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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 Environmental Health <br />Division 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 />Name of Body Art Facility: (,t � l nJ Cn �,� r} 'T"E2- STk � I o s <br />Site Address: 2tO t,-) tAA- tr3 ST. MA- rJ'rZ CA - <br />City, State, Zip: MPFIO" 5[A , CA `FD3 G <br />Type of Body Art Facility: y c�-r u o 1 Q <br />ContactPerson: � uM�s �+IEA Telephone: ��a� 69C—y1 r 3 <br />A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br />disinfecting of workstation and surfaces. <br />1. Workstation surfaces/counter tops: <br />IF <br />iJ6 ltiSr Ma DAG10 ufPES /Y�RAY RNA C� f StT To <br />D15WF�G� <br />2. Workstation chairs/stools: <br />1,1E ttiSC Nti�-`DA'�-fD� �-/IPt✓s �f?�4a'i AND <-ET IT S('r- To <br />n 15 t��FEC-r <br />3. Trays: <br />u& vt3C M�DA-GID-6 W11'F.S/s�(tq-y prNy t�T IT Srr r� <br />OI S Iil'�YGf <br />Page 1 of 9 <br />