(A) An approved child day camp providing for the needs of a child with disabilities or special health conditions shall do so in accordance with a written medical/physical care plan for the care of the child
(1) "A child with disabilities" is a child who has a physical or mental impairment that substantially limits one or more major life activities.
(2) "A child with special health conditions" is a child who needs special treatment for health related conditions such as, but not limited to, asthma, attention deficit disorder, diabetes, and seizures.
(B) The written medical/physical care plan for the care of a child with a disability or special health condition shall:
(1) Be written and approved by the child's physician, advance practice nurse (APN) in consultation with the child's parent or guardian, the camp administrator, camp personnel staff member with primary responsibility for the activities and care of the child, and other diagnostic or social agencies involved in the care of the child.
(2) Be signed and dated by the child's physician or APN, the parent or guardian, the camp administrator and camp staff member with primary responsibility for the activities and care of the child, and any diagnostic or social agencies involved in the care of the child.
(C) Only people trained by a physician or APN to attend to disabilities or health conditions requiring special procedures for a child shall be permitted to perform such procedures. There shall be a trained person on site at all times whenever the child who requires special treatment is present.
(D) There shall be on file at the child day camp a statement which identifies the child, the nature of the required special procedure, the person attending to the child and verification that the person has been trained by a physician or APN. The statement:
(1) Shall be signed and dated by the parent and shall serve to confer parental permission for the named person(s) to perform the special procedures.
(2) Shall be signed and dated by the child's physician, APN who trained the named person(s) to attend to the disability or health conditions requiring special procedures.
(3) Shall be signed and dated by the person(s) trained and shall serve to confirm that the person(s) accept(s) responsibility for performing the required special procedure, as needed.
(4) Shall be signed and dated by the child day camp administrator.
(E) The written medical/physical care plan and the signed statement of training shall be on file at the camp for review by ODJFS.
(F) The changing and storing of diapers for all nontoilet-trained children shall be handled in conformity with the following methods:
(1) Changing of diapers for all nontoilet-trained children shall occur in a space that contains a handwashing facility.
(2) Hands of the adult caring for the child shall be washed with soap and water after each diaper change.
(3) The diaper changing area used shall be sanitized after each diaper change with a germicidal agent. If the diaper changing station is soiled after the diaper change, it shall be cleaned with soap and water and then sanitized with a germicidal agent.
(4) Any product used during diaper changing which is used on more than one camper shall be used in such a way that the container does not touch the camper. Any product obtained from a common container and applied to a camper shall be applied in such a manner so as not to contaminate the product or its container. Common containers shall be cleaned and sanitized with a germicidal agent when soiled.
(5) A clean supply of diapers shall be available at all times and shall be stored in a designated area.
(6) Soiled diapers or clothing shall not be rinsed at the camp, but shall be placed directly into a plastic container or bag, sealed tightly and stored away from the camper's belongings. Soiled diapers to be disposed of or cleaned by the camp shall be placed in common plastic-lined, covered container which shall be emptied, cleaned, and sanitized with a germicidal agent daily or more frequently as needed.