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San Joaquin County <br /> DIRECTOR <br /> Environmental Health Department Donna Heran,RENS <br /> 1868 at Hazelton Avenue <br /> PROGRAM COORDWATORS <br /> Stockton, California 95205-6232 <br /> Robert McClellon,RENS <br /> Jeff Carruesco,RENS,RD[ <br /> Kasay Foley,RENS <br /> Iffiebsite.,www.sjgov.org1ehd Linda Turkatte,RENS <br /> Phone, (209)46"420 <br /> Fax. (209)464-0138 <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: 3 Vo6g-4 L f5isS <br /> Site Address: 1,q <br /> LA <br /> City, State, Zip: . 2Ar-e_,1 37 <br /> Type of Body Art Facility: A41 Cgs ,do1�® <br /> S C-) <br /> Contact Person: W/A k-F,-)&W_ Telephone: <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> SZE=AA1 LS agg;& i225-A&I t:tw_�/ <br /> t+kj, 00g=7 +,1-f <br /> 2. Workstation chairs/stools: <br /> Lf je IL S Aw'D S-7-064 S011AZ- J,16/K/) <br /> _ ijvire4 gt&o1L F7*14,Ai <br /> ja:RB G:1Adrnln\HAZMAT%F0RMS\MEDlCAL WASTE&BODY ART\Infection Prevention and Control Plan Page 1 of 9 <br />