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San Joaquin County <br /> oPaUliy c <br /> Environmental Health Department DIRECTOR <br /> Donna Heran, REHS <br /> z 1868 East Hazelton Avenue <br /> Stockton, California 952056232 PROGRAM COORDINATORS <br /> Robert McClellon,REHS <br /> Jeff Carruesco, RENS,RDI <br /> Website: .sjov.org/ehd Kasey Foley,REHS <br /> Phone: (209)465-3420 Linda Turkatte,REHS <br /> Fax: (209)464-0135 <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: III 15- "�c <br /> City, State, Zip: 5 n , �Z <br /> Type of Body Art Facility: SVeO 10- <br /> Contact Person: -- -- <br /> - - -------- <br /> ��G(. ,012�P0�-__ Teleph-one: °�� �lL�-�-.--- -Ql <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Worktat'64174 <br /> sces/conn er tops: <br /> ti)r w y0 <br /> I n aet� S <br /> o"e ? " <br /> 2. Workstation ch irs/stools: <br /> Y� SJ v� <br /> 1 wCL <br /> r� -h-nrx_e 3® S-c >-.s t2 S" rV\_J v1I AA4 I <br /> ja:R6 G:\Admin\HAZMAT\FORMS\MEDICAL WASTE&BODY ART\Infection Prevention and Control Plan Page 1 of 9 <br />