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Address: Ooh La! Lash and Brown Room, 115 N School, Lodi 95240 Record ID: PR0547909 <br /> Date: 03-31-2025 Program: Body Art <br /> PHOTO 8 & 9: Disinfection procedures inconsistent with labeling on the Caviwipes packaging <br /> �4. Armrests: , <br /> f`lllk <br /> BODY ART FACILITY INFECTION PREVENTION AND CONTROL PLAN GUIDELINE <br /> 5. Headrests: <br /> rand <br /> accordance with the California Health and Safety Code,Section 119313,a body art facility shall u" <br /> aintain and follow a written Infection Prevention and Control Plan,provided by the owner or �k 4e, � yy\a �� ��^O1^ {111OwL 4A QCs�� 3L � <br /> stablished by the practitioners,specifying procedures to achieve compliance with the Safe Body Art <br /> ct. A co ar <br /> ply of the Infection Prevention and Control Plan shall be filed with the Environmental Health <br /> ivision and a copy maintained in the body art facility. <br /> 6. Pr cedure area: <br /> he body art facility owner shall provide onsite training on the facility's Infection Prevention and ar <br /> ontrol Plan to the body art practitioners and employees or individuals involved with decontamination sterilization procedures. <br /> Training shall be provided when tasks where occupational exposures may occur are initially assigned,anytime there are changes in the procedures or tasks and when new technology7. Tables: <br /> the body art facility,but not less than once each year. Records of training shall be maintainedron-site <br /> for three years. 1 `k <br /> Name of Body Art Facility: b�N LZ, <br /> Site Address: 8. Tattoo machine: <br /> City,State,Zip:_l OA', (\_T qg�yp <br /> _ y <br /> Type of Body Art Facility:M i r r-0\-AarQ+ <br /> Contact Person: �sy,,e, Telephone: 9. Reusable instruments,calipers,needle tubes,etc.,or other: <br /> A. Decontamination and Disinfection:Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> L.1 t2nv�oho ha< llto,�a .�iidyQ_S I����o l�•!k �• S � 3. Reusable Instruments:Describe the procedures used for decontaminating,sterilizing,packaging <br /> �y+ 4-- ram... and storing of reusable instruments. Include the procedures for labeling of sterilized peel-packs. <br /> 1. Needle tubes: <br /> 2. Workstation chairs/stools: <br /> !ap A Si 1� yy\'tit 1- S L o r� 4)i irk—r.1,ar,. &0 o rA�l. <br /> 3. Trays: <br /> 2. Calipers: <br /> 3, <br /> Page 2 of 9 <br /> Page 1 of 9 <br /> Vicky Vang-Lee, REHS Page 8 of 10 <br />