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COMPLIANCE INFO_CELENA PHELAN
EnvironmentalHealth
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4100 – Safe Body Art
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PR0544034
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COMPLIANCE INFO_CELENA PHELAN
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Entry Properties
Last modified
7/5/2023 9:25:06 AM
Creation date
4/1/2021 3:57:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544034
PE
4120
FACILITY_ID
FA0025040
FACILITY_NAME
SALON TWO TWENTY (PHELAN, CELENA)
STREET_NUMBER
220
Direction
S
STREET_NAME
CHURCH
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
220 S CHURCH ST
P_LOCATION
02
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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0 0 1 . <br /> Body Art Facility Infection Prevention And Control Plan Guideline <br /> I. Sterilization of Jewelry: Describe the procedure used for the sterilization of jewelry prior to placing <br /> into newly pierced skin (California Health and Safety Code 119310 (a)and 119315). <br /> N kA <br /> J. Sterilization room: Describe the procedure used for decontaminating instruments prior to placing <br /> them into the autoclave. Indicate whether instruments are manually washed or machine washed, <br /> such as with an Ultrasonic machine. Describe the material used for soaking dirty instruments in the <br /> machine, such as Tergazyme (California Health and Safety Code 119309 (b)(e)(g). 119314 (c), and <br /> 119315 (b)). <br /> N�f &OV\Ok Ot)e OV\ WkAXk6LOR - Att -rt-eMS 05%e8 Pff-E <br /> K. Disinfection Products: List the disinfectant products used at the body art facility (California Health <br /> and Safety Code 119301 (k) and 119308 (b)(6)). <br /> *5AV-1QiaA'e <br /> L. Time and Temperature: List the temperature of the autoclave and duration of time at that <br /> temperature required for the sterilization of clean instruments. Indicate where the sterilization log is <br /> maintained on-site. Indicate whether each sterilization load is tested using Class 5 integrators <br /> (California health and Safety Code 119315 (b)(3)(5)). <br /> Time: <br /> Temperature: <br /> Psi: <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure for the practitioner and the client (California Health and Safety Code 119308 (a) and <br /> 119309(j)). <br /> 0a-f ukka� , -�&Lx_ W\as)e- to be Osea <br /> N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink(California Health and Safety Code 119314 (b)(3)). <br /> Jinv'= jlrx!LL�' d -in Prw'eJ'%)Yf roory-1 1OC&4eO( <br /> ,�tjvh5 ce . b2_nA fvee S o" cO spence e- a& u3 e-L <br /> ws V\Ama-W-ee pa-pev-towedk 01;i,- Vla,VULUASWAD <br /> Page 6 of 11 <br />
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