1. A. An operator shall prepare and implement a written health program that:

   1. (1) Is approved annually, in writing, by a physician, certified nurse practitioner, or registered nurse licensed to practice in the State;
   2. (2) Is on file in the headquarters or office of the camp and is available to the camp staff members;
   3. (3) Includes the name, title, and license number of the health supervisor;

   4. (4) Includes procedures for the camp staff members to:

      1. (a) Obtain camper, staff, and volunteer health information;
      2. (b) Notify the camp health supervisor when a camper has an identified medical problem to ensure that there is a plan of action at the camp in case of a medical emergency;
      3. (c) Disseminate information to staff members that work with a camper having a health problem;
      4. (d) Care for a camper with an identified medical problem;
      5. (e) Maintain confidentiality regarding all health information on campers and staff members;
      6. (f) Observe campers each day for easily discernible signs of injury or illness;
      7. (g) Handle health emergencies and accidents;
      8. (h) Use emergency ambulance services and 911 services;
      9. (i) Care for and supervise an injured or ill camper until the camper is returned to the parent, guardian, or the parent’s or guardian’s designee;
      10. (j) Notify a parent, guardian, or the parent’s or guardian’s designee when a camper is observed to be injured or ill;
      11. (k) Report health situations in accordance with Regulations .06 and .07 of this chapter; and

      12. (l) Prevent the spread of an infectious disease using:

          1. (i) Hand washing procedures;
          2. (ii) Personal protective equipment;
          3. (iii) Personal hygiene; and
          4. (iv) An exposure control plan;
   5. (5) Includes procedures for handling medication at camp in accordance with Regulation .14 of this chapter; and

   6. (6) If using electronic records, includes procedures for, in the event that a power or server outage prevents access to the electronic record:

      1. (a) Accessing camper, staff, and volunteer health information;
      2. (b) Documenting injuries, illnesses, and other reportable diseases and conditions in a paper health log; and
      3. (c) Documenting medication administration on a paper form.

2. B. An operator shall ensure and document that, not more than 30 calendar days before working at the camp, each staff member or volunteer:

   1. (1) Is trained in the health program;
   2. (2) Demonstrates knowledge of the health program procedures; and
   3. (3) Is provided with the opportunity to discuss the procedures and have any questions answered by a supervisor.
3. C. A staff member or volunteer shall conduct health procedures according to the health program.

Authority: Family Law Article, §§5-560 — 5-568, 5-704, and 5-705; Health-General Article, §§2-104, 13-701 — 13-708, 14-402(d), 14-403, 18-318, and 18-403;
Health Occupations Article, §§8-6A-01 — 8-6A-16 and 14-306; Annotated Code of Maryland

Effective date:

Regulations .01—.13, .15, and .16 adopted effective March 28, 2016 (43:6 Md. R. 408)

Regulation .02B amended effective February 16, 2026 (53:3 Md. R. 122)

Regulation .03A amended effective February 27, 2017 (44:4 Md. R. 254)

Regulation .06F amended effective February 16, 2026 (53:3 Md. R. 122)

Regulation .14 adopted as an emergency provision effective June 30, 2016 (43:15 Md. R. 861); emergency expired effective December 26, 2016

Regulation .14 adopted effective February 27, 2017 (44:4 Md. R. 254)

Regulation .15 amended effective February 16, 2026 (53:3 Md. R. 122)