Evaluation Tool: Pool Program February 10, 2011Version
STANDARD 1:
Regulatory
Foundation
Evaluation Criteria
Ordinances
Source
Materials
STANDARD 2:
Trained
Regulatory a. Has the Board has passed ordinances referring to statutes and rules, as listed in the SCOPE of the
Delegation Agreement? b. Have ordinances been revised as needed to be consistent with current statutes and rules? c. If applicable ordinances were changed since the previous program evaluation, were they were sent to
MDH for review prior to their passage? d. Do ordinances describe enforcement tools and procedures, and grant authority for enforcement? e. Do ordinances reference plan review requirements? f. (MDH only) Has MDH reviewed and responded in writing to its delegated partners regarding proposed ordinances or language changes to existing ordinances, within 30 days of receipt of those changes? a. Current, signed and dated ordinances b. Delegation Agreement application
Evaluation Criteria
Comments
Comments
Rating
(0-2)
O
Rating
(0-2)
Y
Y
Y
Y
Y
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
1
Evaluation Tool: Pool Program February 10, 2011Version
Staff
1. Inspection
Staff
2. Agreements with Other
Qualified
Parties
3. Additional
Training
4. Staffing
Transition Plan a. Does the Board employ qualified inspection staff as defined in the
Delegation Agreement? b. Are any less qualified staff (as described in the Delegation
Agreement) limited to performing inspections that are not mandated by the Delegation Agreement?
If the Board has entered into agreements with other qualified persons to carry out its regular, delegated duties, did the Board obtain
MDH’s written approval before entering into such an agreement?
Describe the percentage of staff that have taken ICS classes (minimum of
ICS 100 & 200.)
Describe the certification, training and continuing education that pool inspection staff have completed including CPO/CTO and any MNTrac courses completed. a. Does the Board have a written plan that is submitted annually to MDH, to assure adequate program coverage and to address staffing transition in the event of unexpected staffing changes? b. Has that written plan has worked effectively during staffing transitions within the evaluation period? c. Has the Board notified MDH within
O
Y
Y
W
W
Y
W
Y
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
2
Evaluation Tool: Pool Program February 10, 2011Version
Source
Materials
10 business days of staff departures, when staffing is insufficient to perform the obligations of the
Delegation Agreement? a. Position descriptions for all program staff b. Organizational chards, with RS numbers, if applicable c. Staff standardization documentation d. Written staffing transition plan e. Staff credentials and certifications (e.g. RS/REHS, CTO, CP-FS, CEHT) f. Training records (e.g. MN Train records, if used)
STANDARD 3:
Risk-Based
Inspection
Program
1. Inspection
Forms
2. Inspection
Frequency
3. Written &
Implemented
Policies
Evaluation Criteria a. Do the Board’s inspection documents identify health and safety hazards and interventions? b. Do the Board’s inspection forms document significant Pool Code violations and corrective actions?
Is the inspection frequency based on
MN Statutes 157.20 being met (at least once every 12 months)? a. Has the Board developed a documented procedure to address corrective action? b. Has the Board developed a documented procedure that requires discussion of options for long-term control of health and safety hazards? c. Has the Board developed a documented procedure that requires
Comments
Y
Rating
(0-2)
Y
W
O
Y
W
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
3
Evaluation Tool: Pool Program February 10, 2011Version
Source
Materials
STANDARD 4:
Uniform
Inspection
Program follow-up activities on and health and safety violations? a. Copies of inspection reports/forms b. List of licensed facilities c. Inspection frequency data for the past three years d. Documented procedures referenced in 3. a-c above e. Other compliance forms or documents f. Copies of variances, as requested
Evaluation Criteria
1. Plan Review
2. Licensing &
Data
Management a. Are plans submitted to MDH for construction of new pools or when pools are modified, as required in the
Pool Code? b. (MDH only) Does MDH perform plan review for construction of new pools or when pools are modified as required in the Pool Code? c. Does the Board license only those pools for which plan review is complete and approved by MDH? d. Does the Board maintain adequate documentation throughout the plan review process? e. Is documentation maintained for water and sewer system approval as reviewed by the appropriate authority? a. Is the Board required by policy to license establishments on an annual basis?
Comments
Rating
(0-2)
Y
Y
Y
W
W
Y
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
4
Evaluation Tool: Pool Program February 10, 2011Version
3. Inspections
& Written
Reports
Source
Materials b. Does the Board maintain a current list of establishments (including establishment name, address and risk category)? a. Are inspections conducted by qualified inspection staff, as described in the Delegation Agreement? b. Does the Board incorporate education into the inspection process? c. Are written reports complete and accurate, and do they describe compliance activities? d. Are statutes, rules and ordinances interpreted accurately and consistently? a. Files for randomly selected facilities b. List of licensed establishments with assigned risk category c. Description of licensing category definitions and descriptions, including for all permanent and temporary establishments d. Relevant ordinances, policies and guidance documents e. Plan review reports, as requested f. Educational or training materials relevant to uniform inspection that the Board wishes reviewed
Y
O
Y
Y
Y
STANDARD 5:
Illness & Injury
Investigation &
Response
1. Protocol for
Investigating
Complaints
2. Complaints
Evaluation Criteria
Does the Board utilize a procedure to investigate, respond to, and document
Pool complaints or injury? a. Does the Board maintain a log or database for all complaints alleging injury, or waterborne illness, or health and safety hazards?
Comments
Rating
(0-2)
Y
W
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
5
Evaluation Tool: Pool Program February 10, 2011Version
W
3. Program
Coverage
Source
Materials
STANDARD 6 :
Compliance &
Enforcement b. Does the Board follow-up on all injury, waterborne illness, or health and safety hazard complaints within one business day? c. Are investigation reports filed or linked to the records of the establishment? d. Does the Board transmit all waterborne illness complaints to MDH within one business day? e. (MDH only) Does MDH refer to its delegated partners any complaints that
MDH receives concerning matters under their jurisdiction?
Does the Board have qualified staff available for emergency coverage on a
24-hour a day basis and have they provided an after-hours contact number to MDH? a. Procedures for responding to injury, health and safety hazards, or waterborne illness b. Complaint log and relevant materials c. After hours staffing policy and after-hours contact number
Evaluation Criteria Comments
Compliance &
Enforcement a. Does the Board identify and document violations according to statute, rule and ordinance? b. Does the Board address the identified health and safety hazards by: (1) following up or using appropriate enforcement tools,
W
Rating
(0-2)
Y
Y
Y
O
O
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
6
Evaluation Tool: Pool Program February 10, 2011Version
Source
Materials
STANDARD 7:
Industry &
Community
Relations including revocation or suspension, and (2) by maintaining adequate documentation throughout the enforcement process? c. Does the Board resolve identified violations within a reasonable time? d. Does the Board maintain records according to its records retention policy? a. Records for randomly selected licensed establishments b. Enforcement policies, procedures and tools
Evaluation Criteria
1. Work Groups
2. Educational
Outreach
Source
Materials
Does the Board participate in workgroups, advisory boards, task forces or committees that work to identify, correct, and prevent health and safety hazards in licensed establishments? a. Does the Board lead or participate in activities that increase awareness of health and safety hazards, and control methods to prevent illness or injury? b. (MDH only) Has MDH been available to advise its delegated partners regarding issues covered under the Delegation Agreement.
Any relevant materials the Board wishes to be reviewed
Comments
Rating
(0-2)
Y
Y
Y
W
Y
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
7
Evaluation Tool: Pool Program February 10, 2011Version
STANDARD 8:
Program
Resources
Evaluation Criteria Comments
1. Inspection
Ratio (sufficient staffing)
2. Inspection
Equipment
3. Funding
4. Data Sharing
5. Professional
Development
6. Staff Safety
Source
Materials a. Describe the current ratio of qualified inspection staff to the number of licensed establishments. b. (MDH only) Does MDH evaluate its delegated partners’ compliance with the Delegation Agreement to ensure that their programs are adequate to assure compliance by regulated parties to requirements in statutes and rules?
Does the Board provide the appropriate inspection equipment to its qualified inspection staff?
Describe the source(s) of funding for this program. (Fees, General Fund, etc.)
Does the Board maintain all licensing and inspection information in an electronic format and make it available to MDH upon request?
Is funding provided for staff training, conference attendance, and other professional development activities?
Does the Board provide staff with appropriate safety training and equipment? a. Electronic licensing and inspection data b. Organizational charts, with RS numbers, if applicable c. Staff credentials and certifications (e.g., RS/REHS, CPO, CP-FS, CEHT)
Rating
(0-2)
W
Y
W
W
W
Y
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
8
Evaluation Tool: Pool Program February 10, 2011Version
ORANGE: Essential Program Elements - defined in statute and/or rule and in the Delegation
Agreement
YELLOW:
Required Program Elements - required by the Delegation Agreement
WHITE: Value-Added Program Elements - not required by law or the Delegation Agreement, but can help support core functions
9