Five Seasons M/H Est Pool Inspection Report

Swimming Pool / Spa
Inspection Report

Linn County Public Health
1020 - 6th Street SE
Cedar Rapids, IA 52401
Phone: (319) 892-6000 Fax: (319) 892-6099
E-mail: health@linncountyiowa.gov

Facility Name: Five Seasons M/H Est

Address:	3421 Blairs Ferry Rd NE
	Cedar Rapids, IA 52402

Person Contacted: Dustin Osborn / Renee Bates
Title: CPO / Community Manager
Registration No: SP57-017-100
Type: Routine

Water Quality Information
Name:	Out. Pool < 1500
Registration No:	SP57-017-100
Area (Sq. ft.):	780
Volume (Gallons):	35000
Filter Type:	Sand
Filter Rate:
Turnover Rate:
Chlorine (Free):	1.6
ORP:	743/7.4
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):	1.6
Chlorine (Combined):	0
Bromine:	NA
Pool: 2-18ppm Spa: 4-18ppm

Water Quality Information (continued)
Cyanuric Acid:	<40
Must be less than 80 ppm
pH:	7.2
Pool and Spa: 7.2ppm-7.8ppm If less than 6.8 or greater than 8.2 = closure
Total Alkalinity:	40
Calcium Hardness:	590
Temperature (F):	81.2
Spa must not exceed 104°
Type of Disinfectant:	Chlorine
Disinfection make and model:	Pulsar 1
Drain Cover make and model:	Hayward 9x9
Drain Cover exp. date:	7/16/2026
CPO:
CPO exp. date:

Smoke Free Air Act
1. Facility in compliance with smoking ban?
Yes	No
( If no, complete complaint form )

Notes: Inspector closed pool today due to violations # 2, 5, 6, 7, 8, 9, 10.
Once inspector verifies those violations are corrected, pool may reopen.

Please email a letter of correction stating how the remaining violations have been and/or will be corrected to diane.midcalf@linncountyiowa.gov within 30 days.

Be sure to have simple instructions for the pool monitor, and all staff as to how to test the chlorine and pH. All other tests should be done by the CPOs.

#	Section		Reference	Ref. Page
1)	Management/Personnel	Pool:	15.4(6)h	25
	Item: Copies of certificates (CPO, Lifeguard, First Aid, Basic Water Rescue, and CPR) kept in facility

2)	Management/Personnel	Pool:	15.4(6)f(6)	24
2)	Management/Personnel	Spa:	15:51(5)e(8)	17
	Item: Monthly ground fault circuit interrupter (GFCI) shall be included in Operational Records

3)	Management/Personnel	Pool:	15.4(6)f	24
3)	Management/Personnel	Spa:	15.51(5)e	17
	Item: Records shall include results of monthly microbial analyses

4)	Management/Personnel	Pool:	15.4(6)f(5)	24
4)	Management/Personnel	Spa:	15.51(5)e(6)	17
	Item: Dates when filters are backwashed, cleaned, or changed included in Operational Records

5)	Management/Personnel	Pool:	15.4(2)e	8
	Item: The disinfectant and pH in the pool water shall be manually tested or the ORP and pH of the swimming pool water shall be visually read and documented each day within one-half hour of the swimming pool opening, and at intervals not to exceed four hours thereafter until the swimming pool closes for the day. Visual ORP and pH in lieu of some of the manual tests are sufficient, but the swimming pool water shall be tested manually for disinfectant and pH at least twice per day. When manual tests are done, the manual test results and the visual readings for the ORP and pH shall be recorded.

6)	Management/Personnel	Pool:	15.4(2)e	8
	Item: The swimming pool water shall be tested for total alkalinity at least once in each week that the swimming pool is open for use. The swimming pool shall be tested for calcium hardness at least once in each month that the swimming pool is open for use

7)	Safety	Pool:	15.4(4)l(3)	21
7)	Safety	Spa:	15.51(4)k(3)	16
	Item: At least one gate or door with an opening of at least 36 inches in width shall be provided for emergency purposes. Gates and doors shall be lockable. Except where lifeguard or structural program supervision is provided whenever the swimming pool is open, gates and doors shall be self-closing and self-latching

8)	Safety	Pool:	15.4(6)l	13
8)	Safety	Spa:	15.4(6)l	19
	Item: The facility management shall develop a written emergency plan. The plan shall include, but may not be limited to, actions to be taken in cases of drowning, serious illness or injury, chemical-handling accidents, weather emergencies, and other serious incidents. The emergency plan shall be reviewed with the facility staff at least once a year, and the dates of review or training shall be recorded in the pool records

9)	Safety	Pool:	15.4(4)a(3)	12
9)	Safety	Spa:	15.51(4)a(3)	13
	Item: Material safety data sheets (MSDS) for the chemicals used at the pool or spa shall be at the facility in a location known and readily accessible to the facility staff. The SDS sheets shall be reviewed with the facility staff at least once a year, and the dates of review or training shall be recorded in the pool records

10)	Administration	Pool:	15.9(1)	42
10)	Administration	Spa:	15.9(1)	42
	Item: The swimming pool or spa is currently registered

	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).