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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 /> i <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 I <br /> for three years. <br /> l <br /> Name of Body Art Facility: ���a �aNE'►1. i <br /> Site Address: <br /> City, State, Zip: <br /> Type of Body Art Facility: <br /> Contact Person: �J Telephone: jLich <br /> i <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Vvqrkstation surfaces/counter tops: <br /> Bh Wt <br /> l <br /> 1(64 M^41 wfi e10K A(( <br /> rs �y <br /> 2. VV rkstation chairs/stools: �� �t <br /> VK <br /> S i s k � � t t,v• �`"' <br /> 4 o a <br /> f <br /> 3. Trays: _ <br /> r au wom Jjw& wr-fk C46 mi 0j 4 J <br /> bah ut�►�K �4yro� t., . <br /> E <br /> ja:RB G:v\dmin\HAZMAT\FORMS\MEDICAL WASTE&BODY ARTUnfection Prevention and Control Plan Page 1 of 9 <br />