Guidelines for Summer Camps in Massachusetts during COVID-19

 
 
 
 
Operating Recreational Camps
Phase II
MHOA Presentation
June 18, 2020
 
Dave Williams
Senior Analyst, Community Sanitation Program
Kerry Wagner
Inspector, Community Sanitation Program
 
What is required this summer?
 
Camps
Self-assess and attest that
camp meets the EEC MRHS
(and general business safety
standards)
Inspected and Licensed by
LBOH for compliance with
105 CMR 430 only
LBOH and state can ask to
see attestation and review
practices in response to a
complaint
 
Programs
Self-assess and attest that
program meets the MRHS
(and general business safety
standards)
Inspection not required to
open
LBOH and state can ask to
see attestation and review
practices in response to a
complaint
 
2
 
Massachusetts Department of Public Health       mass.gov/dph
 
EEC MRHS – Dept. Early Education and Care: Minimum Requirements for Health and Safety
 
Activities During COVID19
 
Certain activities must comply with sector specific safety standards
 
On-Site Swimming Pools
105 CMR 435 Minimum Standards for Swimming Pools
EEA Safety Standards for Public and Semi-Public Swimming Pools
Sports
EEA Workplace Safety and Reopening Standards for Businesses and Other Entities Providing
Outdoor Adult Sports, Supervised Youth Sports Leagues, Summer Sports Camps
On-Site Beaches/Waterfront
105 CMR 445 Minimum Standards for Bathing Beaches
EEA Safety Standards for Coastal and Inland Beaches
105 CMR 432 Minimum requirements for personal flotation devices for minor children at
municipal and recreational programs and camps
 
On-Site Playgrounds
EEA Safety Standards for Playgrounds, Spray Decks and Outdoor Fitness Areas
Boating
EEA Boating & Various Other Marine and Inland Waterway Related Activities
 
3
 
Massachusetts Department of Public Health       mass.gov/dph
 
Training requirements
 
4
 
Massachusetts Department of Public Health       mass.gov/dph
 
Staffing
 
5
 
Massachusetts Department of Public Health       mass.gov/dph
 
Healthcare Requirements
 
6
 
Massachusetts Department of Public Health       mass.gov/dph
 
Healthcare Policies
 
7
 
Massachusetts Department of Public Health       mass.gov/dph
 
8
 
What to do in the event a Camper or Staff presents with COVID19 symptoms.
Immediately isolate individual from other campers/staff
If possible, provided individual a mask to wear until they can leave facility
Contact parents immediately. Have individual picked up as soon as possible.
 
What to do in the event a Camper or Staff tests positive for COVID19.
Notify: LBOH, funding/licensing entity (if applicable), and staff and families of
exposure while maintaining confidentiality.
May not return until they meet criteria for discontinuing isolation and
consulted with a healthcare provider.
Determine if individual was at camp while symptomatic or 2 days prior.
Working with LBOH or MDPH to identify close contacts.
Close off all areas visited by ill person, increase ventilation to area
Wait 24 hours, or as long as possible to clean and disinfect area
Pay close attention to high touch surface areas
 
COVID19 At Camp
 
Communicable Disease Reporting
 
9
 
Massachusetts Department of Public Health       mass.gov/dph
 
Cleaning at Camp
 
Clean and disinfect shared equipment at the end of each activity
o
Personal equipment worn by a player (e.g. gloves, helmet, masks,
skates, footwear, or pads) may not be shared
o
Campers must have dedicated PFD, cleaned in accordance with U.S.
Coast Guard guidance
Intensify cleaning paying extra attention to frequently touched
objects and surfaces
o
Indoor and outdoor surfaces
Close off area visited by ill person, wait 24 hours or as long as
possible to clean/disinfect area
o
Increase ventilation to area
Train staff on proper chemical use and encourage glove use while
cleaning and disinfecting
 
10
 
Massachusetts Department of Public Health       mass.gov/dph
 
Spatial Layout
 
11
 
Massachusetts Department of Public Health       mass.gov/dph
 
Food Service
 
12
 
Massachusetts Department of Public Health       mass.gov/dph
 
13
 
Delays in Inspections
 
Rec Camp Inspection (430.650)
Provide Day Camp license prior to inspection
Subsequently inspected during season
 
Certificate of Occupancy (430.451)
Camp documents inability to receive COI;
Same location as 2019 season and no significant alterations to building;
Provides LBOH with 2019 COI and self assessment of structures/assembly
areas; and
Once obtained, provide LBOH with 2020 COI
 
Fire Prevention (430.215)
Camp documents inability to receive letter from local Fire Department;
Same location as 2019 season and no changes to fire drill;
Provides LBOH with 2019 letter and self assessment using Fire Prevention
Checklist; and
Once obtained, provide LBOH with 2020 letter
 
14
 
Social Distancing:
6 feet of distance in and
between groups
Rearrange rooms/areas to
promote distancing
Close communal spaces or
stagger use
Clean and disinfect
between uses
Separate campers belongings
so they do not touch
Stagger pick-up and drop off
times
 
Social Distancing and Face Coverings
 
Face Coverings/Masks:
Staff:
Masks/face coverings are always
required when you can’t socially
distance
 
Campers:
Encouraged to wear when can’t
maintain 6 feet of distance
Ages 2-5 also encouraged to wear,
but at the discretion of the camper’s
parent
 
Exceptions for wearing masks:
Under 2 years of age
Medical condition/behavioral health
diagnosis
Rely on lip-reading
 
Additional Restrictions During Phase II
 
No visitors or volunteers
Field trips or for other offsite travel are not permitted
o
May hike or bike on camp property
Limit activities to those that can maintain social distancing; activities
should be outside when possible.​
o
Skills and drills for contact sports, no games
Hand sanitizer use
Use of community pools or beaches is not permitted in Phase II
​Use of communal parks and playgrounds is not permitted in Phase II
Limited camp transportation, when necessary
 
15
 
Massachusetts Department of Public Health       mass.gov/dph
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Massachusetts Department of Public Health outlines requirements for operating recreational camps during Phase II of COVID-19. Camps must self-assess, attest to meeting health & safety standards, and comply with specific safety standards for activities like swimming, sports, beaches, and playgrounds. Training requirements include orientation, social distancing plans, cleaning protocols, communicable disease plans, and contingency plans to address the pandemic's impact. Specialized trainings and safety awareness are also emphasized.

  • Summer Camps
  • Massachusetts
  • COVID-19 Guidelines
  • Health & Safety
  • Training Requirements

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  1. Massachusetts Department of Public Health Operating Recreational Camps Phase II MHOA Presentation June 18, 2020 Dave Williams Senior Analyst, Community Sanitation Program Kerry Wagner Inspector, Community Sanitation Program

  2. What is required this summer? Camps Programs Self-assess and attest that camp meets the EEC MRHS (and general business safety standards) Inspected and Licensed by LBOH for compliance with 105 CMR 430 only LBOH and state can ask to see attestation and review practices in response to a complaint Self-assess and attest that program meets the MRHS (and general business safety standards) Inspection not required to open LBOH and state can ask to see attestation and review practices in response to a complaint EEC MRHS Dept. Early Education and Care: Minimum Requirements for Health and Safety 2 Massachusetts Department of Public Health mass.gov/dph

  3. Activities During COVID19 Certain activities must comply with sector specific safety standards On-Site Swimming Pools 105 CMR 435 Minimum Standards for Swimming Pools EEA Safety Standards for Public and Semi-Public Swimming Pools Sports EEA Workplace Safety and Reopening Standards for Businesses and Other Entities Providing Outdoor Adult Sports, Supervised Youth Sports Leagues, Summer Sports Camps On-Site Beaches/Waterfront 105 CMR 445 Minimum Standards for Bathing Beaches EEA Safety Standards for Coastal and Inland Beaches 105 CMR 432 Minimum requirements for personal flotation devices for minor children at municipal and recreational programs and camps On-Site Playgrounds EEA Safety Standards for Playgrounds, Spray Decks and Outdoor Fitness Areas Boating EEA Boating & Various Other Marine and Inland Waterway Related Activities 3 Massachusetts Department of Public Health mass.gov/dph

  4. Training requirements 430 Requirements Day Camps MRHS 430.091 Orientation Requirements Necessary trainings for camp activities Plans and training Requirements: Many of these may be incorporated into existing plans Plan to provide adequate social distancing; Cleaning plan; Communicable disease plan for the isolation and discharge of sick, symptomatic, and exposed children or staff; Communication plan for sharing information and notifications with parents and staff; Contingency plans for handling ways the COVID-19 pandemic may affect operations; Staffing plan maintain required ratios and trained back-up staff; Transportation plan following health and safety protocols; and Food service plan to maintain safety and sanitation protocols while serving food Specialized trainings to meet requirements of all campers Online Head Injury Safety Awareness training Health Care Policy, discuss implementation Fire Drill Disaster / Emergency Plans Lost Camper / Swimmer Traffic Control Plan 4 Massachusetts Department of Public Health mass.gov/dph

  5. Staffing 430 Requirements Day Camps MRHS 430.101 Required Ratios: 1:10 campers 7 and older 1:5 campers under 7 Line of sight/close proximity High risk activity supervision Group size: Max 12 (allows for 2 staff per group) No mixing of groups except for staff supervising specialized activities and providing staff with breaks Masks and distancing required Ratios: Maintaining 430.101 Required Ratios Out-of-state campers/staff: Governor s travel policy urges quarantine for 14 days prior to camp COVID Oversight Designate 1 senior staff member responsible for responding to COVID-19 concerns 5 Massachusetts Department of Public Health mass.gov/dph

  6. Healthcare Requirements 430 Requirements Day Camps MRHS Healthcare Staff: Healthcare Consultant (HCC) (430.020) Healthcare Supervisor(s) (HCS) (430.020) Healthcare Staff (for Licensed Camps only): HCC must train staff conducting daily screening 2 HCS present at all times Infirmary/First Aid Facility: Facility/location identified (430.161) First Aid Kits (class A & B) (430.161) Medical Log Book (430.155) Means to securely store medications (430.160) Isolation Area: Prepare to isolate multiple campers, multiple spaces/rooms if possible Bathroom available for sick individual(s) Cleaned in accordance with CDC guidance PPE with isolated individuals: Need PPE appropriate to care setting to enter isolation space Mask for symptomatic people until they leave facility 6 Massachusetts Department of Public Health mass.gov/dph

  7. Healthcare Policies 430 Requirements Day Camps MRHS Camp Health Care Policy (430.159) Healthcare Policy: Screening at camp Prescription Medication Administration Policy (430.160) Plan for identifying and handling sick, symptomatic, and exposed children and staff o Storage o Identify who is administering Plan for the isolation, discharge and transportation of sick, symptomatic, and exposed children or staff o What medications are at camp Epinephrine Auto-Injector Policy (430.160) Criteria for seeking medical assistance o Self carry and administer or specially trained individual Immediately notifying LBOH Insulin Administration and Diabetic Plan Management Policy (430.160) 7 Massachusetts Department of Public Health mass.gov/dph

  8. COVID19 At Camp What to do in the event a Camper or Staff presents with COVID19 symptoms. Immediately isolate individual from other campers/staff If possible, provided individual a mask to wear until they can leave facility Contact parents immediately. Have individual picked up as soon as possible. What to do in the event a Camper or Staff tests positive for COVID19. Notify: LBOH, funding/licensing entity (if applicable), and staff and families of exposure while maintaining confidentiality. May not return until they meet criteria for discontinuing isolation and consulted with a healthcare provider. Determine if individual was at camp while symptomatic or 2 days prior. Working with LBOH or MDPH to identify close contacts. Close off all areas visited by ill person, increase ventilation to area Wait 24 hours, or as long as possible to clean and disinfect area Pay close attention to high touch surface areas 8

  9. Communicable Disease Reporting 430 Requirements Day Camps MRHS Camp Operator Reporting (430.157): Immediately report each case of communicable disease to LBOH and DPH Immediately report each case of suspected food poisoning or usual prevalence of illness Reporting: Immediately report positive cases to LBOH Parents must report to designated staff person any close household contacts or positive cases of COVID19 Exclusion Policy (430.153): Protecting all susceptible children if communicable disease present at camp Contact Tracing: Monitor who staff and children come into contact with throughout each day Follow the direction of the Local Board of Health (LBOH) or MDPH if identified as a close contact 9 Massachusetts Department of Public Health mass.gov/dph

  10. Cleaning at Camp Clean and disinfect shared equipment at the end of each activity o Personal equipment worn by a player (e.g. gloves, helmet, masks, skates, footwear, or pads) may not be shared o Campers must have dedicated PFD, cleaned in accordance with U.S. Coast Guard guidance Intensify cleaning paying extra attention to frequently touched objects and surfaces o Indoor and outdoor surfaces Close off area visited by ill person, wait 24 hours or as long as possible to clean/disinfect area o Increase ventilation to area Train staff on proper chemical use and encourage glove use while cleaning and disinfecting 10 Massachusetts Department of Public Health mass.gov/dph

  11. Spatial Layout 430 Requirements Day Camps MRHS 430.457 Shelters at Day Camp: Shelter sufficiently large enough to house and provide for on-going camp activities Emergency Shelter: Must maintain 6 ft of distance (may be helpful to calculate using 30 ft2 of space per person ) May utilize pavilion/tents to meet requirements Certificate of Inspection Roof weather/water tight If unable to provide: Cancel/modify camp hours to avoid inclement weather Structural and interior maintenance Activities at camp: Activities outside whenever possible Prepare materials and equipment to minimize sharing and properly distance 11 Massachusetts Department of Public Health mass.gov/dph

  12. Food Service 430 Requirements Day Camps MRHS 430.320 Food Service: Compliance with 105 CMR 590 Food Service Tables/chairs cleaned and sanitized before and after use Use sanitizers approved for food contact surfaces Avoid group dining areas if possible Provide and maintain areas in a sanitary manner 430.335 Meals Provided From Home: Stored properly Meals: Recommend meals brought from home or prepackaged If unavoidable, staff must prep and serve meals Limit food handling and prep No family style meals Method to provide lunch if camper arrives without one 12 Massachusetts Department of Public Health mass.gov/dph

  13. Delays in Inspections Rec Camp Inspection (430.650) Provide Day Camp license prior to inspection Subsequently inspected during season Certificate of Occupancy (430.451) Camp documents inability to receive COI; Same location as 2019 season and no significant alterations to building; Provides LBOH with 2019 COI and self assessment of structures/assembly areas; and Once obtained, provide LBOH with 2020 COI Fire Prevention (430.215) Camp documents inability to receive letter from local Fire Department; Same location as 2019 season and no changes to fire drill; Provides LBOH with 2019 letter and self assessment using Fire Prevention Checklist; and Once obtained, provide LBOH with 2020 letter 13

  14. Social Distancing and Face Coverings Face Coverings/Masks: Staff: Masks/face coverings are always required when you can t socially distance Social Distancing: 6 feet of distance in and between groups Rearrange rooms/areas to promote distancing Campers: Encouraged to wear when can t maintain 6 feet of distance Ages 2-5 also encouraged to wear, but at the discretion of the camper s parent Close communal spaces or stagger use Clean and disinfect between uses Separate campers belongings so they do not touch Exceptions for wearing masks: Under 2 years of age Medical condition/behavioral health diagnosis Rely on lip-reading Stagger pick-up and drop off times 14

  15. Additional Restrictions During Phase II No visitors or volunteers Field trips or for other offsite travel are not permitted o May hike or bike on camp property Limit activities to those that can maintain social distancing; activities should be outside when possible. o Skills and drills for contact sports, no games Hand sanitizer use Use of community pools or beaches is not permitted in Phase II Use of communal parks and playgrounds is not permitted in Phase II Limited camp transportation, when necessary 15 Massachusetts Department of Public Health mass.gov/dph

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