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San Joaquin County Environmental Health Department <br /> .`; 1868 E Hazelton Ave., Stockton CA 95205 <br /> =`1 TELEPHONE: 209-468-3420 <br /> Web Site Address: <br /> https://www.sigov.org/department/envhealth/ <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: ZI t E ry-ja,*-c_v-) LAY, <br /> City, State, Zip: S-vc k--i-tx­) <br /> Type of Body Art Facility: L�'ti`-ContactPerson- Telephone: �'oq - �� <br /> 444 <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> cmc CL-A n - C i cc-n Cl rcv n{ert.rn 1 oeL(c cj Is 1 n Gcc-" <br /> J S 11 U tr) V I,VWI <br /> a a- acvex <br /> 2. Workstation chairs/stools: I I U-I (� <br /> 6 C'CC�YI 0.1YA nC�.1t C(%1 I S 1Y 1 tCC <br /> t_,)A� M,n V l rkcte, I C. V l u_� l 1' S 1v 1711'Y:t (k t'1..x y) T�f'LG eyr o L' <br /> CLNNW CL 4f g.Gt h Ct t e-h I <br /> Page 1 of 9 <br />