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0 <br /> RECEIVED <br /> Ventura County Environmental Health Division <br /> 800 S. Victoria Ave., Ventura CA 93009-1730 OCT <br /> g; TELEPHONE: 805/654-5007 FAX: 805/477-1595 2012 <br /> Internet Web Site Address: www.ventura.org/rma/envhealth ENVIR®NMENT,L <br /> MEAM <br /> PERMrr/8EWdCj <br /> BODY ART FACILITY INFECTION PREVENTION AND CONTROL PLAN GUIDELINE <br /> In accordance withthe 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: <br /> City, State, Zip: <br /> Type of Body Art Facility: <br /> 1—N L�l <br /> Contact Person: �( QP&)Telephone: <br /> A.Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> io m&I ri xcyy)c,,aA em%a <br /> 2. Workstation chairs/stools: <br /> Ls <br /> ja:RBG:\Admin\HAZMAT\FORMS\MEDICAL WASTE&BODY ART\Infection Prevention and Control Plan[1].docx Page 1 of 9 <br />