Regulation detail

R501-8

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R501-8 Outdoor Youth Programs

Jurisdiction: UT Agency: Utah Department of Health and Human Services (DHHS) — Office of Substance Use and Mental Health, Utah State Hospital, and Office of Licensing
MH_RESIDENTIAL (40%)
Plain-English summary

This rule establishes licensure standards for Outdoor Youth Programs in Utah, governing program administration, staffing qualifications, staff training requirements, client supervision ratios, and admission requirements. Operators must ensure clients aged 13–17 have appropriate equipment, health assessments, and supervision by qualified field staff. Programs must maintain daily logs, conduct staff training of at least 80 hours, and comply with safety protocols including temperature and weight-bearing limits during expeditions.

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Regulation text
R501. Health and Human Services, Administration, Administrative Services, Licensing.
R501-8. Outdoor Youth Programs.
R501-8-1. Authority, Purpose, and Scope.
(1) 
 
This
 
rule
 
is
 
authorized
 
by
 
Section
 
62A-2-106
 
and
 
establishes
 
standards
 
for
 
the
 
licensure
 
of
 
outdoor
 
youth
 
programs. 
This rule is intended to supplement the general provisions required of each human services program in Rule R501-1.
(2) In the event of conflict, this rule shall supersede other rules under Title R501
R501-8-2. Definitions.
(1) The terms used in this rule are defined in Sections 62A-2-101 and R501-1-3.
(2) "Essential equipment" means:
(a) food;
(b) potable water;
(c) sunscreen;
(d) insect repellant;
(e) personal hygiene items;
(f) sleeping bags rated for the current seasonal conditions;
(g) 
 
an
 
additional
 
shelter
 
and
 
ground
 
pad
 
for
 
colder
 
months
 
when
 
the
 
average
 
nighttime
 
temperature
 
is
 
39
 
degrees
 
F.
 
or 
lower; and
(h) basic clothing list and protective gear to ensure client protection against seasonal change in the environment.
(3) "Field" means geographic area in which program hiking, camping and related client services occur.
(4) "Field Office" means the office where coordination of field operations take place.
R501-8-3. Administration.
(1) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
provide
 
an
 
educational
 
component
 
as
 
determined
 
by
 
the
 
Utah
 
State
 
Board
 
of 
Education
 
for
 
clients
 
18
 
years
 
of
 
age
 
or
 
younger
 
who
 
have
 
been
 
removed
 
from
 
their
 
educational
 
opportunities
 
for
 
more
 
than
 
one 
month. 
 
The
 
administrators
 
of
 
the
 
program
 
shall
 
meet
 
and
 
document
 
cooperation
 
with
 
the
 
State
 
Board
 
of
 
Education
 
in
 
accordance 
with Section 62A-2-108.1.
(2) 
 
Each
 
outdoor
 
youth
 
program
 
that
 
advertises
 
as
 
providing
 
educational
 
credit
 
to
 
clients
 
shall
 
be
 
approved
 
by
 
the
 
Utah 
State Board of Education.
(3) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
have
 
a
 
written
 
policy
 
for
 
ensuring
 
that
 
any
 
staff
 
member
 
involved
 
in
 
a
 
suspected 
incident
 
of
 
child
 
abuse
 
or
 
code
 
of
 
conduct
 
violation
 
does
 
not
 
work
 
directly
 
with
 
the
 
youth
 
involved
 
or
 
any
 
other
 
youth
 
in
 
the 
program until the investigation is completed or formal charges have been filed and adjudicated,
R501-8-4. Program Requirements.
(1) 
 
Each
 
program
 
that
 
operates
 
in
 
Utah
 
and
 
another
 
state
 
shall
 
meet
 
the
 
requirements
 
for
 
licensure
 
as
 
established
 
by
 
each 
state.
(2) 
 
The
 
program
 
field
 
director,
 
program
 
executive
 
director,
 
and
 
governing
 
body
 
for
 
each
 
expedition
 
group
 
shall
 
develop 
and approve a written plan which may not expose clients to unreasonable risks.
(3) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
provide
 
the
 
office
 
with
 
each
 
outdoor
 
youth
 
program
 
training
 
plan
 
governing 
consequences for client and staff conduct, and the office shall review and approve the plan before implementation.
(4) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
ensure
 
that
 
each
 
client
 
has
 
clothing
 
and
 
equipment
 
to
 
protect
 
the
 
client
 
from
 
the 
environment. This equipment may never be removed, denied, or made unavailable.
(5) 
 
During
 
an
 
expedition,
 
if
 
a
 
client
 
refuses
 
or
 
cannot
 
hike
 
or
 
to
 
carry
 
the
 
client's
 
equipment,
 
the
 
group
 
shall
 
cease
 
hiking. 
Each
 
program
 
shall
 
establish,
 
document,
 
and
 
resolve
 
the
 
reasons
 
for
 
the
 
client's
 
refusal
 
or
 
inability
 
to
 
continue
 
before
 
hiking 
continues.
(6) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
ensure
 
that
 
deprivation
 
of
 
essential
 
equipment
 
or
 
items
 
shall
 
not
 
be
 
used
 
as
 
a 
consequence.
(7) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
conduct
 
an
 
individual
 
assessment
 
of
 
each
 
client's
 
recommended
 
backpack
 
weight. 
Each
 
backpack
 
weight
 
guideline
 
may
 
not
 
exceed
 
20
 
%
 
of
 
the
 
client's
 
body
 
weight. 
 
If
 
a
 
client
 
is
 
required
 
to
 
carry
 
other
 
items,
 
the 
total
 
weight
 
carried
 
shall
 
not
 
exceed
 
30
 
%
 
of
 
the
 
client's
 
body
 
weight
 
unless
 
individually
 
documented
 
with
 
parental
 
permission
 
to 
exceed this ratio.
(8) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
provide
 
clients
 
with
 
clean
 
clothing
 
at
 
least
 
weekly
 
and
 
shall
 
provide
 
a
 
means
 
for 
each client to bathe or otherwise clean the client's body at least twice weekly.
(9) 
 
Hiking
 
shall
 
not
 
exceed
 
the
 
physical
 
capability
 
of
 
the
 
weakest
 
member
 
of
 
the
 
group.
 
Hiking
 
shall
 
be
 
prohibited
 
at 
temperatures above 90 degrees F. or at temperatures below ten degrees F.
(10) A field staff in each group shall carry a means to accurately measure and display the current temperature.
(11) 
 
Each
 
expedition
 
plan
 
including
 
map
 
routes,
 
anticipated
 
schedules,
 
and
 
times
 
shall
 
be
 
carried
 
by
 
the
 
field
 
staff
 
and 
recorded in the field office.
(12) 
 
A
 
field
 
staff
 
in
 
each
 
group
 
shall
 
maintain
 
a
 
signed
 
daily
 
log
 
or
 
dictate
 
a
 
recorded
 
log
 
to
 
be
 
transcribed
 
and
 
signed 
immediately following termination of the activity to contain the following information:
(a) each critical incident;
(b) prescription compliance;
(c) each medical concern;
(d) each behavioral concern or refusal to hike and how the concern is addressed;
(e) each unusual occurrence; and
(f) each log entry shall be recorded in an un-editable format and remain available to the office upon request.
(13) 
 
Each
 
program
 
staff
 
shall
 
be
 
required
 
to
 
carry
 
an
 
accurate,
 
reliable
 
time
 
piece
 
accurately
 
reflecting
 
the
 
time
 
of
 
day 
and for documentation purposes in log notes and incident reports.
(14) 
 
Program
 
administration
 
is
 
responsible
 
to
 
train
 
each
 
staff
 
regarding
 
the
 
standards
 
of
 
this
 
section
 
and
 
to
 
regularly 
monitor and ensure compliance.
R501-8-5. Staff, Interns, and Volunteers.
(1) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
have
 
a
 
governing
 
body
 
and
 
an
 
executive
 
director
 
who
 
shall
 
have
 
responsibility 
and
 
authority
 
over
 
the
 
policies
 
and
 
activities
 
of
 
the
 
program
 
and
 
shall
 
coordinate
 
office
 
and
 
support
 
services
 
and
 
training. 
 
The 
executive director shall have the following qualifications:
(a) be at least 25 years of age;
(b) have a bachelor's degree or equal training and experience in a related field;
(c) have at least two years of outdoor youth program administrative experience;
(d) 
 
have
 
at
 
least
 
30
 
credit
 
hours
 
education
 
in
 
recreational
 
therapy
 
or
 
related
 
experience
 
or
 
one-year
 
outdoor
 
youth 
program field experience;
(e) demonstrate knowledge and understanding of relevant licensing rules; and
(f) have completed each required staff training.
(2) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
have
 
a
 
direct
 
care
 
field
 
director
 
who
 
has
 
primary
 
responsibility
 
for
 
coordinating 
field operations, managing field staff, operating the field office, and supervising emergency response procedures.
(3) A field director or a qualified designee shall:
(a) be trained as a direct care staff in accordance with Section R501-1-14;
(b) be at least 25 years of age;
(c) have a bachelor's degree or equal training and experience in a related field;
(c) have at least two years of outdoor youth program field experience;
(d) visit in the field at least two days a week with no more than five days between visits; and
(e) document each field visit, including:
(i) the condition of each client;
(ii) interactions with clients and staff;
(iii) incidents and interventions to be reported to each client's guardian and the office;
(iv) 
 
each
 
report
 
of
 
compliance
 
with
 
Subsection
 
62A-2-123(6)
 
regarding
 
weekly
 
confidential
 
communication
 
with
 
family; 
and
(v) staff compliance with each policy and rule.
(4) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
have
 
field
 
support
 
staff
 
to
 
be
 
responsible
 
for
 
delivering
 
supplies
 
and
 
mail
 
to
 
the 
field, communication with each client in the field, and first aid support.
(5) 
 
Each
 
outdoor
 
youth
 
program
 
group
 
shall
 
have
 
direct
 
care
 
senior
 
field
 
staff
 
working
 
directly
 
with
 
the
 
client
 
who
 
shall 
meet the following qualifications:
(a) be trained as a direct care staff in accordance with Section R501-1-14;
(b) be at least 21 years of age;
(c) 
 
have
 
an
 
associate's
 
degree
 
or
 
high
 
school
 
diploma
 
with
 
30
 
credit
 
hours
 
of
 
education
 
and
 
training
 
or
 
comparable 
experience and training in a related field; and
(d) 
 
have
 
six
 
months
 
outdoor
 
youth
 
program
 
field
 
experience
 
or
 
comparable
 
experience
 
which
 
shall
 
be
 
documented
 
in 
the individual's personnel file.
(6) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
have
 
direct
 
care
 
field
 
staff
 
working
 
directly
 
with
 
the
 
clients
 
who
 
shall
 
meet
 
the 
following qualifications:
(a) be at least 20 years of age;
(b) have a high school diploma or equivalent;
(c) 
 
have
 
48
 
field-days
 
of
 
outdoor
 
youth
 
program
 
experience
 
or
 
comparable
 
experience
 
which
 
shall
 
be
 
documented
 
in
 
the 
individual's personnel file; and
(d) exhibit skilled leadership.
(7) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
have
 
direct
 
care
 
assistant
 
field
 
staff
 
as
 
required
 
to
 
meet
 
or
 
exceed
 
staff
 
to
 
client 
ratios. Assistant field staff shall meet the following qualifications:
(a) be at least 19 years of age;
(b) have a high school diploma or equivalent;
(c) have 24 field-days of outdoor youth programs experience; and
(d) exhibit skilled leadership.
(8) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
have
 
a
 
licensed
 
physician
 
and
 
mental
 
health
 
professional
 
accessible
 
to
 
each
 
client.
(9) 
 
Each
 
outdoor
 
youth
 
program
 
may
 
have
 
interns
 
or
 
volunteers
 
who
 
are
 
learning
 
the
 
program
 
practices
 
while
 
completing 
educational requirements.
(a) Each intern shall be at least 19 years of age.
(b) Each volunteer shall be at least 18 years of age.
(c) 
 
Staff
 
training
 
shall
 
be
 
completed
 
by
 
each
 
incoming
 
staff
 
including
 
interns
 
and
 
volunteers
 
regardless
 
of
 
background 
experience.
(d) 
 
Each
 
volunteer
 
and
 
intern
 
shall
 
be
 
supervised
 
by
 
the
 
clinical
 
director,
 
program
 
administration,
 
or
 
senior
 
direct
 
care 
staff.
(e) Each intern and volunteer shall never directly supervise a client.
R501-8-6. Client Supervision.
(1) 
 
Each
 
youth
 
group
 
shall
 
be
 
directly
 
supervised
 
by
 
at
 
least
 
two
 
direct
 
care
 
staff,
 
one
 
of
 
which
 
must
 
be
 
a
 
direct
 
care 
senior field staff.
(2) 
 
Each
 
field
 
group
 
may
 
not
 
exceed
 
16
 
people
 
with
 
a
 
ratio
 
of
 
at
 
least
 
one
 
staff
 
per
 
four
 
clients. 
 
Staff
 
shall
 
count
 
towards 
the field group size.
(3) Each volunteer shall be counted as a client in figuring staff to client ratios.
(4) 
 
Field
 
group
 
size
 
may
 
not
 
exceed
 
the
 
number
 
specified
 
by
 
federal,
 
state,
 
or
 
local
 
agencies
 
in
 
whose
 
jurisdiction
 
the 
program is operated.
R501-8-7. Staff Training.
(1) An outdoor youth program shall provide at least 80 hours initial staff training.
(2) 
 
Initial
 
staff
 
training
 
may
 
not
 
be
 
considered
 
completed
 
until
 
the
 
staff
 
have
 
demonstrated
 
to
 
the
 
field
 
director 
proficiency in each of the following areas:
(a) counseling, teaching and supervisory skills;
(b) water, food, and shelter procurement, preparation, and conservation;
(c) low impact wilderness expedition and environmental conservation skills and procedures;
(d) client management, including containment, control, safety, conflict resolution, and behavior management;
(e) instruction in safety procedures and safe equipment use, fuel, fire, life protection, and related tools;
(f) 
 
instruction
 
in
 
emergency
 
procedure,
 
medical
 
treatment,
 
evacuation,
 
weather,
 
signaling,
 
fire,
 
and
 
dealing
 
with
 
runaway 
and lost clients;
(g) sanitation procedures, water, trash, human waste, food handling;
(h) wilderness medicine, including health issues related to acclimation, exposure to the environment, and anaphylaxis;
(i) 
 
CPR,
 
standard
 
first
 
aid,
 
first
 
aid
 
kit
 
contents
 
and
 
use,
 
and
 
the
 
program's
 
medication
 
management
 
policy
 
and
 
procedure;
(j) navigation skills, including map and compass use and contour and celestial navigation;
(k) 
 
local
 
environmental
 
precautions,
 
including
 
terrain,
 
weather,
 
spiders,
 
ticks,
 
scorpions,
 
snakes,
 
insects,
 
predatory 
animals,
 
poisonous
 
plants,
 
giardia,
 
frostbite,
 
hypothermia,
 
heat
 
exhaustion,
 
dehydration,
 
responses
 
to
 
adverse
 
situations,
 
and 
emergency evacuation;
(l) leadership and judgment;
(m) report writing, including required development and maintenance of logs; and
(n) federal, state, and local regulations.
(3) 
 
At
 
least
 
80
 
hours
 
of
 
initial
 
staff
 
training
 
shall
 
be
 
completed,
 
documented,
 
and
 
maintained
 
in
 
each
 
staff
 
personnel
 
file.
(4) 
 
The
 
field
 
director
 
or
 
equally
 
qualified
 
designee
 
shall
 
document
 
in
 
each
 
personnel
 
file
 
how
 
the
 
field
 
director
 
or 
qualified
 
designee
 
determined
 
that
 
each
 
staff
 
has
 
demonstrated
 
proficiency
 
in
 
each
 
of
 
the
 
required
 
topic
 
areas
 
as
 
listed
 
in
 
Subsection 
(2) of this section.
(5) 
 
Each
 
initial
 
staff
 
training
 
and
 
demonstration
 
of
 
proficiency
 
must
 
be
 
completed
 
and
 
documented
 
before
 
the
 
staff
 
may 
count in the staff client ratio.
(6) 
 
Each
 
program
 
shall
 
provide
 
and
 
document
 
on-going
 
staff
 
training
 
to
 
improve
 
proficiency
 
in
 
knowledge
 
and
 
skills 
and to maintain certifications.
R501-8-8. Staff Health Requirements.
(1) Before engaging in any field activity, each staff shall adhere to the following:
(a) 
 
each
 
field
 
staff,
 
intern,
 
and
 
volunteer
 
shall
 
have
 
an
 
annual
 
physical
 
examination
 
and
 
health
 
history
 
signed
 
by
 
a 
licensed medical professional;
(b) a recognized physical stress assessment shall be completed as part of the physical examination of each staff;
(c) 
 
the
 
physical
 
examination
 
of
 
each
 
staff
 
shall
 
be
 
reviewed
 
and
 
maintained
 
by
 
the
 
provider
 
in
 
the
 
staff
 
personnel
 
file; 
and
(d) each program staff, intern, and volunteer shall submit to drug and alcohol screening upon request.
R501-8-9. Client Admission Requirements.
(1) 
 
Each
 
client
 
shall
 
be
 
no
 
younger
 
than
 
13
 
years
 
of
 
age
 
and
 
no
 
older
 
than
 
17
 
years
 
of
 
age
 
and
 
shall
 
have
 
a
 
current
 
health 
history report which includes notation of client physical limitations and prescriptive medications.
(2) 
 
The
 
health
 
history
 
report
 
shall
 
be
 
completed,
 
submitted,
 
and
 
verified
 
by
 
each
 
client's
 
parent
 
or
 
guardian
 
as
 
part
 
of
 
the 
intake screening or assessment in accordance with Sections R501-1-18 and R501-1-23 and before entry into the field.
(3) 
 
An
 
admissions
 
assessment
 
shall
 
be
 
conducted
 
by
 
a
 
treatment
 
professional
 
before
 
each
 
client
 
enters
 
into
 
the
 
field
 
and 
shall include the following:
(a) 
 
a
 
review
 
of
 
each
 
client's
 
social
 
and
 
psychological
 
history
 
with
 
the
 
client's
 
parent
 
or
 
legal
 
guardian
 
before
 
enrollment; 
and
(b) an interview with the client before entrance into the field program.
(4) before entry into the field and within 15 days of admission to the program, the following requirements must be met:
(a) 
 
a
 
licensed
 
medical
 
professional
 
must
 
review
 
each
 
client's
 
health
 
history
 
report
 
and
 
conduct
 
a
 
physical
 
examination; 
and
(b) 
 
the
 
program
 
shall
 
provide
 
a
 
physical
 
examination
 
form
 
to
 
a
 
licensed
 
medical
 
professional
 
that
 
clearly
 
states
 
a 
description
 
of
 
the
 
physical
 
demands
 
and
 
environment
 
of
 
the
 
program,
 
and
 
requires
 
the
 
following
 
information
 
before
 
a
 
client
 
may 
enter the field:
(i) a urinalysis drug screen;
(ii) a complete blood count (CBC) unless waived in writing by the client's parent or guardian;
(iii) a complete metabolic profile (CMP) unless waived in writing by the client's parent or guardian;
(iv) a urinalysis for possible infections;
(v) a pregnancy test;
(vi) a physical stress assessment;
(vii) 
 
a
 
determination
 
by
 
the
 
physician
 
if
 
detoxification
 
is
 
indicated
 
for
 
client
 
before
 
entrance
 
into
 
field
 
portion
 
of
 
the 
program;
(vii) any other tests as necessary to assess fitness for the field portion of the program; and
(ix) 
 
a
 
medical
 
professional
 
shall
 
review
 
current
 
and
 
historical
 
medical
 
data
 
and
 
approve
 
the
 
client
 
to
 
enter
 
the
 
field
 
with 
recommendations for any medical monitoring.
(5) 
 
A
 
copy
 
of
 
each
 
client's
 
medical
 
forms
 
and
 
approvals
 
shall
 
be
 
maintained
 
at
 
the
 
field
 
office
 
and
 
another
 
copy
 
shall
 
be 
carried by staff members in a waterproof container throughout the field expedition.
(6) 
 
Each
 
program
 
must
 
clinically
 
review
 
each
 
client's
 
psychological
 
history
 
and
 
conduct
 
an
 
additional
 
psychological 
assessment as clinically necessary before the client's entry into the field..
(7) 
Upon
 
admission
 
and
 
for
 
a
 
period
 
of
 
no
 
fewer
 
than
 
three
 
days
 
in
 
the
 
field,
 
direct
 
care
 
field
 
staff
 
shall
 
closely
 
monitor 
each client for any health problems that may be a result of hiking or living outdoors.
R501-8-10. Water and Nutritional Requirements.
(1) 
 
At
 
least
 
six
 
quarts
 
of
 
potable
 
water
 
shall
 
be
 
available
 
per
 
person
 
per
 
day,
 
plus
 
one
 
additional
 
quart
 
per
 
person
 
for 
each
 
five
 
miles
 
hiked.
 
Although
 
it
 
is
 
not
 
required
 
that
 
the
 
entire
 
amount
 
be
 
hand
 
carried,
 
water
 
shall
 
always
 
be
 
accessible
 
during 
hiking.
(2) 
 
In
 
temperatures
 
above
 
90
 
degrees
 
F.,
 
staff
 
shall
 
make
 
sure
 
each
 
client's
 
fluid
 
intake
 
is
 
at
 
least
 
three
 
quarts
 
of
 
water 
per day.
(3) Each field group in the field shall always have electrolyte replacement available.
(4) 
 
In
 
temperatures
 
above
 
80
 
degrees
 
F.,
 
water
 
shall
 
be
 
available
 
for
 
coating
 
each
 
client's
 
body,
 
and
 
other
 
techniques 
shall be available for cooling as needed.
(5) 
 
Potable
 
water
 
shall
 
be
 
available
 
at
 
each
 
campsite. 
 
Water
 
cache
 
location
 
information
 
shall
 
be
 
verified
 
with
 
field
 
staff 
before the group leaves camp each day.
(6) 
 
No
 
expedition
 
group
 
shall
 
depend
 
on
 
aerial
 
drops
 
for
 
water. 
 
Aerial
 
water
 
drops
 
shall
 
be
 
used
 
for
 
emergency
 
situations 
only.
(7) 
 
Water
 
from
 
natural
 
sources
 
shall
 
be
 
made
 
safe
 
to
 
drink
 
through
 
boiling,
 
filtering,
 
or
 
disinfection
 
in
 
accordance
 
with 
the center for disease control guidance.
(8) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
have
 
a
 
written
 
menu
 
describing
 
food
 
supplied
 
to
 
the
 
client
 
which
 
shall
 
provide
 
at 
least
 
3,000
 
calories
 
per
 
day
 
while
 
in
 
the
 
field. 
 
There
 
must
 
be
 
fresh
 
fruit
 
and
 
vegetables
 
available
 
at
 
least
 
twice
 
a
 
week. 
 
Food
 
shall 
never
 
be
 
withheld
 
from
 
a
 
client
 
for
 
any
 
reason. 
 
If
 
no
 
fire
 
is
 
available,
 
other
 
food
 
of
 
equal
 
caloric
 
value,
 
which
 
does
 
not
 
require 
cooking, shall be available.
(a) 
 
The
 
menu
 
shall
 
be
 
adjusted
 
to
 
increase
 
minimum
 
dietary
 
needs
 
as
 
energy
 
expenditure,
 
including
 
exercise
 
and
 
climate 
conditions, dictate.
(b) Food shall be from a balance of the food groups.
(c) Forage items may not count toward the determination of caloric intake.
(d) Multiple vitamin supplements shall be offered daily.
R501-8-11. Health Care.
(1) Each outdoor youth program shall provide first aid treatment promptly.
(2) 
 
When
 
a
 
client
 
has
 
an
 
illness
 
or
 
physical
 
complaint
 
that
 
does
 
not
 
respond
 
to
 
or
 
cannot
 
be
 
treated
 
by
 
standard
 
first
 
aid, 
the program shall immediately arrange for the client to be seen and treated as indicated by a licensed medical professional.
(3) 
 
Each
 
client's
 
physical
 
condition
 
shall
 
be
 
assessed
 
at
 
least
 
every
 
14
 
days
 
by
 
a
 
qualified
 
medical
 
professional.
 
Blood 
pressure,
 
heart
 
rate,
 
allergies,
 
and
 
general
 
physical
 
condition
 
shall
 
be
 
checked
 
and
 
documented.
 
Any
 
assessment
 
concerns
 
shall
 
be 
documented,
 
and
 
the
 
client
 
shall
 
be
 
taken
 
to
 
the
 
appropriate
 
medical
 
professional
 
for
 
treatment. 
 
There
 
may
 
be
 
no
 
consequences 
issued to a client for requesting to see a health care professional or for anything said to a health care professional.
(4) 
 
Each
 
prescription
 
and
 
over
 
the
 
counter
 
medication
 
shall
 
be
 
kept
 
in
 
the
 
secure
 
possession
 
of
 
designated
 
staff
 
and 
provided to clients in accordance with labels or prescription directions.
(5) 
 
Staff
 
shall
 
be
 
trained
 
for
 
medication
 
administration
 
in
 
accordance
 
with
 
Rule
 
R501-1
 
and
 
shall
 
communicate
 
with
 
the 
field director and document reason and plan for any lost or missing prescription medication.
(6) A foot check will be conducted at least twice daily and documented.
R501-8-12. Safety.
(1) 
 
Each
 
first
 
aid
 
kits
 
shall
 
include
 
sufficient
 
supplies
 
for
 
the
 
activity,
 
location,
 
and
 
environment
 
as
 
approved
 
by
 
the 
program's medical professional. First aid kit supplies shall be available during each field activity.
(2) Each outdoor youth program shall have a support system that meets the following criteria:
(a) 
 
reliable
 
daily
 
two-way
 
radio
 
communications
 
between
 
groups
 
and
 
with
 
support
 
staff,
 
with
 
additional
 
charged
 
battery 
packs and a reliable backup system of contact in the event the radio system fails;
(b) the support vehicles and field office shall be equipped with first aid equipment;
(c) 
 
the
 
support
 
and
 
field
 
staff
 
shall
 
have
 
access
 
to
 
contact
 
information
 
including
 
telephone
 
numbers,
 
locations,
 
contact 
personnel, maps, medical forms, and procedures for an emergency evacuation or field incident; and
(d) 
 
daily
 
morning
 
and
 
evening
 
contacts
 
shall
 
be
 
completed
 
between
 
field
 
staff,
 
support
 
staff,
 
and
 
the
 
field
 
office
 
and 
contacts shall be documented in the field office log daily.
R501-8-13. Field Office.
(1) Each program shall maintain a field office.
(2) 
 
Communication
 
systems
 
between
 
the
 
field
 
and
 
the
 
field
 
office
 
shall
 
be
 
monitored
 
24
 
hours
 
a
 
day
 
when
 
clients
 
are
 
in 
the field.
(3) Support staff shall respond immediately to any emergency situation.
(4) Support staff on duty shall be within one hour of any field group.
(5) When
 
staff
 
are
 
not
 
present
 
in
 
the
 
field
 
office
 
a
 
contact
 
telephone
 
number
 
shall
 
be
 
posted
 
on
 
the
 
field
 
office
 
door
 
and 
the
 
field
 
director
 
shall
 
designate
 
responsible
 
on-call
 
staff
 
who
 
shall
 
continually
 
monitor
 
communications
 
and
 
remain
 
available
 
and 
able to access all necessary equipment and files within 15 minutes.
(6) Field office staff shall adhere to the following:
(a) maintain current staff and client records in accordance with Rule R501-1;
(b) maintain a master map of each activity area;
(c) 
 
maintain
 
copies
 
of
 
each
 
expeditionary
 
route
 
with
 
its
 
schedule
 
and
 
itinerary
 
to
 
be
 
immediately
 
available
 
to
 
the
 
office 
and emergency medical services, law enforcement or search and rescue agencies as needed;
(d) maintain a log of daily communications;
(e) be responsible for training and orientation, management of field personnel, related files, and records; and
(f) be responsible for maintaining communications, inspecting equipment, and overseeing medical incidents.
R501-8-14. Environmental Requirements.
(1) 
 
Each
 
outdoor
 
youth
 
program
 
shall
 
adhere
 
to
 
land
 
use
 
agency
 
requirements
 
including 
 
sanitation
 
and
 
low
 
impact 
camping.
(2) Each client shall be continuously supervised in the observance of low impact camping requirements.
(3) Personal hygiene supplies shall be of biodegradable materials or packed out and properly disposed of.
R501-8-15. Evaluation.
(1) 
 
Following
 
the
 
wilderness
 
experience,
 
each
 
client
 
shall
 
receive
 
a
 
debriefing
 
to
 
include
 
a
 
written
 
summary
 
of
 
the 
client's participation and the progress the client achieved.
(2) 
 
Each
 
guardian,
 
client,
 
or
 
other
 
involved
 
individuals
 
shall
 
be
 
provided
 
the
 
opportunity
 
and
 
be
 
encouraged
 
to
 
submit
 
a 
written evaluation of the wilderness experience, which shall be retained by the program in the client file record.
R501-8-16. Individual Experiences.
(1) 
 
If
 
an
 
outdoor
 
youth
 
program
 
conducts
 
an
 
individual
 
component
 
for
 
clients
 
as
 
part
 
of
 
the
 
program,
 
the
 
program
 
shall 
have and follow written policies and procedures, which shall include the following:
(a) an assessment of each client's ability to safely participate in the experience;
(b) a description of the individual component to ensure that each client is not exposed to an unreasonable risk;
(c) guardian permission for the youth to participate in the experience;
(d) 
 
a
 
policy
 
that
 
individual
 
experiences
 
are
 
not
 
required
 
and
 
must
 
be
 
entered
 
voluntarily
 
by
 
the
 
client
 
or
 
only
 
as
 
clinically 
indicated;
(e) a policy of providing preparatory instruction and guidance to the client before an individual experience;
(f) an individual assessment of client readiness;
(g) a description of the maximum duration of each individual experience;
(h) a policy explaining that a solo experience may not be used as a punishment or general practice;
(i) a policy that each staff shall be familiar with the area chosen to conduct individual experiences;
(j) 
 
a
 
supervision
 
plan
 
for
 
each
 
individual
 
event
 
with
 
a
 
frequent
 
check-in
 
to
 
allow
 
each
 
client
 
to
 
rescind
 
voluntary 
participation and go back to the group;
(k) documentation of the duration of each individual event;
(l) a plan for managing emergencies; and
(m) 
 
documentation
 
of
 
how
 
each
 
individual
 
program
 
component
 
is
 
not
 
used
 
as
 
seclusion
 
or
 
in
 
violation
 
of
 
Section
 
62A-
2-123.
R501-8-17. Stationary Camp Sites.
(1) 
 
A
 
program
 
offering
 
a
 
stationary
 
camp
 
that
 
does
 
not
 
provide
 
a
 
24-hour
 
outdoor
 
group
 
living
 
environment
 
may
 
require 
residential treatment licensure.
(2) 
 
An
 
outdoor
 
youth
 
program
 
that
 
maintains
 
a
 
designated
 
building
 
to
 
serve
 
a
 
client
 
shall
 
be
 
subject
 
to
 
fire,
 
health,
 
and 
safety standards.
(a) 
 
A
 
stationary
 
outdoor
 
youth
 
program
 
camp
 
shall
 
be
 
inspected
 
by
 
a
 
certified
 
fire
 
inspector
 
before
 
being
 
occupied
 
and 
on an annual basis thereafter. A copy of the inspection shall be maintained at the outdoor youth program camp.
(b) At least one 2-A-10BC type fire extinguisher shall be in a group of tents within a 75- foot travel distance.
(c) 
 
Flammable
 
liquids
 
may
 
not
 
be
 
used
 
to
 
start
 
fires,
 
be
 
stored
 
in
 
structures
 
that
 
house
 
clients,
 
or
 
be
 
stored
 
near
 
ignition 
sources. If generators are used, they will only be refueled by staff when the generator is not running and cool to the touch.
(d) 
 
A
 
stationary
 
outdoor
 
youth
 
program
 
camp
 
shall
 
be
 
inspected
 
by
 
the
 
local
 
health
 
department
 
before
 
being
 
occupied 
and on an annual basis thereafter. A copy of the inspection shall be maintained at the site of the camp.
(e) Food shall be stored, prepared, and served in a manner that is protected from contamination.
(f) 
 
Each
 
water
 
supply
 
shall
 
be
 
from
 
a
 
source
 
that
 
is
 
accepted
 
by
 
the
 
local
 
health
 
authority
 
according
 
to
 
Rule
 
R392-300, 
Recreation Camp Sanitation, at the time of application and for annual renewal of such licenses.
(g) 
Sewage
 
shall
 
be
 
disposed
 
of
 
through
 
a
 
public
 
system,
 
or
 
in
 
absence
 
of
 
a
 
public
 
system,
 
in
 
a
 
manner
 
approved
 
by
 
the 
local health authority, according to Rule R392-300, Recreation Camp Sanitation.
KEY: licensing, human services, youth
Date of Last Change: March 7, 2022
Notice of Continuation: October 3, 2022
Authorizing, and Implemented or Interpreted Law: 62A-2-101 et seq.