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Environmental Health - Public
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0541625
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COMPLIANCE INFO
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Last modified
3/31/2023 12:44:55 PM
Creation date
7/3/2020 10:13:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541625
PE
4120
FACILITY_ID
FA0023858
FACILITY_NAME
NATHAN A KLUDT MD INC (JOHNSON, HEIDI)
STREET_NUMBER
1805
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
1805 N CALIFORNIA ST STE 407
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0541625_1805 N CALIFORNIA_.tif
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EHD - Public
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i <br /> i <br /> San Joaquin County <br /> Environmental Health Department DIRECTOR <br /> Donna Heran,RENS <br /> z '2 1868 East Hazelton Avenue <br /> Stockton, California 952(15-6252 PROGRAM COORDINATORS <br /> Robert McClellon,REHS <br /> Jeff Carruesco,REHS,RD] <br /> cq •......•N:° Website:www.S/gov.org1ehd Kasey Foley,REHS <br /> t fi o R <br /> Phone: (209)468-3420 � Linda Turkatte,REHS i <br /> Fax: (209)464-0138 ; <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 i <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 /> i <br /> Training shall be provided when tasks where occupational exposures may occur are initially assigned, j <br /> anytime there are changes in the procedures or tasks and when new technology is adopted for use in j <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 /> I <br /> Name of Body Art Facility: 1 &f hQ,l/1 , Mia ..LAC <br /> Site Address: tv • I Swr C �� <br /> City, State, Zip: CJ Zig <br /> Type of Body Art Facility: fi <br /> 1 <br /> Contact Person: 4�•�.i Det I O�l V150 h Telephone: ZOq-'9 --7(00 <br /> � <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> 2. Workstation chairs/stools: I <br /> ja:RB G:IAdmIn1HAZMATIFORMSIMEDICAL WASTE&BODY ARTUnfection Prevention and Control Plan Page 1 of 9 <br />
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