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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: TqE ZgoiEs� 1-0j 0(hP_ -TO311)0 ?(l V WV_ <br /> Site Address: 1!A r' + V1AA_\j C110 '3 ,Ut .S D I fie 5- <br /> City, State, Zip: fit)c, �-U <br /> Type of Body Art Facility: < V\c> <br /> Contact Person: i)O\r1C,a ynb Telephone: 'Z0�- <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. WorkstationL.surfaces/counter tops- T <br /> �\T,_ j \MG,ACA(',\C�e aCACAM ai\ 8 <br /> P. cAnw\0 ���ty, InLu <br /> 2. Workstation chars stools: <br /> U\J�F rnuIn t )QV,U0 . <br /> 3. Trays: r <br /> nn a Aa Ce s C-or -N\ov. <br /> c _� pvy Page 1 of 9 <br />