Swimming Pool / Spa
Inspection Report


Linn County Public Health
501 - 13th Street NW
Cedar Rapids, IA 52405-3700
Phone: (319) 892-6000 Fax: (319) 892-6099
E-mail: health@linncounty.org
  Facility Name: Five Seasons M/H Est
Address: 3421 Blairs Ferry Rd NE
Cedar Rapids, IA  52402
Person Contacted: Shelby Boehlke
Title: Assistant Manager
Registration No: 57-1218-017-1-B-001
Type: Routine

Water Quality Information
Name: Out. Pool < 1500
Registration No: 57-1218-017-1-B-001
Area (ft.): 780
Volume (Sq. ft.): 35000
Filter Type: Sand
Filter Rate:
Turnover Rate:
Chlorine (Free): 1.4
ORP: 637
Pool: 1-8ppm, ORP 700-880 mV
If less than 0.6ppm or greater than 8.0ppm = closure
Spa: 2-8 ppm ORP 700-880 mV
If less than 1.0ppm or greater than 8.0ppm = closure
Chlorine (Total): 1.4
Chlorine (Combined): 0
Bromine:
Pool: 2-18ppm Spa: 4-18ppm
Water Quality Information (continued)
Cyanuric Acid: 30
Must be less than 80 ppm
pH: 7.6
Pool and Spa: 7.2ppm-7.8ppm
If less than 6.8 or greater than 8.2 = closure
Total Alkalinity: 80
Calcium Hardness: 250
Temperature (F):
Spa must not exceed 104°
Type of Disinfectant: Chlorine
Smoke Free Air Act
1. Facility in compliance with smoking ban?
( If no, complete complaint form )

Notes: Pool closed at time of inspection due to not having paperwork for VGB compliance on main drain covers.

Leak present at sand filter nearest control building door. Fix this leak as soon as possible.

Contact Dustin with questions at (319) 892-6034

# Section Reference Ref. Page
1) Management/Personnel Pool: 15.4(6)f 24
Spa: 15.51(5)e 17
  Comment: No operational records on-site for previous 12 months.
  Item: CPO must keep previous 12 months of Operational Records
   
2) Management/Personnel Pool: 15.4(6)f 24
Spa: 15.51(5)e 17
  Comment: No monthly microbial analyses currently being submitted. No reports of complaints/injuries/illnesses kept on site. No dates for training on pool emergency plan nor on annual review of MSDS.
  Item: Records shall include results of chemical tests, results of microbial analyses, reports of complaints/injuries/illnesses, daily water temp. (spa), dates of draining/cleaning, and dates of review of MSDS
   
3) Management/Personnel Pool: 15.4(6)l 25
Spa: 15.51(5)j 18
  Comment: No written emergency action plan currently for the facility.
  Item: A written emergency plan shall be provided and reviewed annually
   
4) Management/Personnel Pool: 15.4(6)f(4) 24
Spa: 15.51(5)e(5) 17
  Comment: Not currently indicating dates and quantities of chemical in operational records.
  Item: Dates and quantities of chemical additions (superchlorination) must be included in Operational Records
   
5) Management/Personnel Pool: 15.4(4)h(1) 18
Spa: 15.51(4)f 14
  Comment: No VGB compliant drain cover installation date paperwork available on-site.
  Item: Main drain and Safety Vacuum Release System documentation (VGB) with dates of installation must be kept in facility. Each SVRS shall be tested monthly and the test dates recorded
   
6) Safety Spa: 15.51(4)b(5) 13
  Comment: stair handrail loose.
  Item: Spa ladders, handrails, and grab rails shall be securely anchored.
   
  Name   Date
Inspector: Inspection:
     
Report Received By: Received:
Reviewed By: Reviewed:

These items must be corrected as soon as possible in order to comply with the Iowa Department of Public Health Swimming Pool and Spa Rules. A letter regarding the actions which will be taken in order to correct all deficiencies must be submitted within 30 days to this office. If for any reason you take issue with any of the items cited regarding swimming pool rules, a variance can be requested by following the instructions in the Iowa Department of Public Health Swimming Pools manual, amended July 8th, 2009, page 57, section 641-15.7 (135I). Variance requests regarding spa rules must be made in compliance with the instructions in the Iowa Department of Public Health Spa manual, revised July 8th, 2009, page 32, section 641-15.7 (135I).