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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0547051
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COMPLIANCE INFO
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Last modified
9/13/2024 11:57:55 AM
Creation date
7/31/2024 1:47:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547051
PE
4120
FACILITY_ID
FA0026674
FACILITY_NAME
PERMANENT COSMETICS BY GAYLE & KRISTEN
STREET_NUMBER
401
Direction
W
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
401 W PINE ST
P_LOCATION
02
QC Status
Approved
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EHD - Public
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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: Oy-r-ec_+ fjQ L2 t'►( e �c��1 <br /> Site Address: 4D+ V\,) <br /> City, State Zip: (��(,t C q57_� }O <br /> Type of Body Art Facility: _ 15a nrl <br /> Contact Person: KY,�+«1 �X/h.� � Telephone: ED 0( <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops- <br /> i n + 2 rYt n <br /> It r wQrLr� S, a ce tti i +h Jl jsc rc� <br /> 2. Workstation chairs/stools: <br /> pr0u t +ti)i t� �' i ►-t2,u s -ice r;1 s s n--�c+a n t } 2+ s i,+ <br /> 3. Trays: <br /> �iT(w w i 1-h _i-tau s -K�- (s in e c-+-o r) , p -t- i 4-- -Pry-r- 7F-n i _n <br /> cn1 O-ff C Csye.r --�T o�_v w i + h f7l a s+i c tn\ ra . <br /> Page 1 of 9 <br />
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