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San Joaquin County <br /> t DIRECTOR <br /> 6' <br /> Environmental Health Departmen DDonna Heran,REHS <br /> 1868 East Hazelton Avenue <br /> .-A <br /> U): Stockton, California 95205-6232 PROGRAM COORDINATORS <br /> Robert McClellon,REHS <br /> Jeff Carruesco,REHS,RDI <br /> Website:www.S/gov.org1ehd Kasey Foley,REHS <br /> Phone: (209)468-3420 Linda Turkatte,REHS <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 <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: TI"ve H I A <br /> Site Address: <br /> City, State, Zip: � tv CJ--+-o Y7, &A ► I J L0 <br /> Type of Body Art Facility: 2 C Ir m a vi k Go,� m t-h C,,s <br /> Contact Person: Chtisca Telephone: -17 <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Work t tion surfaces/counter tops: <br /> 3ho SX have a �Mdo+ln i M�1�4 (�f&"Wr j(kv+afe m &An 04 W14 n <br /> U� I <br /> (APAVIAdi dq1r00A161W. MUSk Oe hin <br /> e.r'A raGe . follDw yan �_ Y <br /> ma—kGoLl 14 �e AlSthfe+-ayll 901V, UkO'W, <br /> 2. Workstation chairs/stools: <br /> a a�+v/ <br /> Jtrvia o�laq 1 K(jja1 -wom mmalay4ow h-F +I,?(, <br /> rod Lk C 0 o R. 4e. k A✓r I ejr �A& <br /> ja:RB G:\Adrnin\HAZMAT\FORMS\MEDlCAL WASTE&BODY AR-RInfection Prevention and Control Plan Page 1 of 9 <br />