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RECEIVED <br /> AUG 2 12015 <br /> BODY ART FACILITY INFECTION PREVENTION AND CONTROL9Wa§W#M$W <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 Local Enforcement <br /> Agency 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 /> The Infection Prevention and Control Plan shall be maintained current and updated whenever there <br /> are changes to any of the;;procedures or tasks listed and when new technology is adopted for use in <br /> the facility. <br /> Name of Body Art Facility: e r \ <br /> Site Address: <br /> City, State, Zip: <br /> Type of Body Art Facility: <br /> 1 <br /> Contact Person: Telephone: <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. (California Health and Safety Code 119308 (b) and <br /> 119309 (a)(b)(c)(d)(e)) <br /> 1. Workstation surfaces/counter tops. <br /> , i , ( CAu o ` `. 'D <br /> 2. Workstation chairs/stools: <br /> 12, <br /> " Q <br /> r <br /> Page 1 of 10 <br />