Inspection · 2023-06-29

Based upon record review on 7/24/2023, the facility failed to ensure that completed sworn disclosure or affirmation statements are obtained prior to employment.
Evidence:
The record provided for staff 4 indicated an employment date of 6/24/2023. A sworn disclosure statement was not completed until 7/6/2023.

Based upon review of children?s records, the facility has not ensured that they have obtained documentation that each child has received the immunizations required by the State Board of health before the child can attend.
Evidence:
The records provided for child 6 and child 8, both attending the camp, do not include documentation of immunizations

Based upon a staff record review on 7/24/2023, the facility has not ensured that staff submit documentation of a tuberculosis screening at the time of employment and prior to coming into contact with the children.
Evidence:
The record provided for staff 1 did not include documentation of a tuberculosis screening. Staff 1 was on duty with the children during the inspection.

Based upon a staff record review on 7/24/2023, the facility has not ensured that results of a tuberculosis screening are obtained for staff at least every two years.
Evidence:
1. The most recent tuberculosis screening in the record provided for staff 5 is dated 6/16/2021.
2. The most recent tuberculosis screening in the record provided for staff 11 is dated 6/18/2021.
3. The most recent tuberculosis screening in the record provided for staff 15 is dated 5/8/2021.

have been prescribed are always in the care of a staff member who has satisfactorily completed a training program (Medication Administration Training).
Evidence:
There were 6 children attending camp during the inspection for whom emergency medications have been prescribed for life threatening allergies. The camp director, staff 1, could not verify that each of these children were in a huddle with a Medication Administration (MAT) certified staff person.

Based upon observation, the facility has not ensured that areas and equipment, both inside and outside, are maintained to be safe.
Evidence:
1. A rotten, broken board was observed at the entrance to the fishing pier where the ground has also eroded away creating a tripping hazard and an area where a child?s foot could be entrapped. Should a child fall, the lake is in very close proximity. Staff 5 observed the rotten board.
2. A rotting board was observed on the deck of the fishing pier. Staff 5 acknowledged the rotting board.
3. Exposed tree roots were observed on the bank leading down to the fishing pier that are potential tripping hazards on the steep bank. Staff 5 observed the tree roots.

Based upon observation, the facility has not ensured that where playground equipment is provided, resilient surfacing complies with the minimum safety standards in the fall zone surrounding the equipment.
Evidence:
There is a corkscrew slide from the nature treehouse to the ground. The wood mulch used as resilient surfacing at the base of the slide has both washed away and decomposed.

Based upon staff interview, the facility has not ensured that when staff are supervising children, they always ensure their care and protection.
Evidence:
At the time of the inspection, there were 6 children for whom the emergency medications have been prescribed due to life threatening allergies. These medications are kept in the main office of the camp. Staff 1 stated that in an emergency, a medication administration trained (MAT) staff person would get the medication and take it to the child via a camp golf cart. This practice does not ensure that a child could be administered the required medication in the necessary timely fashion as children may be anywhere from the lake across campus to the pool or to the alpine tower.

Based upon observation and staff interview, the facility has not ensured children?s hands are washed with soap and running water or disposable wipes before and after eating meals and snacks.
Evidence:
1. The buffalo and leopard huddles were observed eating snack at the picnic tables during huddle time. The children did not wash their hands before eating.
2. Staff 1 acknowledged that the children?s hands were not washed and stated that the children should not have been eating as it was not snack time.
3. The children in the kindergarten huddle did not wash their hands after eating lunch.

Based upon observation and staff interview, the facility has not ensured that tables are cleaned and sanitized before and after use for eating.
Evidence:
Staff was observed using a cloth rag when cleaning and sanitizing the picnic tables after lunch instead of spraying with the disinfecting fluid and allowing the tables to air dry.

Based upon observation and staff interview, the facility has not ensured that children do not walk around while eating or drinking.
Evidence:
1. A child was observed standing on the concrete beside the amphitheater during morning opening ceremony. The child was eating food from his backpack.
2. Stall 1 acknowledged the child eating and stated that sometimes children who arrive via the YMCA bus haven't had morning snack when they arrive, however the child should not have been eating while standing at the opening ceremony.

Based upon review of children?s records, the facility has not ensured that the record for each child enrolled contains all require information.
Evidence:
The record for child 3 includes the name address and telephone number for only one person to be contacted if a parent cannot be reached, instead of the required two persons.

Based upon review of records, the facility has not ensured that there is a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
1. There is an EpiPen stored for potential administration to child 1 in the event of an allergic reaction. There is no allergy management plan for child 1.
2. There is an EpiPen stored for potential administration to child 2 in the event of an allergic reaction. There is no allergy management plan for child 2.

Based upon a staff record review on 7/24/2023, the facility has not ensured that staff records include the dates of hire and documentation that the staff person possesses the education, certification and experience required by the job position.
Evidence:
1. The records provided for staff 3 and staff 4 included the job title of counselor (program leader). neither record included the needed documentation of six months programmatic experience required of program leaders.
2. The record for staff 22 did not indicate the date of hire.