1. (a) Record of an on-call physician required. Documentation shall be kept on file of a physician licensed to practice in Texas who is available to be on call at all times to advise health service personnel on all first aid and nursing services provided by the camp.
2. (b) Emergency transportation. Transportation must be available at all times to transport any sick or injured camper in an emergency.
3. (c) Medical staffing requirements. A physician, registered nurse, licensed vocational nurse, or a person with an American Red Cross Emergency Response certificate, or its equivalent, shall be in the camp and on call at all times, and will be considered the Camp Health Officer. For camps having documented evidence, such as a letter from the local emergency medical services (EMS), that the camp is located within a 20 minute community EMS response time, a person certified in American Red Cross Community First Aid and Safety, or its equivalent, shall be in the camp and on call at all times, and will be considered the Camp Health Officer.
4. (d) Requirement to report incidents of abuse or neglect of a minor. If a person, including any member of camp staff, a camp counselor, or camp director has cause to believe that a minor has been or may have been abused or neglected as those terms are defined in the Texas Family Code, Chapter 261, then that person shall immediately make a report, in accordance with Family Code, §261.101(a) to the department's Policy, Standards and Quality Assurance Unit, as required by §261.103(a)(3). The report can be made by telephone (512-834-6773), by fax (512-834-6707), or by email (the current email address may be found at www.dshs.state.tx.us/youthcamp/default.shtm). A report must be made to the department and may be made to a local or state law enforcement agency or other agency listed in Family Code, §261.103.
5. (e) Requirement to report camper death or communicable diseases. Camper death or confirmed cases of waterborne or foodborne diseases, such as cholera, dysentery, typhoid, salmonellosis, shigellosis, or infectious hepatitis, shall be reported to the department's Policy, Standards, and Quality Assurance Unit, within 24 hours of occurrence (or confirmation in the case of disease) by fax (512-834-6707), or by email at the address found at www.dshs.state.tx.us/youthcamp/default.shtm.
6. (f) Designation of a first aid area. A first aid area, used exclusively to handle health and emergency cases, shall be designated and suitably equipped.
7. (g) Isolation of a child with a communicable disease. A child ill with a confirmed or suspected case of a communicable disease shall be isolated to provide safety to other children and quiet to the patient. Any child that is isolated shall be supervised as determined by the Camp Health Officer.
8. (h) Bound medical log required. A bound medical log, or other unalterable record keeping system, listing date, name of the patient, ailment, name of the Camp Health Officer, and the treatment prescribed shall be kept in the first aid area for the duration of the camp year for which the license is issued.
9. (i) Camper health records shall be kept on file. The first aid area shall keep a health record on each child with the child's name, allergies, immunizations, parent's name, address, and telephone number, and parent or guardian authorization for emergency medical care.
10. (j) Availability of an emergency telephone. The camp shall have a telephone readily available, preferably in the first aid area, for emergency use.
11. (k) Emergency plans required. A written plan of procedures to be implemented in case of a disaster, serious accident, epidemic, or fatality shall be formulated and posted in the camp's administrative on-site office or location. All camp staff and volunteers must be made aware of this plan during the staff-training program or volunteer briefing. Documentation of this training must be kept at the camp's administrative on-site office or location.
12. (l) Storing and dispensing prescription medication to campers. If a child is taking a prescription medication when he or she reports to camp, the medication must be in the original container with the prescription label, and the medical staff shall place that medication in a lockable cabinet or other secure location that is not accessible to campers. The medication shall be administered by the Camp Health Officer or camp counselor, if authorized in writing by the Camp Health Officer. At no time will the child be allowed to self-administer the medication without adult supervision.
13. (m) Camp trip first aid kits. First aid kits shall be taken on all out-of-camp trips.

Source Note:The provisions of this §265.15 adopted to be effective April 16, 2006, 31 TexReg 3049.