BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1726
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          Date of Hearing:  April 24, 2012

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                    AB 1726 (Allen) - As Amended:  April 19, 2012
           
          SUBJECT  :  Swimming pools: safety.

           SUMMARY  :  Establishes the Public Pool Health and Safety Act of 
          2012 which requires an owner of a public swimming pool, as 
          defined, to employ at least one qualified pool operator, as 
          specified.  Requires a pool operator training course (training 
          course) to be registered with and approved by the local 
          enforcing agency.  Specifies requirements for the training 
          course.  Specifically,  this bill  :  

          1)Defines a public swimming pool (public pool) as a pool that 
            complies with all of the following characteristics:

             a)   Is not a private pool;
              
             b)   Is operated by a public entity or that is a place of 
               public accommodation to which the federal American with 
               Disabilities Act applies; and, 

             c)   Is not a pool that is located within a public lodging 
               providing no more than 15 rooms for public accommodation.

          2)Requires an owner of a public pool to do all of the following:

             a)   Ensure that the public pool is operated by a pool 
               operator.  Requires the owner to replace a vacancy in the 
               pool operator position within 90 days of the occurrence of 
               the vacancy if the owner employs only one pool operator;

             b)   Maintain and conspicuously post a current certificate of 
               a pool operator employed at the public pool for the 
               duration of the pool operator's employment; and,

             c)   Have originals or copies of a pool operator certificate 
               or documentation, as specified, for each pool operator 
               employed by the site available onsite for inspection by the 
               local enforcing agency.

          3)States that every pool operator of a public pool shall be a 








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            qualified pool operator.

          4)Requires a pool operator training course to be registered with 
            and approved by, the local enforcing agency.

          5)Authorizes a local enforcing agency to charge a registration 
            fee, which shall not exceed the costs necessary to administer 
            the program.

          6)Requires the pool operator training course to provide the 
            following:

             a)   At least 14 hours of instruction, including but not 
               limited to, information to provide the operator with a 
               working knowledge of the following elements:

               i)     At least two hours covering water disinfection, 
                 including common disinfectants, contact time values, 
                 bromine, chlorine, cyanuric acid, breakpoint or 
                 superchlorination, hyperchlorination, combined chlorine, 
                 secondary disinfection, and supplemental disinfection;

               ii)    At least two hours covering water chemistry, 
                 including source water, water balance, saturation index, 
                 water clarity, pH, total alkalinity, calcium hardness, 
                 water temperature, and total dissolved solids;

               iii)   At least six hours covering operation and 
                 maintenance of mechanical systems, including monitoring, 
                 calibration, and maintenance of automatic controllers, 
                 descriptions of common types of liquid, dry chemical, and 
                 gas mechanical feeder systems, calculations of 
                 circulation, main drains, gutters and surface skimmers, 
                 mechanical system balance, circulation pump and motor, 
                 valves, return inlets, filtration, filter backwashing, 
                 and cleaning;

               iv)    At least two hours covering health and safety, 
                 including recreational water illness (RWI), RWI 
                 prevention, risk management, recordkeeping, chemical 
                 safety, entrapment prevention, electrical safety, rescue 
                 equipment, injury prevention, drowning prevention, 
                 barriers, signage and depth markers, facility sanitation, 
                 and emergency response; and,









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               v)     At least two hours covering operations, including 
                 applicable regulations, aquatic facility types, daily or 
                 routine operations, preventive maintenance, weatherizing, 
                 aquatic facility renovation and design, heating, and air 
                 circulation.

             b)   Administration of a written examination evaluating the 
               pool operator's subject knowledge.  Requires the 
               examination to be approved by the local enforcing agency, 
               and given by the training course provider.

             c)   A description of the following procedures used to ensure 
               validity in evaluating subject knowledge: 

               i)     Identity security procedures;

               ii)    Proctoring procedures; and,

               iii)   Testing procedures.

          7)Provides that upon successful completion of a pool operator 
            training course and examination, as determined by the course 
            provider, a pool operator shall receive documentation 
            indicating the successful completion of the pool operator 
            training course and examination.

          8)States that training and testing must be conducted by a person 
            or persons who are knowledgeable in pool operation, safety, 
            and maintenance and who are approved as a qualified pool 
            operator pursuant to this bill.
          9)Provides that a current and valid pool operator training 
            certificate approved by a local or state agency and consistent 
            with this bill shall be accepted by all other local and state 
            agencies.

          10)Makes the provisions of this bill effective on January 1, 
            2014.

          11)Prohibits the provisions of this bill from applying to a city 
            or county that has an ordinance requiring public pool operator 
            training effective January 1, 2012.

          12)Defines various terms, including:

             a)   "Local enforcing agency" means the local health agency 








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               of the county, city, or city and county.  In jurisdictions 
               where multiple entities may be responsible for health and 
               environmental issues, the jurisdiction shall specify which 
               entity will be the local enforcing agency for purposes of 
               this bill.

             b)   "Private pool" is any constructed pool, permanent or 
               portable, which is intended for noncommercial and nonpublic 
               use as a swimming pool. 

          13)States the intent of the Legislature to adopt an aquatic 
            health code in California to protect the public from adverse 
            health conditions at public pools, that operation standards 
            and requirements are applied uniformly across the state, and 
            that pool owners and operators are afforded an opportunity to 
            reduce their exposure to user injury, illness, and liability. 

           EXISTING LAW  :  

          1)Establishes, under federal law, the Virginia Graeme Baker Pool 
            Act (VGB Act), which among other provisions, specifies 
            requirements for anti-entrapment devices or systems for public 
            swimming pools.  Provides grants to states for the 
            implementation of the VGB Act.

          2)Establishes the Consumer Product Safety Commission (CPSC), 
            which among other functions, enforces the provisions of the 
            VGB Act.

          3)Establishes within the Department of Public Health (DPH) the 
            Recreational Health Program to promote the safety of 
            recreational waters through the development of protective 
            standards, regulations, and monitoring requirements.

          4)Establishes various requirements for public swimming pools, 
            including construction standards, persons providing aquatic 
            instruction, and, lifeguard service.  

          5)Requires every public swimming pool to be sanitary, healthful 
            and safe, including the following: swimming pool structure, 
            incidental equipment, operation, source of water supply, 
            amount and quality of water recirculated and in the pool, 
            method of water purification, lifesaving apparatus, measures 
            to insure safety of bathers, and measures to insure the 
            personal cleanliness of bathers.








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          6)Requires every public swimming pool to be equipped with 
            anti-entrapment devices or systems that comply with the 
            American National Standards Institute/American Society of 
            Mechanical Engineers performance standards, as specified.  

          7)Requires DPH to make and enforce regulations pertaining to 
            public swimming pools, as specified.    

          8)Authorizes any health officer, or any inspector of DPH to 
            enter, at all reasonable times, all parts of the premises of a 
            public swimming pool to examine and investigate compliance 
            with specified requirements.

           FISCAL EFFECT  :  This bill has not yet been analyzed by a fiscal 
          committee.

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the sponsor, the National 
            Swimming Pool Foundation (NSPF), and the author, this bill is 
            necessary to help prevent drowning, injuries and the spread of 
            RWI at public swimming pools and spas by ensuring that all 
            public pools are maintained by well-trained pool operators.  
            There are over 65,000 public pools in California that serve 
            millions of visitors.  California's regulations on public 
            swimming pools have not been updated since 1986 and do not 
            include operator training requirements.  Improperly maintained 
            pools are expensive, and, if improperly balanced and 
            administered, the chemicals can cause pipe and filter erosion, 
            which can lead to disastrous chemical leaks that not only have 
            serious health consequences, but often cost pool owners 
            thousands of dollars.  Nationally, California lags behind 
            other states in pool health and safety.  As of December 2011, 
            24 states, including Florida and Texas, and Washington D.C. 
            require operator training.  

          The author cites the following incidents to justify the need for 
            this bill:  "In California, during a 10 year time frame 
            (1998-2007) 186 chemical accidents or spills occurred at 
            public pools because of improper handling (DPH, Occupational 
            Health Branch, 12/2011).  In 2006, a San Francisco County 
            Health Club worker poured muriatic acid (a common pool 
            chemical) into a pool chlorine backup by mistake, causing a 
            chlorine gas release. 20 people were evacuated and 12 were 








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            treated with oxygen at the scene by paramedics (California 
            Department of Public Health, Occupational Health Branch, 
            12/2011).  In November 2010, a San Jose indoor swim club (De 
            Anza Cupertino Aquatics Swim Center) had a pipe break that 
            caused a higher concentration of chlorine in the pool. 16 
            people had respiratory symptoms, 15 (mostly children) were 
            transported to the hospital (San Jose Mercury News 11/2010).  
            In July 2010, Arcadia saw a pool incident where dozens of 
            children were evacuated and given medical treatment after a 
            chlorine leak. 30 people were treated by paramedics, 17 were 
            transported to local hospitals, where four were hospitalized 
            overnight (KABC TV, Los Angeles 7/19/2010).  In 2006 
            Cryptosporidium caused illness for seven patrons and closed 
            the interactive fountain at Plaza de Cesar Chavez Park in San 
            Jose."

           2)PUBLIC SWIMMING POOLS  .  Existing law and regulations require 
            public swimming pools, including commercial, community, 
            hotel/motel, club, apartment, public or private school, 
            townhouse/condo/mobile home park/home owner association, and 
            health establishment pools to comply with health, sanitation, 
            and use requirements.  These requirements include those that 
            apply to purification and recirculation systems, clarity of 
            water, bacteriological and chemical quality of pool water, 
            cleaning and maintenance, and lifesaving devices.  DPH, in 
            conjunction with the local health officers, is authorized to 
            enter and inspect public swimming pools for compliance.

           3)MODEL AQUATIC HEALTH CODE  .  The federal Centers for Disease 
            Control and Prevention (CDC), through an initial grant from 
            the NSPF, is working with public health and industry 
            representatives across the country to prevent drowning, 
            injuries, and the spread of RWI at public swimming pools and 
            spas by crafting the Model Aquatic Health Code (MAHC).  
            According to the CDC, the MAHC will serve as a model and guide 
            for local state agencies needing to update or implement 
            swimming pool and spa code, rules or regulations governing the 
            design, construction, operation, and maintenance of pools 
            because there is currently no federal regulatory authority 
            responsible for disinfected aquatic facilities and all pool 
            codes are developed, reviewed, and approved by state and/or 
            local public health officials.  

          The MAHC Module Abstracts include the following:









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              a)   Operator Training Module  .  Outlines requirements for 
               operator training, including requirements for a training 
               course to be included in a curricula, instructor 
               qualifications, and certificate validity for up to five 
               years.

              b)   Ventilation Module  .  Aimed at improving air quality at 
               indoor aquatic facilities and reducing associated health 
               effects.

              c)   Risk Management/Safety Module  .  Outlines steps to manage 
               and reduce risks and associated health problems.

              d)   Facility Maintenance and Operation Module  .  Lays out the 
               foundation for operational improvements including closures, 
               manuals, windows, and lighting equipment requirements.

              e)   Hygiene Facilities Module  .  Outlines requirements for 
               swimmer hygiene and facility water to reduce associated 
               health risks.

              f)   Regulatory Program Administration Module  .  Outlines a 
               best practice and research-based protocol to ensure that 
               the aquatic facility is operating safely, including 
               building permits.

              g)   Disinfection and Water Quality Module  .  Addresses 
               recurring and emerging aquatic health issues relating to 
               inadequate disinfection and poor water quality.

           4)POOL OPERATOR CERTIFICATION STUDY  .  To illustrate the 
            importance of the pool operator certification, which this bill 
            requires, the author provided a study to Committee staff 
            entitled "Association Between Swimming Pool Operator 
            Certification and Reduced Pool Chemistry Violations Nebraska, 
            2005-2006."  According to the study, in December 2006, a 
            waterborne disease outbreak occurred as a result of chloramine 
            toxicity in an indoor motel swimming pool in Nebraska.  
            Mismanagement of this pool by an uncertified operator with no 
            verifiable training caused the toxicity, which affected 24 
            persons who experienced ocular and respiratory illness.  In 
            this preventable outbreak, five persons required medical 
            attention, including a six-year-old boy who was hospitalized 
            in a pediatric intensive care unit for severe chemical 
            inflammation of his trachea and upper respiratory tract.  As a 








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            result of this incident, the Nebraska Department of Health and 
            Human Services conducted a cross-sectional study of statewide 
            pool inspection data.  The objective was to evaluate the 
            association between swimming pool operator certification and 
            training requirements, and water chemistry violations, which 
            are indicators of mismanagement of Nebraska pools.  The study 
            identified 2,010 routine inspections from 894 Nebraska pools.  
            The study found that, in counties without operator 
            certification requirements, pool inspections were more likely 
            to have chlorine violations compared to those with 
            certification requirements.    

           5)DPH PROPOSED BUDGET PROPOSAL  .  DPH proposes to eliminate the 
            Recreation Health Program/Fund through the 2012-13 Budget 
            Process because existing law provisions, which codified the 
            VGB Act, will sunset in January 2014.  Additionally, DPH 
            indicates that the goals of existing law have largely been met 
            through actions DPH has taken to provide a series of 
            informational and guidance memos to all the local 
            environmental health departments (LEHDs); distribute these 
            materials to pool owners and contractors through the LEHDs; 
            and, develop a pool owners compliance form and instructional 
            materials with input from the California Conference of 
            Directors of Environmental Health for distribution to LEHDs, 
            pool owners/operators, and pool contractors.

           6)SUPPORT  .  Supporters, representing LEHDs, pool operators, and 
            training providers, state that pool operator training is the 
            most cost effective way to reduce illness and injuries as well 
            as minimize unscheduled closures and costly repairs of the 
            state's roughly 65,000 public pools.  The California 
            Environmental Health Association writes that California has 
            yet to adopt the provisions of the MAHC that establish a 
            standardized public pool operator training program despite 
            being the state with the largest number of public pools, and 
            this bill will implement this provision at no cost to the 
            state.  Aqua Design Group adds that properly trained operators 
            help protect the investment of public entities in the best 
            interest of public assets.   

           7)OPPOSITION  . Opponents, representing hotel, lodging, apartment, 
            rental property, and mobilehome owners and operators, contend 
            that this bill is overly burdensome and unnecessary, given 
            that federal, state, and local standards are already well 
            developed and assiduously followed by landlords and managers 








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            and that counties already inspect public swimming pools 
            frequently.  The California Hotel & Lodging Association 
            maintains that lodging facilities already maintain their pools 
            to the highest standards as guests would not return to their 
            properties otherwise.  Apartment and rental property groups 
            argue that there is no evidence to support that more education 
            is necessary or will lead to greater compliance and they 
            object to this bill unless it is amended to exempt residential 
            rental property, which are private accommodations and not 
            transient in nature.  The California Mobilehome Parkowners 
            Alliance (CMPA) notes in opposition that a swimming pool 
            located in a mobilehome park is not available for use by the 
            general public and CMPA is unaware of any serious health 
            problems associated with swimming pools in mobilehome parks 
            that would warrant the burdens imposed by this bill.  

           8)RELATED LEGISLATION  .  AB 2114 (Smyth), pending in the Assembly 
            Appropriations Committee, makes numerous technical updates to 
            state law governing safety standards for swimming pools and 
            spas.

           9)PREVIOUS LEGISLATION  .  AB 2010 (Emmerson), Chapter 267, 
            Statutes of 2009, conforms state law to the VGB Act and 
            permits DPH to assess a $6 fee to cover specified 
            implementation costs.

           10)POLICY CONSIDERATIONS  .

              a)   Status of the MAHC development process  .  According to 
               CDC's Internet Website, the adoption process of the MAHC is 
               still ongoing.  Given that the process is not final, the 
               author may wish to address if and to what extent this bill 
               is premature.

              b)   DPH Budget Proposal and Enforcement  .  As indicated 
               above, DPH is proposing to eliminate its Recreational 
               Health Program in the 2012-13 Budget.  If this proposal is 
               adopted, it will eliminate DPH's enforcement authority over 
               public pools and shift the role of oversight to local 
               enforcement agencies.  With this in mind, will the 
               requirements in this bill put additional strain on local 
               enforcement agencies?

              c)   Local Government  .  The requirements of this bill also 
               apply to cities and/or counties that own and operate local 








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               pools.  Depending on the number of pools that a local 
               government owns and operates, the costs associated with 
               employing a certified pool operator could be considerable.  
               At a time when many of these local pools are struggling 
               financially to provide services (e.g. the City of 
               Sacramento launched a fundraising drive with Save Mart 
               Grocery Stores to keep 12 of the cities pools open that 
               would have otherwise closed due to financial constraints), 
               are the justifications provided in this bill sufficient to 
               warrant the need for a new training program?

              d)   Pool Operator Certification and Training Requirements  .

               i)     Should cities and counties be authorized to 
                 formulate and establish their own certification and 
                 training program, rather than rely on private providers?

               ii)    This bill requires the pool training course to be 
                 registered with the local enforcing authority, which can 
                 charge a registration fee.  Should this bill require one 
                 uniform registration fee applicable to all local 
                 governments?  Additionally, for purposes of uniform 
                 enforcement, should this bill include procedures for the 
                 suspension or revocation of certificates?

               iii)   To ensure that a pool operator training course meets 
                 local approval, should local governments be required to 
                 compile a list of pool operator training providers for 
                 distribution to the public?

               iv)    Should this measure include the length of time that 
                 the certificate is valid?  The author and sponsor 
                 indicate that, generally, a certificate is valid for five 
                 years, but this timeframe is not specified in the bill.  
                 The author may wish to clarify this.  

               v)     This bill also requires a pool operator to take a 
                 written examination as a condition of certification.  To 
                          establish a consistent approach for local enforcing 
                 agencies, it may be necessary to include guidelines for 
                 the passing score, and security procedures to ensure the 
                 integrity of examination questions.

               vi)    The reciprocity provisions in the bill state that a 
                 valid operator training certificate will be accepted by 








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                 all other local and state agencies but does not specify 
                 procedures for the transferability of certificates.  The 
                 author may wish to include procedures for implementing 
                 the reciprocity requirements in this bill.
              e)   Employment  .  This bill requires the pool operator's 
               certificate to be posted at the public pool for the 
               duration of the operator's employment, and requires a pool 
               owner to replace a pool operator vacancy within 90 days.  
               Is it the intent of the author that the certificated pool 
               operator be employed, and available at the pool facility 
               during specified hours?  If not, the author may wish to 
               clarify this.

           REGISTERED SUPPORT / OPPOSITION  :  

           Support 
           
          National Swimming Pool Foundation (sponsor)
          Another Perfect Pool
          Aqua Source, Inc.
          Aquatic Design Group
          Aquatrends Commercial Pool Services
          California Conference of Directors of Environmental Health
          California Environmental Health Association
          California Spa & Pool Industry Education Council
          Clear Waters Unlimited
          Commercial Pool Systems, Inc.
          Menlo Swim & Sport
          Swim Pool Safe
           
          Opposition 
           
          Apartment Association, California Southern Cities
          Apartment Association of Orange County
          California Association of Bed & Breakfast Inns
          California Hotel & Lodging Association
          California Mobilehome Parkowners Alliance
          East Bay Rental Housing Association
          NORCAL Rental Property Association
           
          Analysis Prepared by  :    Rosielyn Pulmano / HEALTH / (916) 
          319-2097 











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