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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: 1/113(00110 <br />Site Address: le .1144 G atz B <br />City, State, Zip: 1(stCy / C4(Porni4 41537 <br />Type of Body Art Facility: 1-4 -14-bof tin pierrin )s <br />Contact Person: tt 'Rifiitieril;44). Dcvek_ Telephone: 2 der —6 3Y— T1-6 <br />A. Decontamination Decontamination and Disinfection: Describe the procedures for decontaminating and <br />disinfecting of workstation and surfaces. <br />Workstation surfaces/counter tops: <br />ue (4f , 5P rY Mtial&Cide- doidrk <br /> <br />Workstation cbairs/stools: <br />vit4(1, hAnds , yove sPal sicidacTde / wipe S. , <br />Trays: <br />Loa hmic t oo 14e, $1°4 y MfidAci cisvm <br />Page 1 of 9