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WC CWF Health District Board Minutes - 01/11/2019WICHITA FALLS-WICHITA COUNTY PUBLIC HEALTH BOARD MINUTES January 11, 2019 Wichita Falls -Wichita County Public Health District 1700 Third Street - Parker Conference Room Wichita Falls, Texas David Carlston, Ph,D., Chair Julie Gibson, D.V,M., Vice -Chair Robin Moreno, MHA-HSA, ACHE, Secretary Lauren Jansen, Ph,D. R.N. Mellissa Plowman 0 T. -:111 [011112WIIA W*11:33k Amy K. Fagan, M.P.A. Amy Gardner Eric West Mark :- Citizen At -Large -County Veterinarian -City Citizen At -Large -City Registered Nurse -City Restaurant Association -City Physician -City Dentist -County Director of Health Assistant Director of Health Municipal Court Prosecutor City Council Liaison County Commissioner 1. CALL TO ORDER Dr. David Carlston called the Health Board meeting to order at 12:00 pm after a quorum of members was attained. 11. REAPPOINTMENTS AND NEW MEMBER INDUCTION Inductions was conducted by Janice Flores, Notary. Reappointments David Carlston, Ph.D. in the County appointed Citizen At -Large Keith Williamson, M.D. in the City appointed Physician New Member �- Lauren Jansen, Ph.D., R.N. in the City appointed Registered Nurse to replace Kathleen Williamson Tonya Egloff, D.D.S. was not in attendance for induction to the County appointed Dentist. Her induction will be conducted at the next meeting in March. 111. APPROVAL OF MINUTES AND ABSENCES Dr. David Carlston called for the review and approval of minutes from the meeting held on Friday September 14, 2018. Dr. Keith Williamson introduced a motion to approve the minutes as presented and Melissa Plowman seconded the motion. The motion passed unanimously. IV. POOL ORDINANCE Samantha Blair, Sanitarian and Brian Railsback, Standardization Officer in Environmental Health presented the Public Swimming Pool and Spa Ordinance Revision with a review of the general additions and changes to the code. Since the last update in 2006 Samantha Blair stated science and technology had changed tremendously the revision is to have the most updated set of rules for the health and safety of the community, The Federal Government Model Aquatic Health Code was designed after the Food and Drug Administration (FDA) Food Code that offers jurisdictions to adopt or pick and choose their necessities from the code which is very thorough with the best science constantly being worked to keep up to date it worked so well the Model Aquatic Health Code was developed. The concept for the ordinance is for the rules to become more aligned with the Federal Government Model Aquatic Health Code after discussion with the State it will be awhile before the State of Texas ratifies with the code. All State Health Officials recommend to endorse on a local level. Other additions made are to alleviate common problems seen every time with consequences and alleviate the City's liability with pool checks every month. Wording changed from "public pools and spas" to public and semi-public aquatic facilities" the reason just not pools and spas are regulated also splash parks, public interactive water features and many new attractions that do not fit the definition of pools or spas. Semi-public aquatic facilities are apartment complexes a larger group of people not open to the general public as Castaway Cove. See under Article IV. Sec. 58-136. Definitions. Addition of new definitions for: aquatic facility, enclosure, extensive remodel, private vs. public aquatic facility, secured, semi-public facility, state aquatic facility regulations, plus additional certifications for the certified pool operator. Changed the definition of Service Animal to align with the ADA (Americans with Disabilities Act) definition. No grandfathering, all variances must be annually reapplied for in writing, approval one year does not guarantee approval the next year, It allows a compliance plan for pools to come up to code piece by piece that is feasible and not destroy the business. All fees are non-refundable and cannot be prorated which is practiced now but not written, Brian Railsback followed with discussion of the Pre -Operational, Pool Manager, Chemical, Plan Review and Aquatic Facility User changes. At the first of each year an annual pre -operation inspection is done for everything from the water, chemicals, signage, pump room, main drains, spare main drains and log books. A permit is issued after everything passes usually it takes 4 to 5 times the change allows a re -inspection fee to be assessed for so many return visits. Lou Kreidler advised every time Inspectors do a pool inspection water samples are pulled, a time and physical cost is associated with the lab as the Inspectors that go back again and again. Expectations are with knowledge of the re -inspection fee that businesses would be more responsible to avoid multiple returns. Sanitarians and Inspectors not only do pools but other inspection programs having to go back unnecessarily puts an additional work load upon the routine month work load to complete. Samantha Blair said over 4,000 inspections are done in a year that includes; pools, spas, tattoo parlors, hotels, motels, food, foster homes, school buildings, septic tanks. Brian Railsback said the next is a new rule that each public or semi-public aquatic facility must submit annually certification by a licensed, registered electrician that the electrical equipment for the aquatic facility meets all local, state and federal electrical codes on a form promulgated by the city. The big reason for the new rule was Inspectors are not electricians and to relieve the City's liability. Pool Manager Changes: As it now states a pool manager becomes "lifetime" after completion of two training courses most have not attended a class since the early 2000's and the rules have changed. These are the ones that cause the most trouble, the most pool closures because of their unfamiliarity with the updated rules. * No "lifetime" pool manager. Annually obtain certification by completion of a training course conducted by the regulatory authority. * Increase in the number of accepted certifications. A person with a current certificate as a certified aquatic facility operator (AFO), certified pool -spa operator (CPO), pool operator on location (POOL) or any other training approved by the regulatory authority maybe exempt from the regulatory authority training course. * Seven listed duties of certified pool operator/person in charge. 1) Respond within one hour of being notified by the health official to the site of the aquatic facility. 2) Check at least once a day the aquatic facility remains in compliance. 3) Check once a day the Chlorine, PH and Cyanuric acid levels to prevent illness and clarity of water, 4) Ensure an appropriate method is used to check the chemicals. Confirm usage of the appropriate DPD test kit certified by the American National Standards Institute (ANSI), 5) Log book to retain records of daily water chemistry checks for at least two years on site. 6) All records must be available to the regulatory authority upon request. 7) Maintain a copy of the registered certification of the certified pool operator on site of the facility. P11 Every commercial pool must have a certified pool manager to be open that is the reason for the training course choices and list of duties, Samantha Blair noted many of the pools are operated by the maintenance person that works Monday to Friday, the highest volume at pools are weekends so the once a day log requirement enforces someone to test the pool on the weekend, Lauren Jansen questioned that it states a qualified person must check the pool during the week if that person is not there who checks the pool, Samantha Blair answered the person qualified trains and designates a person in charge. The pools in town with life guards are trained and hotels have the front desk manager, general manager, maintenance person qualified. Lauren Jansen said then they are not certified just trained. Samantha Blair replied a lot of times they are certified because the Health District course is an affordable one - day class so they do have multiple pool managers of operation but it is not required to be certified in order to test the pool and log in the log book. Lou Kreidler added an advantage with multiple certified pool managers is if one quits they are not left without a trained certified pool manager. David Carlston mentions in the language and reading of "Sec.58-140. Maintenance and operation. 1. It shall be the duty of the certified pool operator and/or the person in charge" but if that applies the designated person in charge must comply with the seven listed duties. The last one (g) indicates "to obtain a current Wichita Falls Wichita County Public Health District manager of operations or certified pool operator" they cannot just designate it to anybody the way it is written it appears that they have to designate it to someone whom is already certified that has gone through an approved class. Samantha Blair remarked that was not the intention it will be reassessed. Lauren Jansen said that is why she asked that question it was a little confusing David Carlston thought it appears every pool has to be under supervision of a permit holder and then lists the responsibilities, it is just unclear what they can designate to whom and what level of training that person has to have or not have it appears that person needs to be certified or verified through the Health Department to be designated. Amy Gardner affirmed it would be reviewed and clarified David Carlston felt more comfortable to designate it to somebody who is also certified rather than just hand off to a person and say this is how you do it, personally it would make more sense if the person they delegate it to is certified I do not have any problem with the way it is written because that is the way it sounds. Lou Kreidler stated an email would be sent out after the review with Amy Gardner and staff, Samantha Blair stated not many chemical concentrations changed, one specifically was that any sanitizer other than chlorine must be approved via a variance. Chlorine is used in 99% of the pools and a couple of spas use bromine which has a different chemical range. There are other alternatives as ozone and iodine not seen here but possibly in the future that would need more research. State Health Services standards have been reinstated for the chlorine levels: Pools between 1.0-8.0, Spas between 3.0-8.0 and PH between 7.2-7.8. A PH of less than 7.0 or over 7.8 results in immediate closure. Cyanuric Acid is a stabilizing agent when it gets to high the chlorine does not work that causes water sample failures even though the chlorine measures are within range the bacterial samples come back positive when they should not be. The cyanuric acid shall not exceed 100ppm if it does exceed 100ppm the facility must close until lowered to below 80ppm. Many repeat water sample failures are due to high cyanuric acid levels the change should help eliminate some of the repeats. During any routine inspection, if the regulatory authority is required to close the pool for non-compliance, a re - inspection fee will be charged to the permit holder for each requested return visit for re -inspection. Previous 3 failed water samples multiple times in a row would generate a re -inspection fee. The change would help with the use of time wisely in order to complete other inspections and guarantee the safety to the citizens of the community. Plan Review and Construction changes: � Prior tobeginning construction plans must besubmitted � Plans shall include aproposed layout ofall components � New orextensively remodeled aquatic facility require alicensed professional engineer tVexamine the blueprints � No work shall start until the engineer certificate of preconstruction is received and all required building permits are issued, and all work shall be completed during their specified dmefranne8 � The aquatic facility must pass, pre-gunite, pre -plaster and pre -operational inspections bythe regulatory authority � A licensed engineer shall inspect the completed new/renovated aquatic facility and sign off that it is constructed byall State and Local standards � The person in charge is responsible for ensuring the building permit applicant and the licensed professional engineer comply with all zoning, bui|ding, fire and health ordinances ofthe City ofWichita Falls Now with aplan review process it emanates a recourse on installations for safety, it is not a difficult process to submit the plans. Seo.58-143. Regulations for all persons in aquatic facilities. )�o A person commits an offense if they: o Knowingly swim with communicable disease o Alter ordamage safety equipment ofsignage o Alters ordamages the aquatic facility enclosure o Alters or damages the drain or suction outlet covers o Carry glass into the aquatic facility area or enclosure is a State code that helps at the |ooe| level o Allow an animal to enter or remain within the aquatic facility without regulatory approval or unless it is a service animal allowed in the enclosure but not inthe pool o Obstruct the health official o The certified pool operator violates any of the provisions The pool manager can contact Environmental Health with any of the issues. The purpose of the regulations is not to seek out the offenses but in the occurrence of waterborne illness case in from the epidemiologist it can befound out ifthe person knew they were sick and swam that caused someone else tobecome ill. Lou Knaid|er mentioned an incident last year of an adult knowingly o||ovved their sick child to swim with a communicable diarrheal illness that caused an outbreak. That was just one instance with a pool that caused a huge issue because people are not always responsible. Samantha Blair concluded the review ofchanges, Amy Gardner expressed that itwas agreat presentation, very thorough. Lou Kreidler asked the Health Board if comfortable to make a recommendation to Council, if nothing drastically changes based on the stakeholders meeting next week it can move forward to Council. Eric West asked what was the recommended charge mnthe re-inapeotions. Lou Kneid|erbelieved the current charge mf$25.00. Eric West questioned hJgnback four times would itbe $25.0Oeach time and not increase each time. Lou Kreidler replied that may change, the fees are not usually set as part of the revision, the fee schedule has not been amended arepeat water sample ie$25.00.The $25.00charge was determined from staff time tVgo out get the sample, the cost oftest kits, the laboratory time, there ienomoney made itisthe actual cost for the service. All Environmental ordinances are taken toCity Council first then the Wichita County Commissioners Court followed with the smaller areas of Burkburneft. Iowa Perk and Electra. David Carlston asked for a motion. Keith Williamson introduced a motion to support the ordinance or bar any substantial changes requiring re-evaluation of the ordinance. Julie Gibson seconded the motion. The motion passed unanimously. V. NEXT MEETING DATE Friday March 8, 2019 was noted as the next meeting date, VI. ADJOURN Dr. David Carlston adjourned the meeting at 12:50 pm. Print Name David Cafiston, PhD, Chair, Julig Gibson, QYM, Vice -Chair. Robin Moreno, MHA-HAS, ACHE, Secret Wichita Falls -Wichita County Publig Health Board City -County Board 5