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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 /> estaelished by the practitioners, specifying procedures to achieve compliance with the Safe Bedy Art <br /> Act. A copy of the Infection Prevention and Control Plan shall be filed with the Environmental Health <br /> DiviE ion 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 /> Conlro 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 bocy 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: ; <br /> City, State, Zip: <br /> Type of Body Art Facility: � � Qp,y, <br /> Cont.3c- Person: k1(WRI1JP_� aww,tjm Telephone: (20)If p*9 <br /> A. Dec ontarnination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> HANGS Fiv?A r-e ylL'-'� <br /> Q�+rau1 <br /> cirT��aDe[ �U .�- �;ait �^ir�il�lil$� '� 4►�=,-,t-, � <br /> 2. Workstation chairs/stools: <br /> �spau rn . 'raQls' e��a I+rn C�ayi � ca,u�� v�i#!n s`r�le ��� �c��r�we► •l�qi� m ni cry,;n`� <br /> � minvt�s #� tet it ait t1r�. � 1 use q dispc�►ble �- _ � tb fit �����p o� �- <br /> 1'YJI� ChUlf �U( trylStOb15 1 kh� �OV�t" Van n � adtUS'�+C �, y4.�A ��4Ffi-f;�Ivn�Ue1C�ic1 �tCa,�. <br /> r'bt�tArn`C�on <br /> 3. Trays: <br /> M iln S 6M cU I S ra dvu witl j­�I jmft,. .W ait m'cnim0ry-N '3 ni F) <br /> 'b kA( 4 dru, WY1 1 yaFz a ?stun# btbS okra cover- -4 41FPMAbte �4U f igcf DIMS <br /> w i-t) bctaief �_tnn +o MOO (toss <br /> Page 1 of 9 <br />