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BODY ART FACILITY INFECTION PREVENTION AND CONTROL 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: <br /> Site Address: l' 6l �VQM S1 -T) <br /> City, State, Zip: - S4_bc q <br /> Type of Body Art Facility: "3(/)aU <br /> Contact Person:'BPL­iunh -4,4ado Telephone: r2 <br /> - Z 7 <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 urfaces/countert <br /> n,l �R -H <br /> lazp il Lan 0 S: U W1 ciela C ide <br /> A,C -1 <br /> t v <br /> o <br /> 2. Workstation chairs/s-l-ols: <br /> (Ag&jj:� Cz L4j 119 uk_,,Q <br /> �e+ <br /> Lw)'(_v down, wk- rml(L S�4:tdir or <br /> I 12M&1k?q died rr <br /> CU-"KIS�A C04U f i !,hAAa <br /> Page 1 of 10 <br />