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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: <br /> Site Address: CCx_ne_ <br /> City, State, Zip: I C5210 <br /> Type of Body Art Facility: �O-A-k-Qo 4z�xqp <br /> Contact Person: (], -k -� r\C,.\ -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 /> WQ -4 <br /> N ,ov-\. -e r, <br /> Cky)d lavLt ae, )DeKc>y-q_ !�4a �_V_RC ay\j cy)rA oo(,eclt_Lyels <br /> \.Aj Ck e> V_ - <br /> 2. <br /> 2. Workstation chairs/stools: <br /> AV e S <br /> I <br /> At,Lo <br /> 3. Trays: <br /> > LA3 CC-> �_9 A0 L.0 \0t) <br /> W-\0401'&cle, 0ov- coQ,k otA *0 <br /> ja:RB G:\Admin\HAZMA"RFORMS\MEDlCAL WASTE&BODY ART\Infection Prevention and Control Plan Page 1 of 9 <br />