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BODY ART FACILITY INFECTION PREVENTION ADC TOL PLAN GUIDELINE <br /> In accordance with the California Health and Safety Code, Section 119313, a body art facility shall <br /> maintain and follow a written Infection Prevention and Control Plan, provided by the owner or <br /> established by the practitioners, specifying procedures to achieve compliance with the Safe Body Art <br /> Act. A copy of the Infection Prevention and Control Plan shall be filed with the Local Enforcement <br /> Agency and a copy maintained in the body art facility. <br /> The body art facility owner shall provide onsite training on the facility's Infection Prevention and <br /> Control Plan to the body art practitioners and employees or individuals involved with decontamination <br /> and sterilization procedures. <br /> Training shall be provided when tasks where occupational exposures may occur are initially assigned, <br /> anytime there are changes in the procedures or tasks and when new technology is adopted for use in <br /> the body art facility, but not less than once each year. Records of training shall be maintained on-site <br /> for three years. <br /> The Infection Prevention and Control Plan shall be maintained current and updated whenever there <br /> are changes to any of the procedures or tasks listed and when new technology is adopted for use in <br /> the facility. <br /> Name of Body Art Facility: <'Ec-rer -Tq-rr-00 SjaQj U <br /> Site Address: a W <br /> 11 TI-f <br /> City, State, Zip: Z2 ,4c 7 4 L ,4 '7 J-, 6; <br /> Type of Body Art Facility: 7'1477vu o <br /> Contact Person: �,4CFZI Telephone("Si 0) Za -?f 2-3 <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. (California Health and Safety Code 119308 (b) and <br /> 119309 (a)(b)(c)(d)(e)) <br /> 1. Workstation surfaces/counter tops: <br /> L4—V� A1-ATi7,-- 414 ±e J�:< 5- Ate-IF leCPn 0,1-JO rWl?In c,2^/7',q m#/i/A Z= <br /> :f c if <br /> m/1774 MAIX 4 -Q-14L=.= -17f, i'h7-i n 4&12 <br /> 2. Workstation chairs/stools: <br /> Z=rz <br /> 012,Ae-az W)774 A f y cjd A-D'. 32)"-1 ev <br /> Page 1 of 10 <br /> rn e rn i n +0 Y- i s r y)�ec-fcA y-)� <br />