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i I ft a -`X � • � • � <br />•.�. <br />-. �.. - <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 />maintairl 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: �r Dh QC �ej��1 <br />Site Address: <br />City, State, Zii <br />Type of Body Art Facility: <br />Contact Person: I.��G� -(�i Telephone: �,Q) � (��4-- g� � <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. <br />�-U, i' ��lti� (.�� IS �i>rw�i8� ��cr✓ S7Tik-lC.E <br />Workstation chairs/stools: <br />i >~-Y7� �� �l L l � �1 �1 S <br />- Page 1 of 9 <br />