April 26, 2010Presenters: Linda Randolph

EPHS• EH Section Manager Laura Hunter EPHS Bob Reynolds EPHS Craig Rhoads EPHS Erica Logsdon EPHS

Presenters: Thomas Bixler

EPHS Jeff Mefford

EPHS Lindel Gore

EPHS Stephen Njenga

EPHS Brent

Brockmeyer, CPO Instructor

Sign In and Introduction

Pool Ordinance Information

BREAK Sessions

Inspection Chemical

Storage Safety with Brent

Testing Procedures

BREAK

Recreational Water Diseases

Q&A with Inspectors

•Pick up surveys

Certificates

City of Branson Municipal Code Chapter 46 HEALTH AND SANITATION

Division 3. Swimming Pools Sec. 46-121 through 46-169

Definition: Public Swimming Pool- means any place open to the public for swimming or recreative bathing whether or not a fee is charged for use thereof, and shall be classified as pools, outdoor or indoor, which are entirely of artificial construction

Health Permit displayed in a conspicuous place

Indoor Facilities: Inspected 4 times a year, approximately every 3 months (not including complaints or revisits)

Outdoor Facilities: Inspected 3 times a year Usually open in May and close in September Approximately every 5 or 6 weeks

At least one lifeguard shall be provided for swimming pools, spas, and recreational water attractions equal to or greater than 3,400 square feet of pool surface area.

One additional lifeguard shall be provided for each additional 2,000 square feet of pool surface area thereafter.

Clarion pool isRecPlex: requires lifeguards

One unit = Conspicuous location of a throwable device and a reaching device.

One unit shall be provided for each 2,000 square feet of water surface area

Throwable Device: A U.S. Coast Guard Approved Ring, 18 inches in diameter, or throwing buoy fitted with a one-fourth-inch diameter line with a length of 1 ½ times the maximum width of the pool or 50 feet, whichever is less.

Reaching Device: A life pole, or shepherd’s crook type of pole, having blunted ends with a minimum length of 12 ft and able to reach the center of the bottom of the pool at the deep end.

Every swimming pool shall be equipped with a minimum of a Red Cross standard 16-unit first aid kit, or its equivalent.

A spine board should be provided at each pool.

Any swimming pool, spa, or recreational water attraction which is located such that it is not at all times in direct view of the attendant shall have, in the immediate vicinity of the pool, a clearly labeled alarm device that can be activated when a bather is in trouble and is easily heard throughout the area or building. Or the facility shall have a non-pay telephone permanently installed at pool side which is readily accessible and conspicuously located. The telephone shall have signage stating call 911 in case of emergency or contact directly with an attendant.

1. Attendant who has direct line of sight of pool at all times

2. Alarm that rings to an attendant or front desk or be heard throughout facility. There must be someone available to respond to alarm

3. Emergency Phone: Ring to front desk or 911. Clearly mark phone with a sign and dialing directions!!!

Plainly marked at or above the water surface on the pool wall and on the edge of the pool deck, at maximum and minimum points of break between the deep and shallow portions, and at intervals of not more than 25-feet, intervals measured peripherally.

Numerals 4 inches minimum height and a contrasting color with the background.

Entirely surround pool

Not less than 5 feet

Easily cleaned Slip resistant No carpeting Hose bib required

Completely surrounded Not less than 4 feet

high Self-closing and

positive self-latching closure mechanism

The latch shall be installed as high as possible, but at least 4 feet high

Located in a conspicuous place Letters at least 4 inches in high Letters contrasting color from background WARNING SIGNS

Whenever the pool area is opened for use and no lifeguard service is required or provided, warning signs shall be placed in plain view to the entrances and inside the pool area which state

“WARNING--NO LIFEGUARD ON DUTY” legible letters at least 4 inches tall.

Adequate ventilation required in: Bathhouses, mechanical equipment rooms,

storage areas, indoor swimming enclosures

Minimize condensation damage

Prevent direct drafts on swimmers

Children shall not use pool/spa without an adult in attendance.

Persons with infections not permitted. No food, drink, gum or tobacco permitted in pool

or on deck. No containers made of glass or shatterable plastic. Shower before entering and after use of toilet

facilities. No running or rough play. No pets allowed. Do not leave small our young children unattended. Management shall post additional rules as needed

Caution signs. A legible sign visible from the spa shall be provided. It shall state:

“Caution. Any person having an acute or chronic disease such that use of the spa might adversely affect their health should consult a physician before using the spa. Do not use the spa immediately following exercise or while under the influence of alcohol. Do not use the spa longer than ten minutes. Children shall be accompanied by an adult.”

The Virginia Graeme Baker Act went into enforcement action December 19, 2008

The City of Branson also adopted provisions from the Virginia Graeme Baker Act into the current municipal pool ordinance.

All pools in operation at this time (indoor pools) must be in compliance at this time or will be closed.

All pools who haven’t opened (outdoor pools) must come into compliance before opening

Please consult your inspector before making changes to your pool!

Step 1: Does my drain comply with the VGB Act? They must be marked with

VGB 2008

ASME/ANSI A112.19.8 2007 or logo

Flow Rate

Life Span

If field fabricated, must by certified by a Registered Design Professional (Professional Engineer) who provides a copy of a certificate saying it meets the VGB Act Standards, including flow rates, UV exposure, and durability

Is it secure and installed according to manufacturer’s instructions? After installation, integrity of drain cover MUST

be checked regularly (yearly) and replaced IMMEDIATLEY if broken

Step 2: Do you have secondary back up options? Do you have more than 1 main drain going to single

pump? (MUST BE 3 FT DISTANCE FROM CENTERS) If you have a single main drain?

Did you get an SVRS (Safety Vacuum Release System)

Do you have and automatic shut off? Do you have a suction-limiting vent system? Is your drain unblockable? Is your drain gravity fed? Did you disable your main drain? (if you did, did you provide flow rates or turnover rates to show you meet local code?)

SVRS: A safety vacuum release system which ceases operation of the pump, reverses the circulation flow, or otherwise provides a vacuum release at the suction outlet when a blockage is detected, that has been tested standard by an independent third party and found to conform to ASME/ANSI standard A112.19.17 or ASTM F2387

Automatic Pump Shut Off System: a device designed to sense a drain blockage and shut off the pump system

Suction-limiting Vent System: A suction-limiting vent system with a tamper-resistant atmospheric opening.

Unblockable: means a drain of any size and shape that a human body cannot sufficiently block to create a suction entrapment hazard. (from CPSC interpretation) ASME/ANSI A112.19.8 standard of unblockable-

Dimensions of 18’’ x 23”, which represents shoulder to waist measurements of the 99th percentile of adult males.

Gravity Drainage System: A gravity drainage system that utilizes a collector tank.

Drain Disablement: A device or system that disables the drain ONLY IF YOUR INSPECTOR APPROVES IT!!!!! YOU MUST MEET LOCAL CODE TURNOVER

AND FLOW RATES!!!! Turnover Rates Every 6 hours (4x a day) for pools Every 2 hours for wading pools Every 30 minutes for spas

Other Systems can be used but must be determined by the CPSC as equally effective or better than the ones outlined in the VGB Act.

NO DRAIN REVERSALS! (These are not permanent and the department is not approving them)

Swimming pools shall be designed to provide for continuous disinfection of the pool water with a chemical which is an effective disinfectant and which is easily measured, active residual.

An automatic feeder which is easily adjustable SHALL be provided for continuous application of disinfectant

Colormetric, DPD test kit (Diethyl-P-Phenylene Diamine)

Chlorine: 0.2 increments Minimum of 0.2-3.0 range*suggest range at least to

5.0 pH test kit with a range from

6.8-8.2, accurate to the nearest 0.2

Appropriate reagents Reagents replaced annually Demonstrate working

knowledge of proper use

Pool Cleaning System A pool cleaning shall be

provided to remove dirt from the bottom of the pool.

Manual For Operations Instructions for each filter,

pump, or other equipment, drawings, illustrations, chart operating instructions, and parts list to permit to permit proper installation, operation, winterization and maintenance.

Pool water quality should be checked AT LEAST 2 times a day and logged Chlorine: combined, total, and free pH

Any chemicals added should also be written down in the log sheets along with the amounts added

Routine maintenance or repairs need to be logged as well

Rule of Thumb: Store like chemicals with like chemicals

Store acids separate and away from bases Never re-use chemical containers, especially to

store other chemicals Never use the same scoop or utensil for different

chemicals Never use the same cloth to clean up spills Store on a non-absorbent surfaceSTORE IN ACCORDANCE TO MANUFACTURER’S

LABEL

Continuous operation, 24 hours a day, of all pumps, filters, disinfectant feeders, and al related components to the recirculation system shall be maintained.

Free chlorine: Chlorine available to disinfect (kill bacteria and stuff) residual of at least 1.5 ppm-5 ppm

Combined: Chlorine already used up and taking up space (it has already attached to dirt or bacteria)

Total: all the Chlorine in the pool (free and combined) at least 1.5 ppm and not more than 5 ppm

1 ppm = 1 mg/l

If the concentration of combined chlorine greater than 0.2 ppm, than the pool should be super chlorinated to reduce the concentration of combined chlorine

Superchlorination (46-161.f.1): free chlorine raised between 5 to 10 ppm.

Swimmers are not allowed back in until residual below 5 ppm

Total Chlorine=free chlorine + combined chlorine

Test for free chlorine first Ex: 3 ppm

Then determine total chlorine 3.5 ppm

The difference is the amount of combined Example:Total Chlorine – Free Chlorine = Combined

Chlorine

3.5 ppm - 3 ppm = 0.5 ppm

pH maintained between 7.2-8.2

Proper pH levels are important because it prevents eye irritation.

pH of our eyes is 7.5

When Bromine is used as a disinfectant, a residual of 1 ppm shall be maintained for a pool with a pH below 7.8

2 ppm for pH 7.8 or higher

Swimming pool water shall have sufficient clarity that the main drain cover is readily visible at the deepest point of the pool when viewed from the side of the pool.

A black drain cover or two-inch circle around the drain cover is sufficient

Must be readily visible

An algaecide may be used as long as it is in accordance with the label.

Pool water should be between 72 F and 85 F

Air temperature for an indoor swimming pool should be maintained from two to five degrees F above the pool temp. This helps with the humidity and also comfort

of swimmers Spa temperature not over 102 F

Recommended pool and deck be cleaned, the pool water surface skimmed, and the pool walls and bottom vacuumed or brushed, all on a daily basis and while the pool is closed for use.

Pool water turnover at least every 6 hours (4 times a day)

Wading pools must turnover a minimum of every 2 hours

Spa turnover every 30 minutes A flow meter shall be provided to

determine flow rates and turnover rates. It should continuously Located in the recirculation pump discharge

piping

Any critical violation!CRITICAL VIOLATIONS Chemicals out of compliance

Chlorine (free or combined) or pH too high or low Clarity: Cannot clearly see black drain No continuous disinfection Inoperable pumps and filters Entrances not closed Unsanitary conditions, including saunas and

showers Any electrical deficiencies

Ex. Bare wires

Immediate Danger-Any threat to safety of life Ex. No lifeguard, as required by code Ex. No attendant, emergency phone, or alarm

Overhead lights not shatterproof or properly shielded

Backflow prevention device on hose bib Cross connection of potable water to sewage Any repairs to walls, ceilings or floors Absence of anti-entrapment system and standards

(includes lack of proof or documentation)

Positive Coliform and E. coli test (one or both) A sample taken each routine inspection and

possibly complaints, depending on type of complaint

Must shock pool and maintain higher chlorine levels for one turnover (approximately 4 hours)

Swimmers can not return until Chlorine levels below 5ppm

Another water sample will be taken. Pool can remain closed until sample comes back negative

3 GROUPS AND ROTATE EVERY 15 MINUTES

Pool Inspection: 15 minutesWater Testing: 15 minutes

Chemical Safety: BRENT 15 minutes

Diseases that are transmitted through recreational use of water including waterslides, swimming pools and lakes.

Some infect the gastro intestinal and respiratory tracts while others infect skin, ears, and eyes

Leadership Education Communication Water Quality Disinfection Facility Design Planning Prevention Healthy

Swimming

Making a choice to integrate an RWI protection plan into an existing facility risk management plan is the single greatest decision you can make to protect swimmers from RWI’S

Ensure that all staff know the critical role of water testing, proper testing methods, and how to respond if disinfectant levels are not adequate.

Building a communication bridge to your health department and other aquatic facilities is a great way to get information about other outbreaks occurring in your community.

Remember that people care about their health, so a lead-in might be: “To ensure the health and safety of all our visitors, we ask that you remember to follow these easy

“ P-L-E-As” for Healthy Swimming.” Please don’t swim when you have diarrhea.Please don’t swallow the pool waterPlease practice good hygienePlease take your kids on bathroom breaks oftenPlease change diapers in a bathroom, not at

poolsidePlease wash your child thoroughly (especially the

rear end) with soap and water before swimming

Keep the chemical feed equipment and chemicals at optimal levels.

Poor pH control can compromise chlorine’s effectiveness as a disinfectant.

Ensure regular and thorough maintenance of the recirculation and filtration equipment to provide maximum filtration.

Have a written fecal accident response policy and keep records of all fecal accidents, chlorine and pH level measurements, and any major equipment repairs or changes.

http://www.cdc.gov/healthyswimming/fecalresponse.htm

In CDC’s parent interviews, parents uniformly said they changed diapers at poolside because changing rooms were unclean, poorly maintained, and/or had inadequate diaper-changing facilities.

If you allow large groups of diaper/toddler-aged children in the pool consider:

Requiring RWI orientation training for the care providers and make sure they understand that your pool, like most daycare centers, also excludes children ill with diarrhea.

Keeping diaper/toddler-aged children in the pools specifically designated for them.

Encourage swimmers to shower with soap and water before entering the pool.

Post the six “P-L-E-As” that promote Healthy Swimming.

The best advise is to be prepared. If an outbreak does occur, are you ready? Do you have a plan? Collaborate with your local health department. Support the investigation, it can lead to better

illness prevention strategies that can help everyone.

During the past two decades, Crypto has become recognized as the most common cause of RWI’s

in the United States. Causes diarrhea and respiratory infections Protozoa found in infected people’s stool Cannot be seen by the naked eye Survives for a long period of time Resistant to chlorine disinfection Takes approximately 6.7 days to kill in

chlorinated swimming pool

Bacteria Causes severe diarrhea and abdominal

cramps Can lead to hemolytic uremic syndrome

the principal cause of acute kidney failure in children

Chlorine is very effective in killing E. coli 0157:H7 , < 1 minute

E.Coli 0157:H7

A protozoan infection principally of the upper small intestine

Found in infected peoples stool Cannot be seen by the naked eye Takes approximately 45 minutes for

properly chlorinated water to kill

Giardia

Noroviruses are a group of viruses that cause the “stomach flu,” or gastroenteritis (GAS-tro-en-ter-I-tes), in people.

Found in the stool or vomit of infected people

Very contagious and can spread easily from person to person

Disease caused by a group of bacteria called Shigella

Infects the GI tract Characterized by diarrhea accompanied

by fever and nausea, vomiting and cramps

Present in infected individuals stools while they are sick and for a week or two afterwards

Shigella

Pathogenic Bacteria

Hot Tub Rash

Be aware that hot tubs and spas have warmer water than pools, so chlorine or other disinfectants break down faster

Legionnaires’ disease and Pontiac fever are caused by Legionellae bacterium.

Symptoms include anorexia, malaise, myalgia, headaches, rapidly rising fever and chills. Temperatures commonly reach

102° F - 105° F.

Legionella bacterium

Swimmer’s ear (ear ache) is an infection caused by Pseudomonas aeruginosa.

Swimmer’s itch, also called cercarial dermatitis, appears as a skin rash caused by an allergic reaction to certain parasites

Swimmer’s itch

Center for Disease Controlwww.cdc.gov Many images found through

www.google.com Brent Brockmeyer: Vaughn Pools Clarion: for use of Facilities!

US!!!! Contact your inspector for questions or set up a consult of your pool and/or spa.

Your pool supply company

www.cpsp.gov www.apsp.org www.nspf.org

For taking time out to be dedicated to Public Health

Taney County Health DepartmentEnvironmental Section

Questions for Inspectors Questions For Brent

Troubleshooting for pool problems Pumps, filters, etc.

Surveys are important because it helps us have a better Pool School for you next year!!!

www.taneycohealth.org

Please fill out surveys. You will receive your certificate when your survey is turned in. ADD TO SURVEY AT BOTTOM:

Is this your first Pool School? How many years experience? How did you hear about Pool School?

Radio, Newspaper, Flyer, Other Make a consult with your inspector if you have

specific or detailed questions about your specific pool.

Have a Great Day!!!!