1. A. An operator shall ensure that camp staff members:

   1. (1) Monitor a camper for signs and symptoms of acute illness such as vomiting, diarrhea, or a fever;
   2. (2) Arrange for first aid or medical treatment upon observing a sign or symptom of acute illness;
   3. (3) Restrict an affected camper from participating in camp activities so that the camper’s illness is not communicated to another individual;
   4. (4) Provide supervision for an affected camper so that the camper is within sight and hearing of the supervising staff member; and

   5. (5) Upon observing a sign or symptom of acute illness:

      1. (a) Report an illness in accordance with Regulation .06E of this chapter; and
      2. (b) Except for a residential camp as defined in COMAR 10.16.06.02, notify the camper’s parent, guardian, or other designated person that the camper may not remain at camp.

2. B. When an acute illness is reported to the health supervisor, the health supervisor shall:

   1. (1) Provide medical consultation or treatment; and
   2. (2) Report the situation to the local health department in accordance with COMAR 10.06.01.

3. C. If a camper is exhibiting a symptom of acute illness, an operator may not:

   1. (1) Admit an individual to a camp; or
   2. (2) Except for a residential camp as defined in COMAR 10.16.06.02, allow a camper to remain in a camp.

4. D. An operator may not knowingly allow an individual to participate, work, or volunteer at camp during the period of communicability of a disease or condition listed in COMAR 10.06.01, unless:

   1. (1) The individual is under the care of a licensed health care practitioner; and
   2. (2) A licensed health care practitioner or local health officer as applicable approves, in writing, the individual’s attendance.

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)