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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 a,e 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 shal be maintained on-site <br /> for three years. <br /> Name of Body Art Facility: O IN9 0 L_d L< T hl-MO <br /> Site Address k W �) it(e S� L_UZ'>Z. C-A <br /> City, State, Zip: LcT)Z:, L h . E1 5!Q(p <br /> Type of Body Art Facility: <br /> Contact Person: >PK.� Telephone: ),Clq G1_-,3 <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disirfecting of workstation and surfaces. <br /> 1 . Workstation surfaces/counter tops: <br /> 2. Workstation chairs/stools: <br /> �� ,Lt <br /> 3. Trays: <br /> MND A c t D;�-_ - CEIVED <br /> OCT 1 6 <br /> ENVIRONMENTAL HEALTH <br /> ES <br /> PERMITISERVIC Page 1 of 9 <br />