For all campers, staff members, and volunteers, an operator shall ensure that:

1. A. An injury or illness that results in death or that requires resuscitation or admission to a hospital is reported:

   1. (1) Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian;
   2. (2) Verbally to the Department within 24 hours; and
   3. (3) To the Department within 1 week of the incident, on a form that meets the requirements of Regulation .07 of this chapter;

2. B. An injury that is treated at an off-site medical facility and that results in a positive diagnosis through clinical examination, laboratory test, or X-ray is reported:

   1. (1) Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian; and
   2. (2) To the Department within 4 weeks of the end of camp on a form that meets the requirements of Regulation .07 of this chapter;
3. C. When a camp health supervisor is on duty at the camp, an accident with no apparent injury, such as a fall from a horse, a fall from equipment, or impact from sports equipment, is reported immediately to the health supervisor;

4. D. When a camp health supervisor is only available for consultation and not on duty at the camp, the minor’s parent or guardian is notified as soon as possible and before the end of the camp day, verbally or in writing, of:

   1. (1) An illness or injury that is not included in §A or B of this regulation; or

   2. (2) An accident with no apparent injury, such as:

      1. (a) A fall from a horse;
      2. (b) A fall from equipment; or
      3. (c) Impact from sports equipment;

5. E. An outbreak of a disease or a condition that is required to be reported pursuant to COMAR 10.06.01 is reported:

   1. (1) Immediately to the health supervisor and in the case of a minor, to the minor’s parent or guardian;
   2. (2) Verbally to the Department within 24 hours; and
   3. (3) To the Department within 1 week of the incident on a form that meets the requirements of Regulation .07 of this chapter;

6. F. A medication error or incident that required the administration of emergency use epinephrine is reported:

   1. (1) Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian; and
   2. (2) To the Department within 4 weeks of the end of camp on a form that meets the requirements of Regulation .07 of this chapter; and

7. G. A camp health supervisor and camp director shall:

   1. (1) Annually review all health log records and identify opportunities to reduce incidents, accidents, injuries, and medication errors; and
   2. (2) Make available to the Department for review written documentation of the findings of the review of health log records.

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)