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SF- Site and Food Service:
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| ckSF1: ACA Accreditation |
Is the campsite ACA Accredited? |
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| ckSF2: Special Meals |
Does the camp provide a vegetarian option and alternative meals for those with dietary restrictions? |
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| ckSF3: Off-Site Food |
If campsite does not include food, is there a professional chef, catering company, or lead cook with food handler’s license? |
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If food service is not included, was the menu submitted to the PD before camp? |
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TR- Transportation:
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| ckTR1: Modes of Transportation |
If Camp Kesem provides transportation: |
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Does the transportation company provide proof of licensure and an additional insured certificate with proper coverage? |
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| Did counselors or camp staff drive campers in non-emergency situations? |
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| If emergency occurred, were parents informed of emergency transportation? |
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| Is the 3:1 camper to counselor ratio kept while transporting campers? |
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| ckTR2: Trips |
If Camp Kesem provides trips off of camp, does the transportation company provide proof of licensure and an additional insured certificate with proper coverage? |
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| ckTR3: Alternative Pick-Up/Drop-Off Waiver for Non-Primary Caregivers |
If families are carpooling, did the parents fill out and sign the “Alternate Pick-Up/Drop-Off Waiver”? |
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| ckTR4: Volunteers Driving |
Did staff members driving to camp sign the “Driver Waiver” and provide proof of driver’s license and car insurance? |
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HW- Health and Wellness:
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| ckHW-1: Medical Staff |
Are there a nurse and a mental health professional at camp at all times? |
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If more than 60 campers, is a “nurse assistant” at camp? |
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Was the “Pre-Camp Medical Resources” document given to the professional staff? |
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| ckHW-2: Medical Records and Medication: |
Are all staff & camper medical records filled out? Does the nurse keep all medical records? Do administrators, Camp Directors, and Campsite Director all have access? |
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Are all medications inaccessible to campers and staff except for the nurse? |
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| ckHW-3: CPR Certification |
Are all Unit Leaders and Administration team members certified in CPR & First Aid? |
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If your campsite is over 60 minutes away from Emergency First Responders is a Wilderness First Aid certified person on camp? |
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| ckHW-4: Campers with Disabilities |
Does Camp Kesem make “reasonable accommodations” for campers with disabilities and medical conditions? |
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| ckHW-5: Health Kits |
Do all Unit Leaders, Program Counselors, and Administration Leaders carrying health kits with the minimum materials (hand sanitizer, gloves, Band-Aids, Polysporin, gauze, sunscreen, and bug-spray)? |
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HR- Human Resources:
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| ckHR-1: Ratio |
Does the camp have at least a 3:1 ratio of campers to counselors overall and in each cabin? |
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| ckHR-2: Counselor Requirements |
Are counselors a student at the school associated with the CK chapter? |
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Have teen unit counselors completed two years of college and have CK experience OR teen experience? |
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| ckHR-3: Staff Training |
Was the staff training schedules approved by a Program Director? |
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Did all staff view EOT videos and complete accompanying quizzes? |
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| Did the staff training cover all counselor training guidelines from the manual? |
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| ckHR-4: Staff Free/Rest Time |
Is each staff member required to take one hour of rest/break time each day? |
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| ckHR-5: Staff Evaluations |
Are Staff Evaluations completed for each member of the staff? |
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Did all Staff complete evaluation for week of camp? |
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| ckHR-6: Co-chairs & Coordinators |
Are there 2 co-chairs and at least 8 coordinators? |
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| ckHR-7: Advisory Board |
Is there an active and operating Advisory Board that meets quarterly? |
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PD- Program Design and Activity:
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| ckPD-1: Division of Campers |
Are campers divided into groups for activities by age and gender? |
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| ckPD-2: Cabin Groups |
Are cabins divided by gender? |
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| ckPD-3: Unit Groups |
Are Campers divided into unit groups? |
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| ckPD-4: One-To-One Interaction |
Are staff members and campers ever alone together? |
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| ckPD-5: Rest Time |
Does the camp hold at least one hour of specifically designated rest time, during which campers are quietly in their cabins? |
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| ckPD-6: Aquatic Safety |
Does the camp have certified lifeguards? |
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Are there 2 lifeguards minimum and 1 lifeguard for every 25 campers? |
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| Do lifeguards scan the water appropriately? |
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| Do lifeguards stand near the pool or sit in a lifeguard chair, and not in a Flexible Plastic Chair? |
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| If swimming occurs in brown water, is a buddy system implemented and consistently used? |
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| Are all counselors either in the water engaged with campers or watching the water? |
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| ckPD-7: Certifications |
Are special activities (ropes course, waterfront, etc.) led by certified individuals? |
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If the certified individuals leading special activities are Camp Kesem counselors were copies of their certification sent to a Program Director prior to camp? |
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| ckPD-8: Cabin Chat |
Does the camp hold cabin chats each night? |
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| ckPD-9: Empowerment Program |
Was the Empowerment Program planned ahead of time with approval of the Program Director? |
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| ckPD-10: Opening/Closing Day Activities |
Does the camp hold a highly organized opening and closing day program that involves and engages parents and campers? |
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Does the camp follow opening and closing day policies from the manual? |
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| ckPD-11: Admin Team |
Does the camp have an Admin team? |
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| ckPD-12: Nametags |
Do all campers, counselors, and staff wear a nametag during the week of camp? |
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| ckPD-13: Reunions |
Does the camp hold two camper family and counselor reunions, one in the fall and one in the spring? |
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| ckPD-14: Overnight |
If an overnight is part of programming for the teen unit, are the details of the trip approved by a Program Director in advance and is protocol followed? |
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| ckPD-15: Counselor in Training Program |
Was the CIT program approved by the Program Director? |
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PO – Policies and Systems:
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| ckPO-1: Camp is Free |
Is Camp Kesem offered free of charge to families served? |
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| ckPO-2: Camper ages |
Are regular camp program campers age 6-16 as of the first day of camp? |
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| ckPO-3: Camper Forms |
Is the “Parent Agreement” signed (includes medical release and publicity and liability release)? |
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| ckPO-4: Counselor-Camper Communication |
Are the policies (detailed in manual) related to counselor/camper communication followed for each camper? |
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| ckPO-5: Personal Relationships |
Are personal relationships prohibited between campers and campers AND between campers and counselors? |
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| ckPO-6: Anti-Harassment Policy |
Does the teen program follow the Anti-Harassment policy? |
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| ckPO-7: Anti-Drug Policy |
Is the presence or use of alcohol, tobacco, any illegal drugs, or overuse of prescription or non-prescription medications tolerated at camp? |
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| ckPO-8: Camper Screenings |
Has the camper screening protocol been followed? (PD and students review applications and run any red-flags past ED and Camp Director) |
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| ckPO-9: Camp Advisor |
Does the camp have a Camp Advisor who is an alumnus of another Camp Kesem? |
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| ckPO-10: Alcohol Policy |
Does the Camp Kesem chapter follow the Camp Kesem alcohol policy? |
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| ckPO-11: Phone Meetings |
Is the phone meeting agreement completed and followed? |
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| ckPO-12: Student Leadership Trainings |
Did the campus have at least one on-site student leadership training led by a Program Director? |
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Did representatives from the campus attend leadership conferences during the year? |
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| ckPO-13: Storage of Required Documents |
Does the campus maintain the following documents in their yearly standards binder? |
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Coordinator Roster |
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Fiscal Sponsorship Agreement |
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Co-Chair Agreement |
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Revenue Tracking Spreadsheet |
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Bus proof of licensure (if applicable) |
(ckTR-1) |
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Additional insured certificate from bus company (if applicable) |
(ckTR-1) |
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Nurse and Mental Health Professional Information and Licensure |
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Counselor Training Schedules |
(ckHR-3) |
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Counselor Debriefing Schedule |
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Camp Daily Schedule |
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Empowerment Schedule |
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CPR/First Aid Certification Card Copies |
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Menu (if no food service) |
(ckSF-3) |
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Any trip details (overnight, field trip, etc.) (if applicable) |
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Pre-Camp Medical Resources (filled out by student leaders) |
(ckHW-1) |
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Campsite Emergency Procedures (from campsite) |
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Organized camper and staff files |
(ckHW-2) |
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Any activity certifications held by CK staff (i.e. lifeguard, archery, etc.) (if applicable) |
(ckPD-7) |
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| ckPO-14: Fiduciary Sponsorship |
Are student leaders familiar with the overall organizational structure of Camp Kesem? |
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| ckPO-15: Mission Statement, Logo & Values |
Does the campus properly use the Mission Statement, Logo, and Values in its marketing materials? |
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| ckPO-16: Technical Services |
Is the campus’ website hosted and run through Camp Kesem? |
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Does the campus use its campkesem.org email address as its primary email address? |
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| Does the campus update and actively use Dropbox when required? |
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| ckPO-17: Donation Processing and Banking |
Does the campus properly process reimbursements, donations, and other financial transactions according to the processes outlined in the manual? |
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| ckPO-18: Insurance |
Do the student-leaders understand the Camp Kesem National insurance policy and how it covers their Camp Kesem campus? |
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| ckPO-19: Background Checks |
Were background checks completed for all staff and coordinators? |
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| ckPO-20: Confidentiality |
Has all staff signed the confidentiality agreement? |
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| ckPO-21: National Contribution |
Did the campus make their annual contribution to Camp Kesem National for services provided in the timeline required? |
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