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SR0086964
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4100 – Safe Body Art
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SR0086964
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Entry Properties
Last modified
8/29/2023 11:30:43 AM
Creation date
8/29/2023 11:29:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0086964
PE
4103
FACILITY_NAME
MY SALON SUITE
STREET_NUMBER
5759
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
ENTERED_DATE
7/17/2023 12:00:00 AM
SITE_LOCATION
5759 PACIFIC AVE
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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Body Art Facility Infection Prevention And Control Plan Guideline <br />I. Sterilization of Jewelry: Describe the procedure used for the sterilization of jewelry prior to placing <br />into newly pierced skin (California Health and Safety Code 119310 (a) and 119315). <br />J. Sterilization room: Describe the procedure used for decontaminating instruments prior to placing <br />them into the autoclave. Indicate whether instruments are manually washed or machine washed, <br />such as with an Ultrasonic machine. Describe the material used for soaking dirty instruments in the <br />machine, such as Tergazyme (California Health and Safety Code 119309 (b)(e)(g). 119314 (c), and <br />119315 (b)). <br />N/A <br />K. Disinfection Products: List the disinfectant products used at the body art facility (California Health <br />and Safety Code 119301 (k) and 119308 (b)(6)). <br />Cavicide Disinfectant Spray <br />Cavicide Disinfectant Wipes <br />L. Time and Temperature: List the temperature of the autoclave and duration of time at that <br />temperature required for the sterilization of clean instruments. Indicate where the sterilization log is <br />maintained on-site. Indicate whether each sterilization load is tested using Class 5 integrators <br />(California health and Safety Code 119315 (b)(3)(5)). <br />Time: N/A <br />Temperature: N/A <br />Psi: NVA <br />M. Personal Protective Equipment: List the personal protective equipment used during a body art <br />procedure for the practitioner and the client (California Health and Safety Code 119308 (a) and <br />1193090)). <br />Nitrile Gloves (practitioner), Mask(practitioner, client) <br />N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br />each sink (California Health and Safety Code 119314 (b)(3)). <br />Handwashing sink located in treatment room on opposite wall of the procedure bed. Items supplied include Dial <br />antibacterial soap, and paper towels. A garbage bin is located near the sink on the floor. <br />Page 6 of 11 <br />
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