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a 'I 19 22 11:53a Century 21 M&M & Assoc. 209-334-2550 p.1 <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: �1I <br />Type of Body Art Facility: 1M { r wh <br />Contact Person: ,, - yte y� Telephone: ,2,,pq <br />A. Decontamina#ion and Disinfection: Describe the procedures for decontaminating and <br />disinfecting of workstation and surfaces. <br />3. <br />7111M M169 <br />Page t of 9 <br />