical punishment inflicted on a child's body, including, but not limited to the following: shaking, grabbing, striking, hair-pulling, biting, pinching, plucking, slapping, hitting, kicking, or spanking;

16.4.2 Yelling at, humiliating, or frightening children;

16.4.3 Physically or sexually abusing a child;

16.4.4 Making negative comments about a child's looks, ability, ethnicity, family, or other personal traits;

16.4.5 Denying children food, water, or toilet use because of inappropriate behavior;

16.4.6 Tying, taping, chaining, caging, or restraining a child by a means other than holding. The child may be held only as long as necessary for the child to regain control;

16.4.6.1 If the child or others are in imminent danger or a risk to themselves or others, physical holding for as brief as possible to remedy the risk or removing the child to a safer location is permissible. Supervision is required.

16.4.6.2 In the event physical holding is used, documentation must occur by the staff.

16.4.7 Punishing children for a toileting accident, or for failing to fall asleep, eat food, or complete an activity;

16.4.8 Withholding physical activity as punishment; or

16.4.9 Encouraging or allowing children to hit, punish, or discipline each other.

17.1 A licensee shall have and follow a written policy concerning food service. This policy must be given to a [parent/guardian parent or guardian] at enrollment and when updated. This policy must include:

17.1.1 Approximate times of snacks and meals;

17.1.2 Procedures to address food allergies, religious dietary restrictions, and other dietary requests or restrictions for foods provided by the camp or [parents/guardians parents or guardians]; and

17.1.3 A description of whether the camp or [parent/guardian parent or guardian] will provide meals and snacks.

17.2 A licensee shall ensure when a [parent/guardian parent or guardian] provides meals and snacks, the food service policy includes:

17.2.1 Statements that meals or snacks may not be shared with others;

17.2.2 Statements that foods must be clean, safe, and comply with the camp's written policy concerning the types of foods provided by a [parent/guardian parent or guardian];

17.2.3 Written procedures to be followed to prevent spoilage of foods brought from home; and

17.2.4 Procedures that the camp will follow to provide a meal or snack to a child who has not brought one or both.

18.1 A licensee shall ensure meals and snacks are served on the following schedule depending on the number of hours the child is present:

18.2 A licensee shall provide meals and snacks except when:

18.2.1 The [parent/guardian parent or guardian] chooses to provide the child's food and provides a signed statement stating this choice.

18.2.2 The camp does not provide meals or snacks and informs the [parent/guardian parent or guardian] at the time of enrollment that the [parent/guardian parent or guardian] provides the meals or snacks.

18.2.3 The camp has a field trip or a specific activity requiring special meal arrangements.

18.3 A licensee shall ensure staff members responsible for food service have knowledge of nutrition, sanitary food preparation, storage, and cleaning, and follow the camp's policy on food service.

18.4 A licensee shall ensure meals and snacks provided by the camp:

18.4.1 Follow the meal pattern requirements (see Appendix III) which are appropriate to the child's age;

18.4.2 May include 100% unsweetened juice, not a juice drink or cocktail;

18.4.3 May include powdered milk used only for cooking and not instead of liquid milk for drinking; and

18.4.4 Are planned on a menu, dated, and posted in a noticeable place and kept for at least 10 business days.

18.5 A licensee shall ensure that staff members prepare and serve special, therapeutic diets only upon written instructions by a health care provider. A health care provider's written permission is required for a change in meal patterns.

18.6 A licensee shall ensure when a [parent/guardian parent or guardian] requests a change of meal patterns due to a family's food preferences or religious beliefs, the [parent/guardian parent or guardian] provides the camp with a list of the foods that are unacceptable and the substitutions allowed.

18.7 Meal Components

18.7.1 As described in Appendix III, a licensee shall ensure a breakfast provided and served by a camp has at least one age-appropriate serving-size item each from the milk, fruit and vegetable, and grain food groups.

18.7.2 As described in Appendix III, a licensee shall ensure lunch or dinner provided and served by a camp has one age-appropriate serving-size item from each of the milk, meat or meat alternate, and grain food groups and two items from the fruit and vegetable food group.

18.7.3 As described in Appendix III, a licensee shall ensure that a snack provided and served by a camp has at least one age-appropriate serving-size item from two of the food groups. If milk or 100% juice is not included with a snack provided and served by the camp, water must be served with that snack.

18.8 A licensee shall ensure each child has utensils, such as a fork, spoon, knife, or dish. This equipment may not be shared with another child or adult during feeding.

18.9 All single-service dinnerware or utensils provided by the camp for meals or snacks must be thrown away immediately after use.

19.1 A licensee shall have and follow a written plan that describes procedures for natural and man-made disasters, inclement weather, and National Weather Service advisories. A licensee shall train staff members on the plan. The emergency plan must include information and procedures in the following areas:

19.1.1 Preparing for a disaster;

19.1.2 Observing weather conditions and taking appropriate actions to ensure children's health and safety in the event of lighting, air quality alerts ordered by a local or state authority on air quality or public health, and National Weather Service advisories;

19.1.3 Responding to emergencies related to specialized activities, if applicable;

19.1.4 Assigning specific responsibilities to staff members during a disaster;

19.1.5 Keeping track of children and staff;

19.1.6 Moving to a new location or seeking shelter indoors, if appropriate;

19.1.7 Communicating with and returning children to families;

19.1.8 Meeting the needs of children with disabilities or medical conditions;

19.1.9 Caring for children after the disaster;

19.1.10 Contacting appropriate emergency response agencies and the [parents/guardians parents or guardians]; and

19.1.11 Locking down the camp.

19.2 A licensee shall ensure posted evacuation routes are in each room that the children use.

19.3 A licensee shall develop and follow a written plan describing procedures to shelter-in-place at the camp or inclement weather site for up to 24 hours due to a disaster. The plan must include a list of emergency supplies kept on-site, including enough foods that will not spoil, bottled water, and supplies to serve or prepare foods without the use of electricity.

19.4 A licensee shall ensure staff members monitor weather conditions to ensure children have shelter in the event of inclement weather.

A licensee shall inform staff members and others at the facility that smoking and vaping are prohibited at the camp. Smoking and vaping are prohibited in the outdoor play area, while transporting children, in the presence of children, and during field trips.

21.1 A licensee shall have and follow an organized system of respectful communication with [parents/guardians parents or guardians] and provide a handbook at enrollment that includes the following information:

21.1.1 A camp description that outlines the activities, daily schedule, and field trips offered;

21.1.2 Assurances that [parent/guardians' parent or guardians'] visits and monitoring of the program are welcomed and permitted without prior approval;

21.1.3 Assurances of nondiscrimination based on race, color, national origin, gender, age, sex, pregnancy, marital status, sexual orientation, gender identity or expression, religion, creed, disability, veteran's status, or any other category protected by state [and/or and] federal laws;

21.1.4 A written explanation of the mandatory reporting of child abuse and neglect;

21.1.5 A procedure for accepting and handling complaints from the [parent/guardian parent or guardian];

21.1.6 Procedures related to the release of children including:

21.1.6.1 Releasing children only to people approved by a [parent/guardian parent or guardian] including a process for the emergency release of a child;

21.1.6.2 Checking the identity of an unknown approved person before releasing the child and keeping documentation of this verification;

21.1.6.3 Handling situations in which a non-custodial parent attempts to claim the child without a custodial [parent/guardian's parent’s or guardian's] permission;

21.1.6.4 Handling situations in which an unapproved person attempts to pick up a child; and

21.1.6.5 Handling situations when a person who seems to be intoxicated or unable to bring the child home safely requests the release of a child;

21.1.7 Procedures to report accidents or critical incidents involving the child and other important information relating to the child;

21.1.8 Procedures stating that written permission from the [parent/guardian parent or guardian] is required before disclosing or using a child's written, electronic, or digital information except to employees of OCCL or other entities with statutory responsibilities for issues relating to the health, safety, and well-being of children;

21.1.9 Policies for routine and emergency health care including procedures to follow in case of illness; plans for accessing emergency services, including transportation and [parent/guardian parent or guardian] notification; illness exclusions including reportable communicable diseases; [parent/guardian parent or guardian] notification of communicable disease or condition; and administration of medication policies including reasonable accommodations for a child with disabilities;

21.1.10 Policies for child suspension and expulsion that comply with DE's "Best Practice Statement for the Prevention of Expulsion and Suspension in Delaware Early Childhood Programs," that can be found on the "My Child DE" website;

21.1.11 Policies that allow for children with an IEP to receive services at the camp when needed; and

21.1.12 Policies on positive behavior guidance and food services as described in Sections 16.0 and 17.0 of this regulation, and transporting children, if applicable.

22.1 A licensee shall ensure each staff member and volunteer has an understanding of and respect for children and their needs. This includes an understanding of and respect for a child's family and culture.

22.2 A licensee shall prohibit the use or possession of alcohol or a drug that could adversely affect job functions in the workplace.

22.3 A licensee shall ensure each adult staff member schedules an appointment with the Delaware State Police and is fingerprinted for a Delaware SBI and FBI check before the start of employment. The requirements of a Comprehensive Background Check are as follows:

22.3.1 Adult staff members shall provide the fingerprint verification form to the licensee before working with children.

22.3.2 In addition to the Delaware fingerprinting, adult staff members who currently reside outside of Delaware must contact their state of residence and complete a fingerprinted state criminal history search and a name-based child abuse and neglect search.

22.3.3 Adult staff members who have resided outside of Delaware in the last five years shall contact each state of residence, and request a criminal history search and a name-based child abuse and neglect search.

22.3.4 After the out-of-state searches are completed, the camp director shall submit the results within one business day to the Criminal History Unit (CHU) in the Department of Services for Children, Youth and Their Families.

22.3.5 While waiting for the results of the background check, a staff member must be supervised at all times by a person who has completed the background check process and been determined eligible.

22.3.6 An adult staff member may not be alone with children until CHU reviews the comprehensive background check and determines eligibility.

22.4 A licensee shall complete an adult abuse registry check through the Department of Health and Social Services' website (currently listed as http://dhss.delaware.gov/dhss/dltcrp/Default.aspx) for adult staff members before their start date. A licensee shall ensure the results are printed and placed in the staff member's file.

22.5 A licensee may not own or be employed at a camp if the licensee is prohibited from working in child care in Delaware, based on both State law and the federal Child Care Development Block Grant Act. Applicants and licensees who have a child or children currently or permanently removed from their custody because of abuse, neglect, or dependency are prohibited from providing child care.

22.5.1 A licensee shall comply with the DELACARE Regulations - Background Checks For Child-Serving Entities.

22.5.2 A licensee may not employ or retain a person who is prohibited from working in child care in Delaware based on both the State law and the federal Child Care Development Block Grant Act. If a person is determined ineligible, the licensee shall make the final determination on whether to hire or retain the person.

22.5.3 The licensee may not employ or retain in any capacity a person convicted of an offense defined as child sexual abuse in 11 Del.C. §8550 or who is on the Child Protection Registry at a Level III or Level IV.

22.5.4 When known, the licensee may not employ or retain in any capacity a person whose child or children are currently removed from this person's custody because of abuse or neglect.

22.5.5 After receiving an eligibility determination, a person who is determined ineligible or prohibited under the DELACARE Regulations - Background Checks for Child Serving Entities, is entitled to an administrative review for reconsideration.

22.5.5.1 If the person requests an administrative review, the licensee and the person shall be bound by the final eligibility decision of the administrative review.

22.5.5.2 If a person is determined ineligible, the licensee shall make the final determination on whether to hire or retain the person.

22.5.5.3 If a person is determined prohibited, the person may not work in child care.

22.6 A licensee shall require staff members to be truthful when providing information to [parents/guardians parents or guardians], OCCL, and other State or federal agencies.

23.1 A licensee shall ensure each staff member and volunteer has a health appraisal that includes verification of the person's ability to perform essential job functions, any reasonable accommodations that may be required, and a TB test or medical professional risk assessment that verifies the person does not pose a threat of transmitting tuberculosis to children or other staff.

23.1.1 This appraisal must be conducted within one year before a staff member or volunteer's start date.

23.1.2 A licensee shall provide documentation of any known health conditions of the staff member that pose a direct threat to the health and safety of children or others to OCCL to determine whether the health condition creates a significant risk to children.

23.1.3 A licensee shall keep this appraisal in an on-site confidential paper or accessible electronic file.

23.2 A licensee shall ensure a staff member or volunteer with a known contagious communicable disease does not provide personal care to or have direct contact with children. Within 48 hours, a licensee shall inform DPH of a reportable communicable disease. Information regarding the communicable diseases that require reporting are located on DPH's website (currently listed as http://dhss.delaware.gov/dph/dpc/rptdisease.html). Attendance of these staff or volunteers shall be under DPH's direction.

24.1 A licensee shall document that all staff members working directly with children receive training in the following topics before working with children:

24.1.1 DELACARE Regulations (related to job duties);

24.1.2 Emergency preparedness, disaster and evacuation plans and procedures;

24.1.3 Procedures for identifying and reporting suspicious behavior or concerns within the camp;

24.1.4 Release of children including procedures for situations listed in Section 21.0 of this regulation;

24.1.5 Positive behavior guidance;

24.1.6 Routine and emergency health care including health exclusions, prevention and recognition of the symptoms of childhood illnesses, including reportable communicable diseases;

24.1.7 Prevention and response to emergencies due to food allergies;

24.1.8 Building and physical premises safety;

24.1.9 Handling and storage of hazardous materials and proper disposal of bio-contaminants;

24.1.10 Child accident and injury procedures;

24.1.11 Administration of medication;

24.1.12 Recordkeeping, including documenting children's attendance and their own attendance;

24.1.13 Sanitation and safety procedures, including procedures to restrict access to children by unauthorized persons;

24.1.14 Photographing or videotaping children;

24.1.15 Transporting children, if applicable;

24.1.16 Recognition of the symptoms of child abuse and neglect, the child abuse and neglect law and reporting requirements, and the camp's procedures to report abuse and neglect; and

24.1.17 Information on federal and State laws or regulations applicable to children and families in care, including non-discrimination.

24.2 The orientation must include the opportunity for staff members to ask questions and receive clarification on their job functions, licensing regulations, and camp policies. When information is revised, a licensee shall ensure staff members are informed of the changes.

25.1 A licensee shall ensure all adult staff members have current certifications in first aid and in cardiopulmonary resuscitation (CPR).

25.1.1 The certifications must be appropriate to the ages of the children in care.

25.1.2 Online certifications are acceptable.

26.1 A licensee shall have an on-site confidential paper or accessible electronic file for each staff member. This file must be available upon request for at least three months after employment ends. Except as noted, all file contents are required at the start of employment and must include the following:

26.1.1 Personal data sheet, completed application, or résumé containing the person's name, date of birth, home address, and phone number;

26.1.2 Date of employment and termination date (as applicable);

26.1.3 Release of employment history form and received Service Letters or documentation showing two requests and follow-up for Service Letters has been made. If the person has not worked or if unable to get at least one completed Service Letter, two reference letters or phone references are required;

26.1.4 Orientation that includes documentation of training in all topics listed in Section 24.0 of this regulation;

26.1.5 Receipt of fingerprinting for adult staff members;

26.1.6 Documentation of qualifications, if applicable;

26.1.7 Drug/Alcohol prohibition acknowledgement;

26.1.8 Comprehensive background check eligibility letter;

26.1.9 Adult abuse registry check;

26.1.10 Health appraisal, as described in subsection 23.1 of this regulation;

26.1.11 Current first aid and CPR certifications for adult staff members;

26.1.12 Administration of medication certificate, if applicable; and

26.1.13 If transporting children, a copy of a current driver's license.

27.1 A licensee shall ensure the camp has a qualified camp director who is at least 21 years old and meets one of the following qualifications:

27.1.1 Has completed a course in camping administration such as one offered by a national professional camping association;

27.1.2 Has at least two seasons of previous experience working at a camp; or

27.1.3 Qualified as a school-age administrator or an early childhood administrator with specialized training in school-age care per DELACARE: Regulations for Early Care and Education and School-Age Centers (2020).

27.2 A licensee shall ensure camp counselors are at least 18 years old.

27.3 A licensee shall ensure junior counselors are at least 16 years old and are under the supervision of a camp counselor at all times.

27.4 A licensee shall ensure a camp counselor supervises no more than two junior counselors at one time.

27.5 When campers participate in specialized or high-risk activities such as, but not limited to, horseback riding, hiking, archery, scuba diving, canoeing, and aquatic events, a licensee shall ensure the counselors supervising the activity have evidence of appropriate training and experience in their program specialties.

27.6 A licensee shall ensure aquatic activities, such as, but not limited to, swimming, boating, canoeing, kayaking, and paddle boarding are supervised by individuals currently certified as Red Cross Lifeguards or a nationally recognized equivalent.

27.7 A licensee shall ensure the camp has at least two staff present when more than five school-age children are present.

27.8 A licensee shall ensure watercraft activities are supervised by a minimum of one counselor on the water to each 10 campers in a watercraft. This counselor shall have proof of participation in three white water canoe or raft trips totaling at least 6 hours on the water or at least six hours of practical instruction in survival and stream safety as taught by the American Red Cross or its equivalent; or one counselor must hold a current American Red Cross Small Craft Certificate.

27.9 An individual who is currently certified by a national or regionally acceptable scuba-training program shall supervise scuba diving activities.

27.10 An individual who possesses a current certificate as issued by a national or regional professional archery association shall supervise archery activities.

27.11 Staff members providing care for children may not be given other duties, such as food preparation, or participate in personal activities, such as using a cell phone, that would interfere with providing care to children. A licensee shall ensure providing care is the primary focus for all direct-care staff members during the hours of operation.

27.12 A licensee shall ensure when a camp director resigns or is terminated from employment, a new camp director is hired within 15 business days.

28.1 A licensee shall ensure volunteers are at least 16 years old.

28.2 A licensee shall ensure adult volunteers providing unpaid services are fingerprinted by Delaware State Police before beginning to volunteer and complete a comprehensive background check as described in subsection 22.3.

28.2.1 Adult volunteers who had a comprehensive background check and were determined eligible may be alone with children.

28.2.2 Each adult volunteer's comprehensive background check eligibility letter shall be maintained in an on-site confidential paper or accessible electronic file.

29.1 A licensee shall ensure supervision of children is provided at all times, except as stated in subsection 29.3 of this regulation. This supervision occurs through the assignment of qualified staff members who are physically present and working with children.

29.2 The licensee shall maintain the minimum staff/child ratio, and maximum group size for each age group as listed in the table below:

29.3 A school-age child may go to the bathroom unattended at a camp without public access. However, a licensee shall ensure that only one child is permitted in the bathroom at a time. A licensee shall ensure children are escorted by a staff member to and from public restrooms.

29.4 For mixed age groups, the staff/child ratio and group size requirements are for the age of the youngest child present.

29.5 During the first 90 minutes and last 90 minutes of the camp's hours of operation the maximum group size may be exceeded by half of the maximum of the group size for that age group.

A licensee shall keep a daily written or electronic record of each staff member's exact hours worked including arrival and departure times and group assignments. A licensee shall keep these records for at least three months.

A licensee shall have and follow an organized system of documented communication among staff. This system must ensure when another staff member assumes responsibility for a child or children, the staff member is informed of significant information, problems, needs, or special circumstances involving a child or children.

32.1 A licensee shall provide a [parent/guardian parent or guardian] with information about the person's right to review the camp's licensing record as stated in Title 14 of the Delaware Code.

32.2 As a part of the enrollment inquiry process, a licensee shall require the [parent/guardian parent or guardian] to read and sign The Parents Right to Know Act form. A licensee shall keep the signed form on file in an organized manner including signed forms for families who do not enroll.

32.3 A copy of the form must be given to the [parent/guardian parent or guardian].

33.1 A licensee shall ensure that before beginning camp, each child's file has a health appraisal conducted within the last 12 months that includes:

33.1.1 A health history;

33.1.2 Physical examination;

33.1.3 Growth and development;

33.1.4 Age-appropriate immunization as described in Appendix IV and V;

33.1.5 Medical information for treatment in case of emergency; and

33.1.6 Recommendations regarding required medication, allergies, restrictions or modifications of the child's activities, diet, or care, if applicable.

33.2 A licensee shall ensure a child whose [parent/guardian parent or guardian] objects to immunizations on a religious basis or whose health care provider certifies that the immunization may be harmful to the child's health will be exempt from the immunization requirement.

33.2.1 A notarized statement or documentation from a health care provider is required for an exemption related to an immunization being harmful to a child's health.

33.2.2 A licensee shall place this documentation in the child's file.

34.1 A licensee shall have an on-site confidential paper or accessible electronic file for each child. A licensee shall have a procedure to ensure that each child's information is kept current and available to staff members responsible for a particular child on a need-to-know basis. This file must be available upon request for at least three months after disenrollment. All file contents are required at enrollment and must include the following:

34.1.1 Child's first and last name, date of birth, address, and [parents/guardians' parent’s or guardian’s] home and cell phone numbers, if applicable;

34.1.2 [Parents/guardians' Parent’s and guardian’s] names, places and hours of employment, and work phone numbers, if applicable;

34.1.3 Names and emergency phone numbers for at least two people approved to pick up the child (may include child's parent or guardian);

34.1.4 Name and phone number of the child's health care provider;

34.1.5 Health appraisal and immunization record or notarized religious or medical exemption from immunization;

34.1.6 First and last names of all people approved to pick the child up;

34.1.7 If applicable, copies of court orders on custody and visitation arrangements provided by the [parent/guardian parent or guardian];

34.1.8 If applicable, a statement on the child's medical needs, any behavioral interventions that are used, information on allergies, current illnesses or injuries, needed reasonable accommodations, and needed medications;

34.1.9 If applicable, documentation of an IEP when services must be provided during the summer;

34.1.10 Written approvals from [parent/guardian parent or guardian] for: emergency medical treatment, release of child, and if applicable, special dietary needs, swimming, administration of medication, and transporting the child;

34.1.11 If applicable, administration of medication records and accident and injury reports; and

34.1.12 The Parents Right to Know Form signed by the child's [parent/guardian parent or guardian].

34.2 A licensee may not give out or allow the use of a child/family's information without written permission from the [parent/guardian parent or guardian] to do so, unless required by employees of OCCL or other agencies with responsibility for issues relating to the health, safety, and well-being of children or to determine compliance with contracts for programs such as POC or CACFP.

35.1 A licensee shall keep an accurate daily written or electronic record of each child's attendance including the exact arrival and departure times and group assignments. A licensee shall keep these records for at least three months.

35.2 At the close of the camp's operation, a licensee shall submit a list of all the children who attended camp to OCCL.

36.1 A licensee shall ensure a staff member trained in recognizing common signs of communicable disease, physical injury, other evidence of ill health as listed in Section 37.0, and signs of child abuse or neglect observes each child on arrival.

36.1.1 A staff member must document specific concerns and observations as well as the steps taken to assist the child and keep this information in the child's file.

36.1.2 A person who suspects child abuse or neglect shall make an immediate report to the Child Abuse Report Line.

37.1 A licensee may not permit a child who has symptoms of illness listed below to be admitted to or remain at the camp. The child may only return when the symptoms are gone or with documentation from a health care provider, stating the child has been diagnosed and the illness or symptoms pose no serious health risk to the child or to other children. The symptoms for exclusion must include, but not be limited to, the following:

37.2 Temperatures for children must be taken using a non-glass thermometer orally or under the arm or by forehead scan. Rectal and ear temperatures may be taken only by a licensed health care professional.

37.3 A licensee shall ensure that if a child shows signs of ill health, as listed above, the licensee will remove the child from the group of well children to a separate area.

37.3.1 A licensee shall ensure the child's individual needs for rest, comfort, food, drink, and activity are met until a [parent/guardian parent or guardian] picks up the child or a health care provider/consultant determines that the illness or symptoms pose no serious health risk to the child or to other children.

37.3.2 A licensee shall ensure all items used by an ill child, including rest equipment, bedding, utensils, and toys are cleaned with soap and water and then disinfected before being used by another child.

37.4 A licensee may permit a child to return to the camp when the symptoms are gone, documentation from the child's health care provider states the child has been diagnosed and the illness or symptoms poses no serious health risk to the child or to other children, or the child does not have symptoms for exclusion as listed in the camp's written health exclusion policy.

37.5 A licensee shall ensure [parents/guardians parents or guardians] are notified when their child has been exposed to a contagious disease or condition.

37.6 A licensee shall report a reportable communicable disease to DPH. For information on these diseases, the licensee shall contact DPH or refer to their website (currently listed as http://www.dhss.delaware.gov/dhss/dph/dpc/rptdisease.html).

37.7 A licensee may not permit a child with a reportable communicable disease to be admitted to or remain at the camp, unless the child's health care provider documents the child has been evaluated and the disease poses no health risk to the child or to others or DPH has advised that the child is not a health risk to others. If the health care provider states the child may return and DPH says the child cannot return, the licensee shall follow DPH's instructions.

37.8 When a health care provider diagnosed a child as having a reportable vaccine-preventable communicable disease, a licensee shall exclude all children not immunized against the disease following DPH's instructions.

38.1 A licensee shall ensure a trained staff member, who has received a valid administration of medication certificate from OCCL, is present at all times to provide both scheduled and emergency medications to children in care. A certified staff member shall be present during field trips to administer medication when needed. The administration of medication certificate must be on file at the camp for each certified staff member.

38.1.1 OCCL only allows staff members who are at least 18 years old to be certified to give medication to children. This certification includes passing OCCL's designated test on the information in the Administration of Medication Self-Study Training Guide as described in Appendix VI. Health care providers, nurses, or other qualified medical health personnel are permitted to administer medication to children in a camp without this certification.

38.1.2 Written permission from the child's [parent/guardian parent or guardian] for each medication to be administered is required.

38.1.3 Unused medication must be returned to the [parent/guardian parent or guardian] when no longer needed by the child.

38.1.4 A licensee has discretion to designate which staff members shall administer medication.

38.2 A licensee shall ensure that the [parent/guardian parent or guardian] of a child provides the following information for each medication given:

38.2.1 The name and birth date of the child;

38.2.2 Medication allergies;

38.2.3 Doctor name and phone number;

38.2.4 Pharmacy name and phone number;

38.2.5 Name of medication;

38.2.6 Dosage (amount given);

38.2.7 Time or frequency (when given);

38.2.8 Route of administration, such as oral, eye, nose, mouth, topical, inhalation, injection;

38.2.9 Medication expiration date;

38.2.10 End date (when to stop giving);

38.2.11 Reason for medication; and

38.2.12 Special directions.

38.3 A licensee shall ensure all prescription medication is given as prescribed. Prescription medication must be:

38.3.1 Stored securely and out of children's reach;

38.3.2 Refrigerated, if applicable, in a closed container separate from food;

38.3.3 In its original container and labeled with directions on how to give or use it;

38.3.4 Current and has not expired;

38.3.5 Given only to the child who has been prescribed the medication, verified by the child's name on the container; and

38.3.6 Given to the child according to the dosage and administration instructions on the medication container. If no dosage or administration information is listed on the container, such information must be provided in writing by the child's health care provider.

38.4 A licensee shall ensure non-prescription medication is given as written on the container's instructions, or as otherwise instructed in writing by the child's health care provider. Non-prescription medication must be:

38.4.1 Stored securely and out of children's reach;

38.4.2 Refrigerated, if applicable, in a closed container separate from food;

38.4.3 In its original container and properly labeled with directions on how to give or use it;

38.4.4 Current and has not expired; and

38.4.5 Labeled with the child's name.

38.5 A licensee shall keep a written record of medication administered to children recorded on the Medication Administration Record (MAR) including each medication dosage, time administered, by whom administered, adverse effects observed, and medication errors.

38.5.1 Medication errors include giving the wrong medication, giving the wrong dose, failing to give the medication, giving medication to the wrong child, giving the medication by the wrong route, or accidental spills of medication.

38.5.2 Adverse effects or errors in administering must be immediately reported to the [parent/guardian parent or guardian].

38.5.3 When known, a licensee shall notify OCCL when unwanted effects or errors in administering medication result in death or medical treatment as described in subsection 11.1.

38.5.4 Documentation of administration of medication must be placed in the child's file or in a central administration of medication log and kept while the child is enrolled in the camp.

38.6 A licensee may administer medication to a child who has a medical need during child care hours that requires the administration of medication by a non-intravenous injection. In addition to the requirements in subsection 38.2, the [parent/guardian parent or guardian] shall provide the licensee with the following information, when medication is administered by non-intravenous injection:

38.6.1 Written [parent/guardian parent or guardian] permission for the camp to provide the requested medical care; and

38.6.2 A written statement from the child's health care provider stating:

38.6.2.1 The specific medication by injection needed by the child;

38.6.2.2 That for the child's health, the requested medication by injection must be administered during the hours the child attends the camp;

38.6.2.3 That the requested medication by injection may be appropriately administered at the camp by non-medical child care staff; and

38.6.2.4 Whether any additional training is necessary for non-medical staff members to administer the medication or medical care appropriately. If additional training is required, the health care provider shall provide instructions including information about: the type of training, who may provide such training (which may include the child's [parent/guardian parent or guardian]), and any other instructions needed to provide the requested medication by injection.

38.6.2.4.1 If additional training is required, the licensee shall identify staff members who are certified to administer medication and have them complete the additional training specified by the child's health care provider. Such training must be completed in a reasonable time based on the availability of such training.

38.6.2.4.2 The licensee shall keep documentation of this training with the child's MAR and inform the [parent/guardian parent or guardian] in writing which staff members are authorized and trained to perform the requested medication by injection. This information must be updated as needed.

38.6.2.4.3 The licensee shall ensure that at least one staff member, who is trained as required by subsection 38.6.2.4.1 to provide the requested medical care, is present at the camp at all times while the child is present.

38.6.2.5 A school-age child may self-administer medical care, as described in Section 38.0, with written [parent/guardian parent or guardian] permission and written health care provider permission. These permissions must indicate the child is able to safely self-administer the prescribed medical care, identify and select the correct medicine and dosage, if applicable, and administer the medical care at the correct time and frequency. The licensee shall keep documentation of these permissions with the child's MAR. A staff member with a current administration of medication certificate shall be present during the self-administration and document all information required on the MAR, including that the medication was self-administered by the child.

38.7 The administration of medication may be required under State and federal laws, including but not limited to the Americans with Disabilities Act and the Delaware Equal Accommodations Law. If an agency, administrative body, court, or other entity responsible for enforcing Federal, State, and local laws and regulations makes a finding that the refusal of a licensee to administer medication is a violation of the law, OCCL shall take appropriate enforcement action consistent with Section 10.0, due to licensee's failure to comply with subsection 12.2.

39.1 When known, a licensee shall ensure if a child in care has an accident or injury, a staff member provides assistance to protect the child from further harm.

39.1.1 For a serious or potentially serious injury, a licensee shall ensure the [parent/guardian parent or guardian] is notified immediately after staff members have assisted the child and contacted an ambulance, if needed.

39.1.1.1 Serious injury means any impact or injury to a child's face or head, or any physical injury that creates a substantial risk of death or causes serious and prolonged disfigurement, prolonged impairment of health, or prolonged loss or impairment of the function of a body part.

39.1.1.2 For serious or potentially serious injuries, a licensee shall document when the [parent/guardian parent or guardian] was informed or when calls were made to the [parent/guardian parent or guardian] or emergency contact, but no one answered.

39.1.2 A less serious accident or injury requires [parent/guardian parent or guardian] notification before the child leaves for the day.

39.1.3 A licensee shall complete and keep a written accident or injury report for each incident in the child's file or a central log for the camp.

39.1.3.1 A licensee shall ensure the report includes the name of the child, date of injury, description of the injury, how it occurred, first aid or medical care provided, and [parent/guardian/authorized the signature of a parent, guardian, or other person who has been approved for] release [person's signature of the child].

39.1.3.2 [The parent/guardian/authorized release A copy of the signed report] shall be provided [a copy of the report to the parent, guardian, or other person who has been approved for release of the child] on the day of the accident/injury or within one business day.

39.2 If a child has a medical event, such as a seizure, asthma attack, or severe allergic reaction, the [parent/guardian parent or guardian] shall be notified immediately after assisting the child and contacting an ambulance, if needed.

39.3 When known, the licensee shall notify OCCL when an accident or injury results in death or medical/dental treatment other than first aid provided at the camp, as described in subsection 11.1.

PART IV PHYSICAL ENVIRONMENT AND SAFETY

40.1 A licensee shall ensure containers of poisonous, toxic, or hazardous materials are:

40.1.1 Labeled with the contents;

40.1.2 Used only in the manner and under the conditions that will not contaminate food or constitute a hazard to children or to staff; and

40.1.3 Stored in a locked storage space accessible only to staff.

40.2 A licensee shall ensure materials required for routine cleaning and maintenance are stored out of children's reach and used in a safe manner.

40.3 The storage of flammable liquids and gases is not to be permitted except as allowed by the Office of the Fire Marshal.

40.4 A licensee shall ensure saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment are inaccessible to children.

40.5 A licensee shall ensure the buildings, structures, and the campsites are free of an infestation of rodents, insects, or vermin.

40.5.1 If pesticides are used, a licensee shall ensure they are used according to the instructions listed on the label.

40.5.2 Children may not be present when pesticides are applied.

40.6 A licensee shall ensure garbage and trash are stored securely in non-combustible, covered containers.

40.6.1 Indoor containers must be emptied at least daily to an outdoor receptacle and kept clean.

40.6.2 Outdoor trash/garbage containers that do not contain a plastic liner must be inaccessible to children, emptied at least weekly, and, with the exception of dumpsters, cleaned as needed.

41.1 A licensee shall provide developmentally-appropriate equipment and materials for activities.

41.1.1 There must be enough supplies and equipment to allow children the opportunity to choose activities or materials.

41.1.2 There must be a system of sharing high demand items, such as computers, when they cannot be supplied to all children.

41.2 A licensee shall ensure toys and equipment used by the children are sturdy, safely assembled, hazard-free, and not recalled. Toys and equipment may not cause children to become trapped or have rough edges, sharp corners, pinch and crush points, splinters, or exposed bolts.

41.3 A licensee shall take the following measures to prevent hazards to children in care:

41.3.1 To prevent cuts, abrasions, and punctures, equipment, materials, and other objects on the premises that have sharp edges, protruding nails, bolts, or other dangers must be repaired, removed, or made inaccessible to children. Sharp edges on natural wooden equipment must be sanded;

41.3.2 To prevent burns, equipment, materials, or products that may be hot enough to injure a child must be made inaccessible to children;

41.3.3 To prevent sheering, crushing, or pinching, broken or cracked equipment, materials, and objects must be repaired, removed, or made inaccessible to children;

41.3.4 To prevent entrapment, freezers, refrigerators, washers, dryers, compost bins, and other entrapment dangers must be inaccessible to children unless being actively supervised;

41.3.5 To prevent tripping, uneven indoor walkways, damaged flooring or carpeting, or other tripping hazards must be removed or repaired;

41.3.6 To prevent injuries and death, large objects that pose a risk of falling or tipping must be securely anchored. Large objects include, but are not limited to, televisions, dressers, bookshelves, wall cabinets, sideboards or hutches, and wall units; and

41.3.7 To prevent injuries, equipment in poor condition (rusty parts, flaking paint, or other dangers) must be repaired, removed, or made inaccessible to children.

41.4 A licensee shall ensure equipment and materials are selected or adapted to allow all children, including a child with disabilities or other special needs, to benefit from the program.

41.5 A licensee shall ensure screen time activities, such as watching television, using a gaming device, tablet, phone, or computer, are age-appropriate and supervised by a staff member.

41.6 A licensee shall ensure equipment and supplies are relevant to the cultural background and community of all children and raise awareness of other cultures and communities.

42.1 A licensee shall ensure every building and structure is constructed, used, furnished, maintained, and equipped in compliance with all applicable requirements established by federal, State, local and municipal regulatory bodies. A licensee shall have written certification of compliance from the appropriate regulatory bodies governing zoning, building construction, safety, sanitation, fire code, and the Department of Health and Social Services' Office of Drinking Water for well water.

42.2 A licensee shall show evidence of security procedures that ensures access to children is limited to authorized people.

42.3 A licensee shall ensure all building areas are in good repair and in a clean and safe condition. Floors, walls, counter surfaces, and toilets must be clean and in good repair.

42.4 A licensee shall ensure 35 square feet of indoor usable floor space is available and used for each child during inclement weather or when participating in indoor activities, when the camp is in operation.

42.5 A licensee shall ensure natural or artificial light is provided in each indoor area so that children can be supervised and that children can freely participate in activities.

42.6 A licensee shall ensure every exit, exit access, and exit discharge is free of obstruction at all times. All closets must be provided with doors that can be readily opened from both sides.

42.7 A licensee shall ensure multi-purpose (ABC) type fire extinguishers each with a minimal rating of 2A are spaced within 50 feet of all areas of a room and the building when children are using indoor space.

42.8 A licensee shall ensure the following:

42.8.1 The water temperature does not exceed 120 °F from faucets and other sources accessible to children;

42.8.2 All sinks supply hot and cold or tempered water under pressure at all times;

42.8.3 Use of portable sinks is prohibited; and

42.8.4 All plumbing complies with State and local plumbing codes.

42.9 A licensee shall ensure heating and cooling equipment, hot water pipes, or radiators are safely shielded or insulated to prevent the injury of children.

42.10 Heating, cooling, and plumbing equipment must be properly installed, cleaned, and maintained to operate safely.

42.11 Floor or window fans and cords must be inaccessible to children and have a safety certification mark from a nationally recognized testing laboratory such as Underwriters Laboratories or Electro-Technical Laboratory.

42.12 A licensee shall ensure firearms or ammunition are not on the camp's premises. This regulation does not apply to law enforcement officers in the performance of their official duties.

43.1 If meals or snacks are prepared at the camp, a licensee shall ensure a kitchen or food preparation area is provided with the necessary operable equipment to prepare, store, serve, and clean-up all meals and snacks for children and staff.

43.2 A camp that does not prepare meals or snacks on-site is exempt from subsections 43.3 through 43.10.

43.2.1 There may be no food preparation in the facility, except for heating up foods brought from children's homes in the microwave.

43.2.2 When food preparation is not permitted, a licensee shall ensure utensils and dishware are single-service and discarded after each use.

43.3 The minimum kitchen requirements for camps that prepare and serve meals and snacks are:

43.3.1 One refrigerator;

43.3.2 Three-compartment sink; or

43.3.3 Two-compartment sink and sanitizing basin; or

43.3.4 Automatic warewashing machine (Commercial grade dishwasher); and

43.3.5 Separate hand-washing sink;

43.3.6 Range or cooktop;

43.3.7 Oven or microwave; and

43.3.8 Food storage areas.

43.4 The minimum kitchen requirements for camps that prepare and serve only snacks are:

43.4.1 Refrigerator;

43.4.2 Three-compartment sink; or

43.4.3 Two-compartment sink and sanitizing basin; or

43.4.4 Automatic warewashing machine (Commercial grade dishwasher); and

43.4.5 Separate hand-washing sink.

43.5 A licensee shall ensure a kitchen or food preparation area has floors, walls, and counter surfaces that are easily cleanable and non-porous.

43.6 A licensee shall ensure a camp has a refrigerator or coolers with icepacks to keep perishable food, including meals and snacks prepared at home, cold at 41 °F or colder, and food stored in a freezer frozen at 0 °F or colder.

43.6.1 A working thermometer must be in refrigerators and freezers.

43.6.2 Unused freezer compartments in mini-refrigerators do not need a thermometer.

43.7 A licensee shall ensure food provided and prepared by the camp complies with the camp's written policy on nutritional quality.

43.8 A licensee shall ensure the food is clean, wholesome, [and] free from spoilage and contamination, and safe to eat.

43.8.1 Prepared food items must be correctly labeled with the contents and date of preparation.

43.8.2 Prepared food that is served to a child and not eaten must be thrown away and not given to another child.

43.9 Food storage areas and appliances must be cleanable and free of food particles, dust, and dirt.

43.9.1 All food items must be stored off the floor.

43.9.2 Food must be stored separately from cleaning materials.

43.9.3 Food must be stored in closed or sealed containers that are labeled with the contents and expiration date.

43.10 A licensee shall ensure the kitchen or food preparation area is constructed and supervised to prevent children's access unless a staff member is conducting an educational activity within this area.

43.11 A licensee shall ensure that all food taken on a trip will not spoil without refrigeration and remains safe to eat. After four hours, a licensee shall ensure food without refrigeration is discarded.

43.12 For a camp offering cooking classes, a licensee shall ensure the following:

43.12.1 Children's hands are washed before they begin to prepare food and immediately after touching any raw meat, poultry, seafood, or eggs.

43.12.2 Children are not permitted to wear loose clothing, and long hair that may catch fire or get caught must be secured while cooking.

43.12.3 Pot handles are turned inwards.

43.12.4 Children are informed about the dangers of touching hot items.

43.12.5 Knives are only used by children under supervision by an adult.

43.12.6 Children do not remove items from the oven without proper oven mitts and supervision.

A licensee shall ensure sanitary drinking water is always available to children on their request or available for self-service as appropriate.

45.1 A licensee shall ensure a camp has enclosed toilet rooms. Each toilet room must have at least one sink supplied with hot and cold or tempered water under pressure and one operable window or ventilation fan. All door locks, if present, must be designed to permit staff members to open the locked door readily.

45.2 A licensee shall ensure the camp has at least one working sink and one working toilet for every 25 campers.

45.2.1 Unless staff members have separate toilet facilities, they will be counted using the one toilet per 25 [campers campers'] ratio.

45.2.2 Urinals may be counted as half of a toilet if placed at a height as to be accessible to the age and size of the population served, provided the population served includes a significant number of people who use urinals, and that a minimum of two flush toilets are available and accessible to people of all genders.

45.2.3 If gender-segregated toilet facilities are used, individuals should be allowed use of facilities that are consistent with their gender identity.

45.3 A licensee shall ensure liquid soap, toilet paper, and paper towels or a mechanical hand dryer are available at all times in the toilet rooms.

45.4 A licensee shall ensure toilet rooms have a covered trash can.

45.5 A licensee shall ensure toilet rooms are kept in a sanitary condition and cleaned daily or more frequently if needed. All surfaces in a toilet room must be smooth, cleanable, and non-absorbent.

46.1 The licensee shall keep a supply of extra clothing available for campers when needed if not provided by a [parent/guardian parent or guardian].

46.2 A licensee shall ensure soiled or wet clothing is placed in a sealed plastic bag that is labeled with the child's name and sent home with the child at the end of the day.

47.1 A licensee shall ensure that areas and equipment listed in subsection 47.2 are washed with soap and water and then disinfected as required. For sanitizing and disinfecting, a licensee shall ensure one of the following is used: an EPA-registered product, a commercially prepared product, or a bleach and water solution. If a bleach and water solution is used, it must be prepared daily.

47.1.1 A licensee shall follow the manufacturer's instructions for use.

47.1.2 These products must be labeled with the contents.

47.1.3 Their instructions for use must be available at all times.

47.2 A licensee shall ensure staff members wash with a soap and water solution and then disinfect the following equipment, items, or surfaces, as listed in the table in this subsection:

47.3 A licensee shall ensure that after each use, mops are rinsed, disinfected, wrung dry, and hung to dry.

48.1 A licensee shall ensure staff members and children wash their hands with soap and running water, including when gloves have been worn, and use paper towels or a mechanical hand dryer, as listed in the table in this subsection:

49.1 A licensee shall have at least one complete first aid kit in a location accessible to staff members but not to children.

49.2 A first aid kit must be taken on field trips.

49.3 Items required to be in the first aid kit are as follows:

49.3.1 Disposable non-porous gloves;

49.3.2 Scissors;

49.3.3 Tweezers;

49.3.4 Flexible rolled gauze;

49.3.5 Bandage tape;

49.3.6 Instant cold pack or frozen ice pack;

49.3.7 Eye patch or eye pad;

49.3.8 Safety pins;

49.3.9 A non-glass thermometer to measure a child's temperature;

49.3.10 Current American Academy of Pediatrics (AAP) standard first aid chart or equivalent first aid guide;

49.3.11 Small plastic, metal, or wooden finger splints;

49.3.12 Non-medicated adhesive strip bandages;

49.3.13 Liquid soap;

49.3.14 Bottled water;

49.3.15 Sterile gauze pads;

49.3.16 Triangular bandage or sling;

49.3.17 Pen/pencil and note pad;

49.3.18 Plastic bags for gauze and other materials used in handling blood; and

49.3.19 If going off-site, emergency and other needed medication; and

49.3.20 If going off-site, list of emergency phone numbers, [parents/guardians' parent’s or guardian’s] home and work phone numbers, and the Poison Control phone number.

50.1 A licensee shall ensure Standard Precautions are used to protect against disease and infection. Spills of bodily fluids (i.e. urine, feces, blood, saliva, and discharges from the nose, eyes, an injury, or other tissue) must be cleaned up immediately, as follows:

50.1.1 For vomit, urine, and feces on a surface including the floors, walls, toilet rooms, tabletops, toys, the area must be immediately cleaned with soap and water and then disinfected.

50.1.2 For blood, blood-containing fluids, and tissue discharges, a licensee shall ensure staff members avoid exposure of open skin sores or mucous membranes, wear non-porous gloves, clean the area with soap and water, and then disinfect the area.

50.1.3 Bloody material must be put in a plastic bag, tied securely, and thrown away. Bloody clothing must be placed in a plastic bag, tied securely, and returned to the child's [parent/guardian parent or guardian] at pick up.

50.1.4 Mops must be cleaned, rinsed, disinfected, wrung, and hung to dry.

51.1 A licensee shall ensure the following:

51.1.1 Structures, fences, equipment, and the grounds are maintained in a clean and safe condition;

51.1.2 Outdoor areas that are used while it is dark have appropriate lighting;

51.1.3 Grounds drain naturally or through installed drainage systems so there is no standing water on the premises. Standing water after a storm must drain within 48 hours;

51.1.4 All areas determined to be unsafe including steep grades, cliffs, open pits, high voltage boosters, propane gas tanks, streets or roads, driveways, railroad tracks, or parking lots are fenced off, have natural barriers to protect children, or procedures to protect children when fencing or a natural barrier is not present;

51.1.5 Uncovered wells, septic tanks, wastewater, wastewater tanks, below grade storage tanks, farm manure ponds or other similar hazards are inaccessible to children using a physical barrier with a locking mechanism;

51.1.6 The growth of brush, weeds, grass and plants shall be controlled in central camp areas to prevent harborage of ticks, chiggers, and other insects of public health importance; and

51.1.7 The camp area shall be maintained to prevent growth of ragweed, poison ivy, poison oak, and other noxious plants considered detrimental to health.

51.2 A licensee shall ensure that raised areas on the premises, other than stairways, over two feet, such as porches, elevated walkways, and elevated play areas, have walls or barriers to prevent falls over the open side. The walls or barriers must be at least 36 inches tall.

51.3 A licensee shall ensure stairways, over four steps indoors and outdoors, have handrails at a maximum height of 38 inches that are safe for children and adults.

51.4 A licensee shall ensure when the activity schedule includes outdoor activities children have access to an outdoor play area with at least 75 square feet per child.

51.5 A licensee shall ensure the outdoor play area is on-site, next to, or within a close safe walking distance of the camp.

51.5.1 This play area must have a shaded rest area for children.

51.5.2 Staff members shall inspect outdoor areas before children begin to play to ensure there are no hazards present and play equipment is safe for use.

51.5.3 Outdoor sandboxes must be kept in a safe and clean manner including being covered when not in use. Other play areas containing sand must be kept in a safe and clean manner.

51.5.4 Use of outdoor trampolines at the camp is prohibited.

51.6 A licensee shall ensure the protective surface of the outdoor play area beneath and in the fall zones of climbing equipment, slides, swings, and similar equipment is of approved resilient material, which absorbs falls.

51.6.1 A licensee shall ensure the fall zone depth and materials follow the instructions as listed in the most recent publication of the Consumer Product Safety Commission's (CPSC's) Handbook for Public Playground Safety regarding critical heights of tested materials located on CPSC's website. Only pea gravel shall be acceptable as cover for the outdoor play area if using a gravel or stone-like surfacing.

51.6.2 A licensee shall ensure protective surfaces of the fall zone as listed in the chart of this subsection extend at least six feet in all directions from the equipment. For swings, a licensee shall ensure the protective surfacing extends, in back and front, twice the height of the suspending bar unless otherwise directed by CPSC or other recognized authority on playground safety.

51.7 A licensee shall ensure outdoor play equipment is securely anchored unless portable by design.

51.7.1 A licensee shall ensure this play equipment is in good repair and placed with regard for safe use.

51.7.2 A licensee shall ensure this play equipment includes equipment for vigorous play and large muscle activity and meets the diverse needs and abilities of children served.

51.8 A licensee shall ensure a rooftop or elevated play space above the first floor is protected by a non-climbable, secure, and hazard-free barrier that is at least seven feet in height.

52.1 A licensee shall ensure an individual currently certified as a Red Cross Lifeguard or a nationally recognized equivalent is on duty and supervising swimming activities.

52.2 Non-filtered wading pools are prohibited.

52.3 A licensee shall ensure permanent or built-in swimming pools, filtered wading pools, and hot tubs are inaccessible to children when not in use by using a physical barrier with a locking mechanism.

52.4 A licensee shall ensure swimming, diving areas, and bathing places at the camp are operated and maintained in accordance with DPH regulations pertaining to swimming pools and bathing places.

52.5 A licensee shall ensure life-saving equipment is readily accessible during water activities if a pool or body of water is six feet or more in any direction and two feet or more in depth. Life-saving equipment may include a ring buoy and rope, a rescue tube, or a throwing line and a shepherd's hook that will not conduct electricity.

52.6 For a camp that uses a natural diving or swimming area, a licensee shall ensure the following:

52.6.1 Hazards are assessed and eliminated or clearly marked before a camper swims, dives, or bathes at a natural diving or swimming area;

52.6.2 Swimmers are not subjected to a dangerous condition such as a strong current, a sharp drop-off, a quicksand bottom, or rough surf;

52.6.3 Water is free from known dangerous aquatic life;

52.6.4 The bottom is free from known hazardous debris, sharp stones, and sharp shells;

52.6.5 Swimming, diving, and boating areas are clearly marked or roped off; and

52.6.6 Diving and swimming programs are conducted at separate times or in separate areas from boating programs.

53.1 A licensee shall ensure that campfires are only created in a fire pit or structure that is designed for the express purpose of safely containing a campfire. The perimeter of the fire pit must be defined and clearly visible to children, such as by rocks, a metal ring, or bricks.

53.2 A licensee shall ensure campfires are not located within 50 feet of any building.

53.3 A licensee shall ensure there is a clearly visible boundary at least three feet away from the outer edge of the fire pit or structure containing the fire.

53.3.1 This boundary may be defined by a rope, large rocks, or seating area of logs or camp chairs.

53.3.2 The area within the three-foot boundary must:

53.3.2.1 At all times be clear of tripping hazards such as bags or other materials; and

53.3.2.2 Have space between the logs, camp chairs, or other seating so that children and adults may easily move in and out of the seating area.

53.4 A licensee shall ensure campfires are built and extinguished according to safe fire practices provided by the U.S. Forest Service at: https://smokeybear.com/en/prevention-how-tos/campfire-safety.

53.5 A licensee shall ensure that campfires are not built during periods of high fire danger in the area.

54.1 A licensee offering archery activities shall meet the following requirements:

54.1.1 For a camp offering archery activities, a licensee shall ensure the archery range is:

54.1.1.1 Located where a camper will not wander into the danger area while it is in use;

54.1.1.2 Clearly marked to warn individuals away from the danger area; and

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

54.1.2 A licensee shall ensure the instructor inspects bows, bowstrings, and arrows to ensure they are in good repair before use.

54.1.3 A licensee shall ensure the instructor requires archers to fire from a common firing line with a ready line marked behind it.

54.1.4 A licensee shall ensure targets are set a distance from the firing line that is appropriate to the skill level of the camper.

54.1.5 A licensee shall ensure the instructor only allows an archer who is ready to shoot on the firing line and non-shooters are behind the ready line.

54.1.6 A licensee shall ensure an individual stays behind the firing line at all times except when told by the instructor to retrieve an arrow or target.

54.1.7 A licensee shall ensure the bows and arrows are stored in a locked enclosure.

54.1.8 A licensee shall ensure the instructor requires that children:

54.1.8.1 Do not point the bow with an arrow at someone else;

54.1.8.2 Do not fire until directed to do so;

54.1.8.3 Do not draw and release an empty bow; and

54.1.8.4 Always point arrows down range.

54.2 A licensee offering boating or other watercraft activities shall meet the following requirements:

54.2.1 A licensee shall ensure that each person wears a Personal Flotation Device approved by the U.S. Coast Guard for that particular activity while on the water.

54.2.2 A licensee shall ensure campers have at least an American Red Cross Advanced Beginner Swimming Certificate, American Red Cross Survival Swimming Certificate, or its equivalent before being allowed to participate in salt water boating activities.

54.2.3 A licensee shall ensure that each watercraft is in good repair before use.

54.2.4 A licensee shall ensure a watercraft towing a water skier, tuber, or towable has an adult observer on board in addition to the driver.

54.2.4.1 Ropes used to tow must be at least 100 feet in length.

54.2.4.2 A licensee shall ensure the operator keeps a safe distance from docks, other boats, bulkheads, and shorelines when towing someone behind a boat.

54.2.5 A licensee shall ensure an individual using a watercraft has been trained in boarding, debarking, and safety procedures for the craft.

54.3 A licensee offering horseback riding activities shall meet the following requirements:

54.3.1 A licensee shall ensure 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.

54.3.2 A licensee shall ensure a rider wears:

54.3.2.1 Protective headgear at all times that is properly fitted and fastened and bears the label of the American Society for Testing and Materials (ASTM); and

54.3.2.2 Shoes with closed toes and heels or shoes with closed toes and uses closed stirrups.

54.3.3 A licensee shall ensure the instructor inspects the riding areas to ensure there is no dangerous terrain and is present during the activity.

54.3.4 A licensee shall ensure the instructor requires that:

54.3.4.1 Children are fitted for proper saddles; and

54.3.4.2 Children are informed that sudden unexpected movements, loud sudden noises, large crowds, other animals, wasp and other insects, and camera flashes can frighten a horse and lead to injuries by being thrown off or being kicked by a horse.

54.4 A licensee offering rock climbing or high ropes activities shall meet the following requirements:

54.4.1 A licensee shall ensure children wear appropriately sized harnesses, close-toed shoes, and helmets to participate.

54.4.2 A licensee shall ensure the instructor inspects the course, harnesses, and helmets to ensure they are in good repair and safe for use.

54.4.3 For high ropes activities, a licensee shall ensure children are not permitted to participate if they cannot reach the top rope or cable while standing on the bottom rope or cable.

54.5 For a camp offering any other activity not listed that could be considered high-risk of injury to children, a licensee shall contact OCCL in advance of permitting the activity to determine whether additional safety measures are required.

55.1 A licensee shall ensure bicycles, scooters, and other riding toys are the appropriate size for the child.

55.2 A licensee shall ensure riding toys are in good condition, free of sharp edges or protrusions that may injure a child, and not motorized.

55.3 A licensee shall ensure children wear approved safety helmets while riding bicycles and using wheeled equipment (roller blades, skateboards, scooters, etc.).

55.3.1 A licensee shall ensure children do not share helmets unless cleaned between users by wiping the lining with a damp cloth.

55.3.2 A licensee shall ensure children remove their helmets as soon as children stop riding wheeled equipment.

56.1 A licensee shall ensure pets, horses, or other domestic animals kept by or located on the camp's premises are cared for in a safe and sanitary manner.

56.2 A licensee shall keep proof of vaccination as required by State law (currently this is rabies vaccinations for dogs and cats).

56.3 A licensee shall not keep animals as pets that are poisonous or aggressive or that are known to be carriers of illnesses, such as ferrets, turtles, iguanas, lizards or other reptiles, psittacine birds or birds of the parrot family, or animals who are sick with a disease that may be spread to humans.

56.4 A licensee shall ensure pets and animals do not come into contact with children's food, while it is prepared or served.

56.5 A licensee shall ensure that children do not have access to animal waste or litter boxes.

56.6 A licensee shall inform [parents/guardians parents or guardians] of animals or pets kept or brought into the camp.

56.7 Children may handle animals only with adult supervision.

56.8 Horses and other domestic animals shall not be permitted at the pool or food service areas.

57.1 A licensee shall ensure horses or other farm animals are not permanently quartered within 500 feet of living quarters, kitchens, or other places where food is prepared, cooked, or served.

57.2 A licensee shall ensure a temporary shelter, corral, tie-rail, or hitching post is not located within 200 feet of dining hall, kitchen, or other place where food is prepared, cooked, or served.

57.3 A licensee shall ensure the stable area has toilet facilities for campers, employees, and visitors if toilet facilities are not conveniently located nearby.

57.4 A licensee shall ensure manure is not allowed to remain for more than 24 hours at temporary shelters, corrals, tie-rails, or hitching posts.

57.5 A licensee shall ensure manure from permanent and shelter quarters is removed at least twice weekly. Interim storage shall be in fly-tight enclosures or an area isolated from camp activity.

57.6 A licensee shall ensure adequate measures are taken at all times to keep fly, mosquito, and rodent populations to a minimum.

58.1 Use of a vehicle, other than a school bus, with a rated capacity as defined by the manufacturer, to carry more than 10 passengers in addition to the driver to transport children is prohibited. A licensee shall ensure 12-15 passenger vans are not used to transport children. Passenger includes the driver.

58.2 A licensee shall ensure when transporting children that the driver, when volunteering or employed by the camp, and vehicle, when owned or leased by the camp, comply with all applicable federal and State laws.

58.2.1 The driver shall be at least 21 years old.

58.2.2 The driver shall have a valid driver's license that authorizes the driver to operate the vehicle being driven.

58.2.3 The driver shall have a comprehensive background check confirming eligibility to be alone with children during transport.

58.3.4 The driver may not transport more children and adults than the vehicle's capacity.

58.3 A licensee shall ensure that companies contracted by the camp to provide transportation services to children follow applicable State and federal laws.

58.4 A licensee shall ensure each child is secured in an individual safety restraint system appropriate to the age, weight, and height of the child at all times while the vehicle, other than a school bus, is in motion.

58.4.1 Safety restraints must be federally approved and labeled according to the applicable Federal Motor Vehicle Safety Standard.

58.4.2 Child safety restraints must be installed and used as determined by the manufacturer and vehicle's instruction manual.

58.4.3 Safety restraints must be kept in a safe working condition and free of recall.

58.5 A licensee shall ensure vehicles used to transport children have and use the following:

58.5.1 A working heater capable of keeping an interior temperature of at least 50 °F;

58.5.2 Air-conditioning to reduce the interior temperature when it exceeds 82 °F (school buses are exempt);

58.5.3 A working phone;

58.5.4 Flares;

58.5.5 Reflectors;

58.5.6 A first aid kit; and

58.5.7 A dry chemical fire extinguisher approved by Underwriters Laboratory.

58.6 A licensee shall ensure children are loaded and unloaded at the vehicle's curbside or in a protected parking area or driveway.

58.7 A licensee shall ensure all doors are locked when the vehicle is moving.

58.8 A licensee shall have written [parent/guardian parent or guardian] permission for transportation provided by the camp.

58.9 A licensee shall ensure children are never alone in the vehicle and that the vehicle is visually checked at the final location so that no child is left behind.

58.10 A licensee shall ensure children's heads and limbs remain inside the vehicle during transport.

58.11 A licensee may not transport children in the open back of a truck.

59.1 A licensee shall have and follow a plan to keep track of children at all times during field trips.

59.2 A licensee shall have written [parent/guardian parent or guardian] permission before taking a field trip. The permission must state the location and date of the trip and the type of transportation, if applicable.

59.3 Medical consent forms and emergency contact information for all children, a first aid kit as described in these regulations, and a working phone must accompany staff on trips and outings. Children must have tags or other means of providing the camp's name and phone number.

PART V OVERNIGHT REQUIREMENTS

60.1 A licensee shall ensure in all permanent buildings, structures, or tents, children and staff members are provided a minimum of 50 square feet of floor area per person for sleeping space with at least two feet between each bunk.

60.2 A licensee shall ensure each child is provided with a bed, cot, or bunk with a mattress and sturdy frame that is at least 12 inches off the floor.

60.3 A licensee shall ensure mattresses are clean, vermin- and insect-free, non-porous, and cleaned and disinfected before another camper uses the mattress.

60.4 A licensee shall ensure that buildings used as sleeping quarters have a minimum ceiling height of seven feet.

60.5 A licensee shall ensure that where double-deck bunk beds are used there is at least 27 inches from the top bunk to the bottom bunk and a minimum of 36 inches from the top bunk to the ceiling.

60.6 A licensee shall ensure campers have their own space for clothing and personal belongings.

61.1 A licensee shall ensure that hand-washing facilities are located within 300 feet of each building or structure used for sleeping.

61.2 A licensee shall ensure that one hand-washing unit is provided for every 25 campers.

61.3 A licensee shall ensure one showerhead is provided for every 15 campers.

61.3.1 Shower heads must be spaced at least 30 inches apart to provide a minimum of 6 square feet of floor area per unit.

61.3.2 Hot and cold or tempered water must be supplied to a shower.

61.3.2.1 Whenever hot water is supplied, the hot water temperature must be maintained between 90 °F and 120 °F.

61.3.2.2 A water heater must be equipped with the following:

61.3.2.2.1 Pressure relief valve and high-temperature limit control;

61.3.2.2.2 Vacuum relief valve; and

61.3.2.2.3 Anti-scald protection on a hot water line going to a shower or bathtub.

61.4 A licensee shall ensure a shower wall and ceiling is constructed of solid, nonabsorbent, and easily cleanable materials.

61.5 A licensee shall ensure a shower floor is:

61.5.1 Constructed of nonabsorbent, skid resistant, easily cleanable materials; and

61.5.2 Constructed to slope toward proper floor drains, with provisions to prevent pooling of water or overflow to adjacent floor areas.

61.6 A licensee shall ensure a shower partition or shower curtain is provided to prevent splash from stall-type showers.

61.7 A licensee shall ensure a soap storage area or non-glass soap dish is provided adjacent to a showerhead.

61.8 A licensee shall ensure a dry dressing space with clothes hanging facilities is provided at a shower facility.

61.9 A licensee shall ensure a non-absorbent wall, extending from the floor to the ceiling or roof, separates facilities for both sexes in the same building.

61.10 A licensee shall ensure facilities are plainly designated boys or girls using universal symbols or words.

61.11 A licensee shall ensure a shower room is provided with a door or sight barriers to afford privacy.

61.12 A licensee shall ensure children's privacy is preserved while they are bathing or showering. A staff member shall be immediately available to ensure the child's safety.

APPENDICES:

APPENDIX I

Youth Camp Appendix I - License Application

http://regulations.delaware.gov/register/june2021/proposed/Youth Camp Appendix I - License Application.pdf

APPENDIX II

Youth Camp Appendix II - Variance Request

http://regulations.delaware.gov/register/june2021/proposed/Youth Camp Appendix II - Variance Request.pdf

APPENDIX III

Youth Camp Appendix III - Child Meal Patterns

http://regulations.delaware.gov/register/june2021/proposed/Youth Camp Appendix III - Child Meal Patterns.pdf

APPENDIX IV

Youth Camp Appendix IV - Immunizations Birth-6

http://regulations.delaware.gov/register/june2021/proposed/Youth Camp Appendix IV - Immunizations Birth-6.pdf

APPENDIX V

Youth Camp Appendix V - Immunizations 7-18

http://regulations.delaware.gov/register/june2021/proposed/Youth Camp Appendix V - Immunizations 7-18.pdf

APPENDIX VI

Youth Camp Appendix VI - Administration of Medication

http://regulations.delaware.gov/register/june2021/proposed/Youth Camp Appendix VI - Administration of Medication.pdf