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Body Art Facility Infection Prevention And Control Plan <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 />NfW ,%iw��P-Y !J' CatifFc'ci �7 �tSJ�(.13"t'r'dc�V, S>`/-��17c� /sv7u �9P�caF'i�i*�rt <br />r�� f'cucKE) ANS 7/Cciv c-(cLFJ� T�/2ot�L=M 'TCf� /1uTcLt9VE r3(=rE2 ���< <br />S� 3 � AFt� C,li�ck/NG-9"',� GOC-�C�uG- 7Nr CNDc�'l�r- .f�'Te/C" <br />t��:��r-'cry C A �I . <br />l-tr f�wC-c-12'Y CS STa�c'� c,�N7[t U�r iiv r9 S���z-C�t .fr='Tul? <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 in 1t19314t c'nand <br />machine, such as Tergazyme (California Health and Safety Code 119309 (b)(e)(g). (), <br />119315 (b)). <br />iNs��'vM r'NT.f 9/'c' SCC'.,Ug�� CbM/'LrT�/ bvlTy AriTi .-/3�T�2igc 1'c9r' 9.•� <br />Aa�r��cJ �a �rzy A/-7�- ,�n�l"cru c-, wl--//� d2y '��y A.�c' �4c�� ii�r_ Tu�- <br />Co["�� .1't�r_f Pauc:ulij �N_D �-Cc� O,etUr� la �` (a Ct�¢�llruc.. <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 />/Y1R/�l% iGl� <br />7l�"/i ISUP�PYI f}GCoIYOL <br />i]N r`r-1�9c.T� iq � �9r✓7/ /�f c,�e 9c�}c .S'of � .f'c�x4F <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 wherethe 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: �© MlnitlT�3 if2 CYCZf1C <br />Temperature: {�CIfCE't+=l� Z7.��t <br />Psi: �Q �' <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 Q)). CC�A� �rJFoJA9Cc AYQON <br />ceL� c-tav�J c1'rN�i� �f�J <br />Fri [�'MASr /ii ,¢PPUC�gCT <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 />/gyp ,M9CM K9t-c w4Y � 2j; 2 /'(AK�)S f��>r , V ��4 � lr d'r29T�A SYu�) w� /"P-/ <br />y cT ANI) Ca t d Pc�/}t 1 tam �9-�r-f • �i��� is A K��rdf�rz:`r <w�r .d fk { i� r � � �9v' <br />l�llf'E�SC'�- �•�� � K9�DI Fl2-cC �r1Po1RBt� Pq�Fx T tra>r'- PUPc•�li'e <br />Page 6 of 11 <br />