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Y <br /> San Joaquin County Environmental Health Department <br /> 1868 E Hazelton Ave., Stockton CA 95205 <br /> TELEPHONE: 209-468-3420 <br /> Web Site Address- <br /> https://www.sugov.org/department/envhealth/ <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: IL-111 l2.0V, M0,Y-i-t U0 <br /> City, State, Zip: �9DOJMi, 2-0 +' <br /> Type of Body Art Facility: �GbOS �i1 <br /> Contact Person lil�l'1 - �r j'` `" � Telephone: 201—3-ul— taooc • <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> VQ 015V) ha x4S LA,+f, 6L4n-4-ibct&+cc-L 'soeje, o(xr,,,. "44-t �()rb tc <br /> nh, a�,-toss �.,� -f vv" ly, wu�� wa%k dz LAA+i-, a4L-4c,-,&) <br /> �SDa,p 250GAe- C4�c a,�d s S ►.�,.,, c.� . <br /> 2. Woristation chairs/stools: <br /> in�QS 1 HAX� i t;,tk D_•rt ji lDdt,(,I ems►'101 6D!�q i tAA W� EoK Cj CLL ay <br /> I�,�.o�ol�.�cte_,-h�t� ►� w ke_ wash, t�r.�-s ��-�. ��.r�;�k <br /> G�- it 1 -rv+sv�►�S <br /> JCvV¢.A• CA_.1YrYV - '(+ -h NIL 30 tD lz'� rwi <br />