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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue <br />Stockton, California 95205-6232 <br />DIRECTOR <br />Donna Heran. REHS <br />PROGRAM COORDINATORS <br />Robert McClellan, REHS <br />Jeff Carruesco, REHS, RDI <br />Fol REHS <br />4CrFORr1w Webs1te: WWW.Sfgov.org/ehd Nasey urkatte, REHS <br />Phone: (209) 468-3420 Linda <br />Fax: (209) 464-0138 <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: <br />Site Address: <br />City, State, Zip: <br />�L)(WJu> af-0 0,4-y'im 5 �1Y1 <br />Type of Body Art Facility: C i?rry to ell CC'�)'Ytc I I " <br />Contact Person: L' A nr_A- Telephone: <br />A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br />disinfecting of workstation and surfaces. <br />1. Workstation surfaces/counter tops: <br />2. Workstation chairs/stools: <br />P llQ�rl: v� lit C"a k `\ ryc l✓ V <br />C evre <br />Page 1 of 9 <br />ja:RB G:\Admin\HAZMAT\FORMS\MEDICAL WASTE & BODY ART\Infection Prevention and Control Plan <br />