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~° San Joaquin County <br /> Environmental HealthDepartment DIRECTOR <br /> ).•�� .O Donna Heran,REHS <br /> r y 1866 East Hazelton Avenue <br /> A" PROGRAM COORDINATORS <br /> { Stockton, California 95205.-6232 Robert McClellon,REHS <br /> • Jeff Carruesco,REHS,RDI <br /> • -'-'''' ENS <br /> R <br /> Website:www.Sjgov.org/ehd Linda TurkaKasey Foley,Rte,RENS <br /> Phone: (209)465-3420 <br /> Fax: (209)464-0136 <br /> 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: /041 L,1 S104, <br /> Site Address: Z,5_13 0 SO(A X <br /> City, State, Zip: <br /> Type of Body Art Facility: A fl-1 t, S r) <br /> �.n Tele hone: -- -1,2t <br /> Contact Person: /? p <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> 1 C r s�r " <br /> 2. Workstation chairs/stools: <br /> e-®u ` e l <br /> olyle &U <br /> ja:RB G:\Admin\HAZMAT\FORMS\MEDICAL WASTE&BODY ART\Infection Prevention and Control Plan Page 1 of 9 <br />